Resources on CMS Conditions of Participation

Emergency preparedness rule resources

The Centers for Medicare & Medicaid Services (CMS) has issued a final rule requiring new emergency preparedness requirements for 17 types of health care providers, including hospitals, critical access hospitals, ambulatory surgical centers, long-term care facilities, intermediate care facilities, and rural health clinics. Below are ASHE resources on this topic.

If you have a compliance question regarding the CMS emergency preparedness requirements, submit it here. ASHE will be answering frequently asked questions to help members understand these new requirements.

Submit your emergency management question >>

Life Safety Code® resources

The Centers for Medicare & Medicaid Services (CMS) has adopted the 2012 edition of NFPA 101: Life Safety Code® as minimum physical environment requirements for participation in Medicare/Medicaid Programs. Below are ASHE resources on this topic.

Healthcare Facilities Code Resources

CMS has adopted NFPA 99: Healthcare Facilities Code as a condition of participation in Medicare / Medicaid Programs. Below are resources for that code:

Accreditation Tools

Det Norske Veritas (DNV GL), Healthcare Facilities Accreditation Program (HFAP), The Joint Commission

As part of the accrediting organizations deemed status agreements the AOs have also adopted the 2012 editions of the codes. Resources for the accrediting organizations are below:

Related Resources

Monograph
This document outlines a team approach, starting with the health care organization leadership setting the expectations and cyber-risk mitigation tone…
Book
This handbook lays out the processes and flow of a health care project, including planning, design and construction. It takes a sequential approach…
Compliance Tools
Use this HVA tool to assist your multidisciplinary group in assessing and prioritizing exercises for potential hazards/risk.
Monograph
This code overlay will assist health care systems with their decarbonization efforts
Accessing utilities and wiring above the ceiling is essential, but it can be risky. ASHE's Above-Ceiling Tools can help you do it safely.
Compliance Tools
Use this tool to assess your level of adoption of the most common energy conservation measures.