Tag: ASC Accreditation Policies

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Surgery Center Accreditation Got You Stressed? Start the Video Training Channel Now

If you’re feeling overwhelmed preparing your surgery center for AAAHC accreditation, you’re not alone. Between infection control, quality improvement, governance documentation, and staff training, it’s easy to feel buried in compliance tasks.

But what if your entire team could be trained on AAAHC expectations—anytime, anywhere—with clear, expert-led video lessons?

Introducing: Our Accreditation Prep Video Training Channel

Our on-demand video subscription is designed to simplify your accreditation journey. Whether you’re new to AAAHC or just need help training your staff on the latest standards, our channel gives you:

🎥 Step-by-step videos that break down the standard
📋 Real-world examples from inside a surgery center
🧠 Staff-focused trainings that help your team understand what surveyors will ask
      Survey readiness tips you can implement right away

It’s like having a consultant on-call 24/7—without the high hourly fees.

Why Surgery Centers Love It

✅ Watch anytime—perfect for busy schedules and rotating staff
✅ Use for onboarding, annual training, or survey prep
✅ Simple, practical, and focused on exactly what matters
✅ Boosts team confidence before a mock survey or the real thing

Stop Guessing. Start Preparing—Visually and Effectively.

You don’t have to train your team from scratch or spend hours explaining what “continuous compliance” means. Our video training channel was built to streamline staff education and help you meet AAAHC standards faster.

🎬 Ready to get your team survey-ready the smart way?
👉 [Start the Accreditation Video Training Channel Now]

No fluff. No stress. Just clear, guided help when you need it most.

Here’s to your success,

NB

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Why More Surgery Centers Are Failing Accreditation—and How You Can Avoid It

Accreditation isn’t optional—it’s your license to operate.
Yet, with QUAD A tightening their inspection process, more centers are failing to meet compliance in key areas like infection control and  documentation.
If you’re relying on outdated forms or old survey prep methods, you’re putting your accreditation—and revenue—at risk.
This post outlines the top reasons facilities are failing inspections in 2025—and what to do now to stay survey-ready.

Inadequate Infection Control Practices

The problem: Lapses in hand hygiene compliance, sterilization tracking, or environmental cleaning protocols can lead to immediate citations—or even shutdowns.

What to do:

Assign a designated Infection Control Coordinator

Train all staff annually (and upon hire) with signed documentation

Surgical Techs must have evidence of sterilization competency and high level disinfection competency

Use checklists and logs to verify daily compliance (and keep them inspection-ready)

Weak Emergency Preparedness & Fire Drill Compliance

The problem: Missing fire drill reports, missing code blue drills, expired emergency contact lists, lack of recent staff drills, or no documentation of tabletop exercises.

What to do:

Schedule and document all emergency drills in your compliance calendar

Review and update your Emergency Operations Plan annually

Train staff using real scenarios—and keep signed attendance sheets

Credentialing & Privileging Gaps

The problem: Expired or missing documents in physician or provider files (licenses, DEA, malpractice insurance, board certifications, health records).

What to do:

Maintain a credentialing matrix for due dates and expiration tracking

Conduct a quarterly audit of all provider files

What To Do NOW To Stay Survey Ready:

Consult with Nicole Brown, owner of Accredia Surgery Center Inspection Preparation.

Purchase accredia.shop ready to download policies and procedures, drill templates and forms.

Subscribe to accredia TV inspection preparation channel and watch surgery center accreditation preparation videos streaming 24 hours a day.

Here’s to your success,

NB

 

 

 

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The Benefit Of Updating Ambulatory Surgery Center Policies and Procedures

Download ASC Policy and Procedure Manual
Downloadable ASC Procedure Manual

Surgery center accreditation policy and procedure manuals provide several critical benefits:

Consistency and Standardization: Manuals ensure that all procedures are carried out consistently across the facility. This standardization helps maintain high-quality care and operational efficiency.

Regulatory Compliance: They help ensure that the center adheres to accreditation standards and regulatory requirements. This compliance is crucial for maintaining accreditation status and avoiding potential penalties or legal issues.

Enhanced Patient Safety: Clear, well-documented procedures contribute to a safer environment for patients. They outline best practices for handling various situations, which can reduce the risk of errors and improve overall patient care.

Staff Training and Orientation: Manuals serve as a valuable resource for training new staff and providing ongoing education. They help ensure that all team members are aware of and understand the center’s policies and procedures.

Operational Efficiency: Well-structured policies and procedures can streamline operations, reduce redundancies, and improve workflow. This leads to more efficient use of resources and time.

Documentation and Accountability: Manuals provide a clear record of policies and procedures, which can be useful for audits, inspections, and legal documentation. They also establish accountability by clearly defining roles and responsibilities.

Patient Trust and Satisfaction: When a center operates with well-defined procedures, it can enhance patient confidence in the quality and safety of care provided. This, in turn, can lead to higher patient satisfaction and better outcomes.

In summary, surgery center accreditation policy and procedure manuals are essential for ensuring consistency, compliance, safety, and efficiency within the facility, ultimately contributing to better patient care and operational excellence.

Purchase your surgery center policy and procedure manuals today here at Accredia Surgery Center Accreditation Preparation.  Accredia’s instant downloadable policy and procedures manual are a valuable support to surgery centers aiming for accreditation.

Here’s to your success,

NB

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Policy and Procedure Manual for Ambulatory Surgery Centers

Download ASC Policy and Procedure Manual

The ambulatory surgery center or office based surgery center must adopt, employ, and regulate policies and procedures of the center. This process will be in the form of what is called the Policy and Procedure Manual. The surgery center policy and procedure manual must have a written policy that dictates the procedure for all aspects of the center. This manual will be considered the nucleus of the center. The surgery center policy and procedure manual will describe characteristics and functions of the center and compliancy to situations to the attainment of quality patient care.

Surgery center policies and procedures are never ending. When you purchase your accreditation organization of choice standards manual, in it you will be provided with the core standard chapters in which you have to meet. While viewing the core standard chapters you get an idea of what policies your surgery center will need to adopt. Unfortunately I wish at the back of the standards manual they provide you with a list of each and every policy you need to have, but they don’t. Accredia.shop has prepared all of the ASC Policy and Procedures that are easily downloadable.  The good news is when you are reading the core standard chapters or the Medicare Guidelines; you can get a good feel for the policies you need to adopt. Also refer to the index portion of the accreditation standards manual; I look at the index as a baseline for what you need and I prepared it in an easy download.  Accredia’s has every policy and procedure that is current. In some circumstances the standards manual and Medicare  Guidelines do mention some policies you need to have. Remember when they mention a policy make sure you have policies that cover all aspects of the subject. This way it will equip you with information you need to have written on hand and available to show.

Here’s to your success,

NB

 

© 2024 Nicole Brown.