AAAHC and government survey readiness
Fire and life-safety preparation for ambulatory surgery centers. Every engagement is scoped to your building, your timeline and the survey you’re preparing for.
AAAHC Survey Readiness
The Accreditation Association for Ambulatory Health Care (AAAHC) is an accrediting organization for ambulatory health care, including ambulatory surgery centers. We help ASCs prepare the fire and life-safety side of an AAAHC accreditation survey: walking the building, reviewing related records and documenting gaps so your team can correct them before surveyors arrive.
Government (CMS & State) Survey Readiness
To participate in Medicare, ambulatory surgery centers must meet the Centers for Medicare & Medicaid Services (CMS) Conditions for Coverage at 42 CFR Part 416. Those conditions include fire-safety requirements that reference the NFPA 101 Life Safety Code and the NFPA 99 Health Care Facilities Code.
State survey agencies conduct Medicare certification and recertification surveys on CMS’s behalf. States also conduct their own licensing surveys. We help ASCs prepare for those government surveys with the same fire and life-safety focus.
What an engagement can include
Mock surveys & gap assessments
A survey-style visit: we walk the building, ask for the fire-safety documents a survey would typically require and flag gaps. You see where you stand before an official AAAHC, CMS or state survey.
Written findings report
Every assessment includes a written findings report with photos, a priority ranking for each item and a debrief call to go over results.
Call or text for scheduling and a quote.
Corrective-action follow-up
Already cited, or working through a findings list? We help you understand each item, rank the fixes, document completion and, when you want it, return to verify that corrections are in place.
Documentation review
We check fire-safety records for missing dates, gaps and overdue items, including inspection, testing and maintenance records for fire protection systems, fire drill records and related policies.
Fire & life-safety walk-through
A room-by-room look at the life-safety side of your facility. Typical areas include:
- Exits, exit signs and egress paths
- Emergency lighting
- Fire and smoke barriers and penetrations
- Fire doors and smoke doors
- Fire alarm and sprinkler system condition
- Portable fire extinguishers
- Storage and corridor clutter
- Hazardous areas and oxygen/medical gas storage
We tailor the checklist to the survey you’re preparing for and the codes your facility is surveyed under.
Not sure what you need?
Call and tell us which survey you’re preparing for and where you are in the process. We’ll recommend a starting point.
Serving ambulatory surgery centers — call to discuss your location.
Questions
What is AAAHC?
The Accreditation Association for Ambulatory Health Care (AAAHC) is an accrediting organization for ambulatory health care, including ambulatory surgery centers.
What are government surveys for ASCs?
To participate in Medicare, ambulatory surgery centers must meet the Centers for Medicare & Medicaid Services (CMS) Conditions for Coverage at 42 CFR Part 416. Those conditions include fire-safety requirements that reference the NFPA 101 Life Safety Code and the NFPA 99 Health Care Facilities Code. State survey agencies conduct Medicare certification and recertification surveys on CMS’s behalf, and states also conduct their own licensing surveys. Certification and licensure decisions are made solely by those agencies.
What does a readiness engagement include?
Typically a mock survey or gap assessment with a fire and life-safety walk-through, a review of related records, a written findings report with photos and a ranked fix list, and optional corrective-action follow-up. We tailor the checklist to the survey you’re preparing for and the codes your facility is surveyed under.
Where do you work?
Serving ambulatory surgery centers — call to discuss your location.