Conditions of Participation / en Thu, 08 May 2025 09:18:56 -0500 Thu, 02 Apr 20 14:53:51 -0500 Templates for submitting inspection, testing and maintenance waivers to CMS /templates-submitting-inspection-testing-and-maintenance-waivers-cms Thu, 02 Apr 2020 14:53:51 -0500 Conditions of Participation Central Station vs. Proprietary Supervising Fire Alarm Systems Thu, 02 Apr 2020 09:06:55 -0500 Conditions of Participation Fire Door Inspection Resources /resources/fire-door-inspection-resources <p><img src="/sites/default/files/styles/thumbnail/public/ashe/Hospital-Fire-Door.jpg" data-entity-uuid="" data-entity-type="" alt="image of doctors in a hallway" width="300" height="158" align="left"></p><p>³¯Ñô³Ô¹Ïis developing resources to help members comply with new Conditions of Participation from the Centers for Medicare & Medicaid Services (CMS), which requires routine inspections of fire doors performed by "qualified persons." You don't need to have a special certification or third party training to be qualified, but ³¯Ñô³Ô¹Ïis working to provide members with the information they need to create and implement door inspection and maintenance programs.</p><p> </p><p> </p><h3>³¯Ñô³Ô¹ÏEducation</h3><p><strong>Door Inspection and Maintenance Workshop</strong><br>Authorities Having Jurisdiction (AHJs) are looking at door maintenance programs in new and different ways. Although the code does not require anyone to have special training to inspect or maintain facility doors, this program will help ensure you are in compliance when surveyed, and will help you confidently discuss your door maintenance program when surveyors visit. Attendees will also receive a copy of the ³¯Ñô³Ô¹Ï<em>Inspecting and Maintaining Swinging Doors Handbook</em>, a how-to guide to egress and fire door safety specific to health care facilities.</p><p><a href="/door-inspection"><strong>Click here for program dates & information on hosting.</strong></a></p><strong>Upcoming Programs:</strong><br /> August 2, 2020<br /> Pre-conference program at the ³¯Ñô³Ô¹ÏAnnual Conference<br /> Chicago, IL<br /> Registration coming soon.</p> <p><em>*Dates and locations subject to change.</em></p> --><p> </p><h3>Articles and Guidance</h3><ul><li><a href="/resources/display/focus-on-compliance-fire-door-checklist">Focus on Compliance: Fire door checklist</a></li><li><a href="/resources/display/focus-on-compliance-hospital-checklist-for-fire-safety-inspection-testing-and-maintenance">Focus on Compliance: Hospital checklist for fire safety inspection, testing, and maintenance</a></li><li><a href="/resource-repository-ashe?type=1145">Advocacy Tools</a></li></ul><p> </p><p> </p> Tue, 18 Sep 2018 18:00:00 -0500 Conditions of Participation Hospital Appendix A Survey Readiness Checklist and Crosswalk <p><img align="left" alt="³¯Ñô³Ô¹ÏTools: Hospital Appendix A tool image" src="/sites/default/files/inline-images/Atags-tool-img.png" />The ³¯Ñô³Ô¹ÏCMS State Operations Manual Appendix A Crosswalk provides A-Tag information along with the related codes and standards applicable to the requirements for each A-Tag. To ensure that the tool is relevant to health care facility professionals, it focuses specifically on A-Tag requirements that affect the physical environment.<br /> <br /> This tool will help to ensure that ³¯Ñô³Ô¹Ïmembers understand what is required as they prepare for surveys by The Joint Commission and other accrediting bodies. It also breaks down the requirements in a way that is both accurate and easy to understand, so that health facility professionals can ensure a compliant and safe environment for patients, visitors and staff.</p> <p><a class="btn btn-primary" href="/system/files/media/file/2019/10/ashe-a-tag-crosswalk-with-resources.pdf" target="_blank">Download Tool</a></p> Wed, 01 Aug 2018 16:49:21 -0500 Conditions of Participation Hospital Conditions of Participation / Accreditation Crosswalk <p>This document provides a comparison of the regulations applicable to most hospitals. It is important to verify the editions of the codes and standards that are applicable in your jurisdiction. Some jurisdictions may have adopted a different edition of the building code for construction. Many states have adopted other editions of the NFPA’s Life Safety Code®. For additional information, contact your state agency responsible for licensing hospitals. This resource represents CMS form 2786R Fire Safety Survey Report 2012 Code – Health Care, available at the time of this publication (January 2021).</p><p><a class="btn btn-primary" href="/system/files/media/file/2021/02/ASHE-K-Tag-Crosswalk.pdf.pdf" target="_blank">Download Tool</a></p><p> </p><p> </p> Wed, 18 Apr 2018 13:09:00 -0500 Conditions of Participation ³¯Ñô³Ô¹ÏWet Location Tool /ashe-wet-location-tool Wed, 13 Sep 2017 09:48:56 -0500 Conditions of Participation