Resource Library

- 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.

Tuesday, July 16, 2019Speakers: Dennis Ford, Mike Mango and Tyler GreenwoodThe Joint Commission is focusing on the certification process for pharmacy sterile compounding clean rooms in 2018-2019 surveys. The Central Division of Atrium Health was surveyed in 2018 and conducted a multidisciplinary review of requirements, roles, and responsibilities around clean rooms. This session presents a resulting road map to developing a program for continual certification. 

Monday, July 15, 2019Speakers: Fran Charney and Mike ZorichASHE and ASHRM have developed tools and resources to help members understand and implement USP <800> standards. The session covers physical environment compliance with the chapter and introduces a new ASHE monograph and ASHRM checklist (both available here), which will teach and guide readers through changes needed to keep patients, staff and visitors safe. 

Speakers: Tim Adams, Sue Andersen, Kathy Tolomeo, David M. Sine, Kathryn PetrovicThe 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. 

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

The 2017 ASHE Advocacy Report includes articles on improving codes, code compliance, and outreach. DOWNLOAD NOW

Achieve compliance with Joint Commission Documentation Standards. Learn how to effectively document standards with our comprehensive guide.

This downloadable Word document is a policy on maintaining utility system drawings and documents to aid in the shutdown process during emergencies. DOWNLOAD NOW

This downloadable Word document is a sample monthly log for maintaining special ventilation rooms.DOWNLOAD NOW

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

Successfully pass any inspection related to compliance with NFPA 99, 2012 edition, by learning a risk-based approach to systems and equipment.

Door Inspection Tool 2019.

Safeguard against fire-related hazards with NFPA 101 Life Safety Code. Protect patients, staff, and visitors in health care facilities.

Speakers: Jonathan Flannery, MHSA, CHFM, FASHE, FACHE, Senior Associate Director of Advocacy, ASHE; Jonathan Hart, P.E., Principal Fire Protection Engineer, NFPA; William Koffel, FSFPE, P.E., President, Koffel and Associates 

This monograph provides a detailed comparison between the 2000, 2012, 2015, and 2018 editions of NFPA 101: Life Safety Code® and the 2015 and 2018 editions of the International Building Code.

Speakers: Rebecca Lewis, Scott Miller, Jennifer Aliber, and Peter L. BardwellThis forum reviews recurring code issues, explores case studies, and discusses improvements to the codes that regulate the programming and planning of hospitals and health care facilities. 

Speakers: Kirsten Waltz and Rebecca LewisLearn 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.