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Accreditation readiness

ACHC Life Safety Survey Readiness

ACHC accredits hospitals, critical access hospitals, ambulatory surgery centers and a range of other provider types under CMS-deemed and non-deemed programs. The Physical Environment and Life Safety portion of the survey is conducted to the NFPA 101 and NFPA 99 requirements CMS has adopted.

ACHC publishes its standards and survey process openly, which makes a readiness review built directly on the standards especially effective.

What an ACHC readiness review covers

  • Physical Environment and Life Safety standards for the applicable program
  • Building systems inspection, testing and maintenance documentation
  • Fire door assemblies, barrier management and egress
  • Emergency power and medical gas systems
  • Emergency preparedness program and exercises
  • Plan of correction drafting and verification

Hospitals and surgery centers

ACHC's hospital and ambulatory surgery center programs both include a Life Safety Code review. SRC prepares each facility type to its own occupancy requirements under the Life Safety Code.

Frequently asked questions

Yes. SRC prepares for the Physical Environment and Life Safety portion of the ACHC survey for hospitals, critical access hospitals and surgery centers.

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