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These crosswalks allow facility professionals to understand how the accreditation standards align with the CMS Conditions of Participation (CoP’s) and Code of Federal Regulations (CFR) and how these align with the adopted codes and standards. The crosswalks provide a comparison of the regulations applicable to most hospitals. This will allow facility professionals to better understand the standards and requirements and thus better prepare for survey evaluations within the physical environment.

Just Ask ASHE: Q1 2021 Webinar Speaker: ASHE Get trusted answers to your compliance questions from a panel of code experts.  

Just Ask ASHE: Q2 2020 Webinar Speaker: ASHE Get trusted answers to your compliance questions from a panel of code experts.  

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Executive Summary ASHE has heard reports of surveyors issuing findings regarding the pressure relationship of operating rooms (ORs) and sterile storage rooms and the restricted areas of operating suites. ASHRAE 170 Table 7.1 Design Parameters indicates that operating rooms (OR) and sterile storage are to have a positive pressure relationship to adjacent areas. The FGI Guidelines Section 2.2-3.3.1.1(4) requires that the surgical suite be divided into two designated areas. The restricted area of the OR suite is intended to support a high level of asepsis control.

This American Society for Health Care Engineering (ASHE) monograph discusses the physical environment provisions of USP and is primarily intended for the use of health care facility managers. The USP Risk Readiness Checklist, created by the American Society for Health Care Risk Management (ASHRM), will assist users in identifying areas where opportunities exist to comply with USP required standards.

- In 2016, the Centers for Medicare & Medicaid Services (CMS) adopted new Conditions of Participation that incorporated the 2012 editions of NFPA 101 and NFPA 99. CMS recently provided ASHE with the following guidance on some frequently asked questions regarding the new CMS requirements.

Speakers: Tim Adams, Sue Andersen, Kathy Tolomeo, David M. Sine, Kathryn Petrovic The Centers for Medicare and Medicaid Services as well as the Joint Commission and other accrediting organizations are placing an increased emphasis on assessing risks and providing a physical environment consistent with the identified risks. This session focuses on the process of risk assessment and mitigation of behavioral health patient safety physical risks.  

Speakers: Kirsten Waltz and Rebecca Lewis Learn about the flexible requirements and how to address a variety of projects types, from small clinics or doctor’s offices to tenant improvements in larger buildings to large medical office buildings with multiple clinical services.    

Speakers: Bryan Langlands and Kevin Matuszewski Review revisions to the 2018 FGI Guidelines for Design and Construction of Hospitals and Outpatient Facilities, focusing on the sections that address exam/treatment, procedure, operating, and imaging rooms.    

Speakers: Dana Swenson, Wade Rudolph and Doug Erickson Learn about how key factors that influenced changes across the 2018 documents, including the decision to separate hospital and outpatient facilities, to better address the unique requirements for these facility types.    

Speaker: Lennon Peake and Rebecca Morgenstern This session will detail the requirements of the NFPA 101-2012: Life Safety Code® and 2015 International Building Code for locking arrangements and the differences between the requirements contained in the two documents. The session will also discuss in detail the advantages, disadvantages, and appropriateness of the different types of locking arrangements as well as the most common design/installation mistakes associated with each type of arrangement.

This PowerPoint presentation details LS.02.01.20 and locking requirements included in the Life Safety Code. DOWNLOAD NOW

NFPA HITF interpretations, June 2010 on floor/ceiling assembly for occupancy separation, exit access from suites, fire doors, sprinkler clearance at perimeter. DOWNLOAD NOW

This 2013 ASHE Advocacy Report features articles on the unique hospital environment, improving codes and standards, and ways to get involved.

The 2014 ASHE Advocacy Report includes articles on improving codes, code compliance, and outreach.

The 2015 ASHE Advocacy Report includes articles on improving codes, code compliance, and outreach.

The 2016 ASHE Advocacy Report includes articles on improving codes, code compliance, and outreach.