To help members understand the possible patient and staff safety risks, ASHE has developed a list of potential ligature points and other self-harm concerns for behavioral health areas.
ASHE has created a new crosswalk that compares K-Tags with Joint Commission, NFPA, and International Code Council requirements.
This monograph provides a detailed checklist that can be used to gather data and answer fundamental questions associated with the architectural, mechanical, electrical, plumbing,... read more
This website provides articles, monographs, and tools to help members understand the new Centers for Medicare & Medicaid Services (CMS) rule on emergency preparedness.
This regulatory advisory from the American Hospital Association explains CMS's emergency preparedness rule and provides hospitals with next steps to comply with the new regulations.
This Inside ASHE article recaps the 2016 ASHE Annual Conference and provides a summary of regulatory news discussed at the conference, including Joint Commission changes and CMS emergency preparedness.
This ASHE chart shows members each requirement of the new CMS emergency preparedness rule; gives a summary of CMS’s reasoning behind the... read more
This alert explains new CMS emergency preparedness requirements for health care facilities that will require emergency plans; policies and procedures; a communication plan; and training and testing.
The 2016 ASHE Advocacy Report includes articles on improving codes, code compliance, and outreach.
The Centers for Medicare & Medicaid Services has adopted the 2012 edition of NFPA 101. The 2012 edition contains a new chapter on... read more
This Focus on Compliance webpage provides information on common noncompliance areas, including items being supported from sprinkler systems, inadequate sprinkler maintenance, and obstructions being stored within 18" of a sprinkler head.
In this Annual Conference session recording, ASHE's codes and standards experts discuss emerging codes and standards issues facing health care facilities and offer answers to specific questions on codes including NFPA 101 and NFPA 99.
This 2016 Annual Conference session recording provides an overview of NFPA 99:Health Care Facilities Code, including topics such as... read more
This ASHE Annual Conference session recording covers Chapter 43 of the 2012 edition of NFPA 101, which provides clarification on levels of building renovations and when compliance with new construction would be required.
This Annual Conference session recording covers the 2008 edition of ASHRAE 170 and addenda as referenced by the 2012 edition of NFPA 99. With CMS adopting ASHRAE 170 as a Condition of Participation, it is critical to understand this standard.
CMS has adopted the 2012 edition of NFPA 101, and this ASHE Annual Conference session recording will introduce... read more
This ASHE Annual Conference session recording provides an overview of NFPA 101: Life Safety Code®, including topics such as occupancy classification, components of the means of egress, doors, suites, interior finish, and more.
This ASHE video outlines changes made in 2016 to the CMS Conditions of Participation regulating health care facilities.
CMS is making a correction to its rule adopting the 2012 editions of NFPA 101 and NFPA 99. The correction, which was published in the Federal Register on... read more
ASHE is providing members with guidance and answers to frequently asked questions regarding the new Center for Medicare & Medicaid Services (CMS) Conditions of Participation, which took effect July 5, 2016.
This recording of a webinar from May 27, 2016, gives a practical guide on how to inspect swinging fire doors with builders hardware. This resource is available as part of ASHE's Focus on Compliance project with the Joint Commission.
This article explains occupancy types for ambulatory surgical centers.
The 2012 edition of NFPA 101 contains numerous... read more
This article explains what the CMS adoption of the 2012 Life Safety Code means for hospitals.
This website provides articles, monographs, and tools to help members understand the new Centers for Medicare & Medicaid Services (CMS) Conditions of Participation now that CMS has adopted the 2012 edition of NFPA 101: Life Safety Code.
This advocacy alert from May 3, 2016, explains the CMS adoption of the 2012 editions of NFPA 101 and NFPA 99.
This webinar details the impact of the 2012 edition of NFPA 101 on new health care facilities.
This webpages includes resources on maintaining building and fire protection features to comply with Joint Commission standard LS.02.01.10.
This checklist can help health care facilities inspect fire doors to ensure compliance with Joint Commission standard LS.02.01.10.
This sample policy and procedure, a Word document that you can amend for use in your facility, covers the above-the-ceiling permitting to comply with Joint Commission standard LS.02.01.10.
This Word document, which you can customize for use in your facility, is a sample above ceiling permit to help health care facilities comply with Joint Commission standard LS.02.01.10.
This webinar recording from March 31, 2016, explains firestopping and barrier management in health care facilities.
This ASHE webpage houses several resources on using power strips, or relocatable power taps (RPTs), in patient care areas.
This webinar recording highlights the impact of the 2012 edition of NFPA 101 will have on existing health care facilities and the rationale behind the changes from the 2000 edition.
This PowerPoint presentation details LS.02.01.20 and locking requirements included in the Life Safety Code.
This document explains how to create a complete inventory and comply with Joint Commission standard EC.02.03.05.
This document explains how to document maintenance, testing, and inspection of fire safety systems to comply with Joint Commission standard EC.02.03.05.
This document explains how to document standards to comply with Joint Commission standard EC.02.03.05.
This webpage shows hospitals how to maintain fire safety equipment and fire safety building features, and how to comply with Joint Commission Standard EC.02.03.05.
This document explains how to document activities such as inspection, testing, and maintenance of fire alarm systems to comply with Joint Commission standard EC.02.03.05.
This document provides a checklist for hospitals to document the inspection, testing, and maintenance of fire safety equipment and fire safety building systems under Joint Commission standard EC.02.03.05.
This document for ambulatory facilities can be used to document inspection, testing, and maintenance of fire safety equipment and fire safety building systems under Joint Commission standard EC.02.03.05.
The 2015 ASHE Advocacy Report includes articles on improving codes, code compliance, and outreach.
In 2015, ASHRAE published its long awaited Standard 188: Legionellosis: Risk Management for Building Water Systems. This article explains ASHRAE 188 requirements for hospitals and health care facilities.
This webpage includes resources for hospitals to establish and maintain a safe, functional environment and comply with Joint Commission standard EC.02.06.01.
This document explains medical gas cylinder requirements and clarifies how to comply with Joint Commission standard EC.02.06.01.
This sample policy and procedure, a Word document you can download and amend to use in your facility, covers medical gas cylinder storage in patient care areas.
This webpage includes links to external resources related to occupational and patient safety that could help hospitals comply with Joint Commission standard EC.02.06.01.
This recorded webinar discusses the collaboration between ASHE and the Joint Commission to create new compliance resources.
This webpage addresses ways to maintain the integrity of the means of egress and comply with Joint Commission standard LS.02.01.20.
This excel tool can be used to help prevent obstructions in the means of egress and comply with LS.02.01.20.
This document provides instructions on how to use ASHE's Adopt-a-Floor work order tool.
This Excel tool provides a checklist for environmental tours, including items related to fire safety, safety management, utilities, infection control, hazardous material, security, medical equipment, emergency management, and staff knowledge.
This Excel tool provides a handy checklist of life safety standards and the frequency with which they must be checked.
This excerpt from the Mechanical Systems Handbook for Health Care Facilities details special HVAC requirements for operating rooms, including air change rates and filtration.
This short video explains how the ventilation system in hospitals is key in preventing the spread of airborne contaminants and pathogens.
This downloadable Word document is a sample monthly log for maintaining special ventilation rooms.
This downloadable Word document is a sample pressure relationship policy you can customize to fit the needs of your facility.
This downloadable Word document is a sample policy for labeling electrical panels and utilities for shut downs.
This Inside ASHE article explains the difference between patient vicinity and patient space--two terms often used in codes and standards regulating health care facilities.
This article in Inside ASHE explains the collaboration between the Joint Commission and ASHE that will provide compliance resources.
A common question is whether emergency eyewash/shower facilities are required in blood draw areas or other areas where there are potential exposures to blood. This article explains... read more
This Inside ASHE article explains how filtration design for hospital air systems can help reduce health care-associated infections (HAIs).
This article explains potential problems with fire door operation, explains code requirements, and offers tips on creating a door inspection program.
This Inside ASHE article shows how to create a water management plan to understand and address risks.
This Inside ASHE article explains new ways to get involved with the FGI Guidelines development process and explains changes on the horizon for the 2018 edition of the Guidelines documents.
This Inside ASHE article provides information on a new customized e-learning program available for the FGI Guidelines.
This article based on a Joint Commission session at the 2014 ASHE Annual Conference shows how to conduct risk assessments and failure mode and effects analyses.
This article based on a session at the 2015 PDC Summit explains how Baystate Health took a best-practices approach for cost-effective life safety compliance.
A new ASHE monograph explores risk assessment of medical equipment—a key part of the Joint Commission’s Environment of Care Management Plans. The monograph,... read more
This Inside ASHE article explains the functional program requirements as outlined by the 2014 edition of the FGI Guidelines.
This Inside ASHE article explores efforts to make U.S. hospitals more resilient, including an initiative from the White House focused on protecting hospitals from natural disasters.
This tool can be used to help execute a Fire Safety Evaluation System (FSES) submission under NFPA 101A methodology.
ASHE members can use this downloadable template to help document waivers offered by the Centers for Medicare & Medicaid Services (CMS) a facility chooses to use. The document can be tailored to the needs of each facility.
This webinar demonstrates ASHE’s health care FSES tool and provides the information needed to present alternative compliance solutions for your facility through use of NFPA 101A methodology.