Accreditation Resource Companion

Welcome to the Accreditation Resource Companion (ARC), a comprehensive toolkit with checklists, audit tools, and policy templates designed to support regulatory compliance and patient care safety.

Based on the CMS Conditions of Participation, the ARC is designed to support accreditation readiness within every type of organization. Whether you are accredited by TJC, DNV, AAAHC, CIHQ or another agency, our extensive collection of resources will assist with survey readiness.Browse the ARC Library below to access free resources, or purchase a subscription to unlock access to premium tools and resources.

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ARC - Accreditation Resource Companion

Document TitleOrganization TypeFile TypeFile Sizehf:doc_categorieshf:file_type
1:1 Monitoring for Suicidal Risk Patient Competency Checklist, , , , , pdf232 KBambulatory-care behavioral-health critical-access-hospital hospital office-based-surgery premium-document-librarypdf
1:1 Suicide Monitoring Tool, , , , pdf180 KBambulatory-care behavioral-health critical-access-hospital hospital premium-document-librarypdf
Accu-Check II Cleaning and Disinfecting Competency Tool, , , , pdf255 KBambulatory-care behavioral-health critical-access-hospital hospital office-based-surgerypdf
Adult Intravenous Access Insertion Competency Tool, , , , pdf250 KBambulatory-care behavioral-health critical-access-hospital hospital premium-document-librarypdf
Agency for Healthcare Research & Quality, , , , www196 KBambulatory-care behavioral-health critical-access-hospital hospital office-based-surgerywww
Agency for Healthcare Research & Quality Surveys On Patient Safety Culture, , , , , , , html196 KBambulatory-care behavioral-health critical-access-hospital disease-specific-certifications home-care-and-hospice hospital office-based-surgery staffing-certificationshtml
Ambulatory Care Patient Tracer, , pdf244 KBambulatory-care office-based-surgery premium-document-librarypdf
Anesthesia Technician Competency Tool, , , , pdf253 KBambulatory-care behavioral-health critical-access-hospital hospital office-based-surgerypdf
Anesthesia Tracer Tool, , , pdf159 KBambulatory-care critical-access-hospital hospital premium-document-librarypdf
ASHE ICRA 2.0pdf289 KBhospitalpdf
ASHE ICRA 2.0 Form for Infection Control Risk Assessmentpdf1 MBhospitalpdf
Blood Transfusion Competency, , pdf253 KBbehavioral-health hospital premium-document-librarypdf
Blood Transfusion Tracer Tool, , , pdf147 KBambulatory-care critical-access-hospital hospital premium-document-librarypdf
Borescope Competency Tool, , , , , pdf240 KBambulatory-care behavioral-health critical-access-hospital hospital office-based-surgery premium-document-librarypdf
Breast Milk Management Competency Assessment Tool, , , , pdf300 KBambulatory-care behavioral-health critical-access-hospital hospital office-based-surgerypdf
California Maternal Quality Care Collaborative OB Hemorrhage Toolkit V3.0 (2022), , www196 KBambulatory-care critical-access-hospital hospitalwww
Cardiac Cath Lab Tracer Tool, , , pdf303 KBambulatory-care critical-access-hospital hospital premium-document-librarypdf
CareFusion Surgical Clippers Cleaning & Disinfecting Competency Tool, , , , , pdf234 KBambulatory-care behavioral-health critical-access-hospital hospital office-based-surgery premium-document-librarypdf
CDC Essential Elements of a Reprocessing Program for Flexible Endoscopes – Recommendations of the HICPAC, , , pdf457 KBambulatory-care critical-access-hospital hospital office-based-surgerypdf
CDC Flexible Endoscope Reprocessing Competency, , , , , pdf269 KBambulatory-care behavioral-health critical-access-hospital hospital office-based-surgery premium-document-librarypdf
CDC Infection Control Guidelines & Guidance Library, , , , , , , html196 KBambulatory-care behavioral-health critical-access-hospital disease-specific-certifications home-care-and-hospice hospital office-based-surgery staffing-certificationshtml
CDC Injection Safety, , , , , , , html196 KBambulatory-care behavioral-health critical-access-hospital disease-specific-certifications home-care-and-hospice hospital office-based-surgery staffing-certificationshtml
CDC’s Core Elements of Antibiotic Stewardship, , , , , html196 KBambulatory-care behavioral-health critical-access-hospital disease-specific-certifications hospital office-based-surgeryhtml
Changes in Patient Condition Competency Tool, , , , pdf219 KBambulatory-care behavioral-health critical-access-hospital hospital premium-document-librarypdf
Chemotherapy Tracer Tool, , , pdf137 KBambulatory-care critical-access-hospital hospital premium-document-librarypdf
Clinical Contract Evaluation Toolpdf145 KBhospitalpdf
Clinical Laboratory Improvement Amendments (CLIA), , , , www196 KBambulatory-care behavioral-health critical-access-hospital hospital office-based-surgerywww
CMS Conditions of Participation Interpretive Guidelines Ambulatory Surgery Centerswww196 KBambulatory-carewww
CMS Conditions of Participation Interpretive Guidelines Critical Access Hospitalswww196 KBcritical-access-hospitalwww
CMS Conditions of Participation Interpretive Guidelines Home Health Agencieswww196 KBhome-care-and-hospicewww
CMS Conditions of Participation Interpretive Guidelines Hospicewww196 KBhome-care-and-hospicewww
CMS Conditions of Participation Interpretive Guidelines Hospitalswww196 KBhospitalwww
CMS Conditions of Participation Interpretive Guidelines Psychiatric Hospitals, www196 KBbehavioral-health hospitalwww
CMS Framework for Health Equity, , , , , , , www196 KBambulatory-care behavioral-health critical-access-hospital disease-specific-certifications home-care-and-hospice hospital office-based-surgery staffing-certificationswww
CMS Immediate Jeopardy Removal Plan Tool, , , , pdf206 KBambulatory-care behavioral-health critical-access-hospital home-care-and-hospice hospitalpdf
CMS National Quality Strategy, , , , , www196 KBambulatory-care behavioral-health critical-access-hospital home-care-and-hospice hospital office-based-surgerywww
CMS Opioid Crisis in America, , , , www196 KBambulatory-care behavioral-health critical-access-hospital hospital office-based-surgerywww
CMS Policy & Memos to States and CMS Locations, , , , , www196 KBambulatory-care behavioral-health critical-access-hospital home-care-and-hospice hospital office-based-surgerywww
CMS QAPI Tools, , , , , , www196 KBambulatory-care behavioral-health critical-access-hospital home-care-and-hospice hospital office-based-surgery staffing-certificationswww
CMS Quality, Safety & Oversight – General Information, , , , www196 KBambulatory-care behavioral-health critical-access-hospital home-care-and-hospice hospitalwww
Competency Assessment Template, , , pdf175 KBambulatory-care critical-access-hospital hospital office-based-surgerypdf
Competency Program Review and Human Resource File Review Tool, , , , , , , pdf160 KBambulatory-care behavioral-health critical-access-hospital disease-specific-certifications hospital office-based-surgery premium-document-library staffing-certificationspdf
Computer Tomography (CT) Tracer Tool, , , pdf190 KBambulatory-care critical-access-hospital hospital premium-document-librarypdf
Considerations Malignant Hyperthermia Drills, , , pdf292 KBambulatory-care critical-access-hospital hospital office-based-surgerypdf
Contracting for Care, Treatment & Services Policy Template, , , , , , pdf267 KBambulatory-care behavioral-health critical-access-hospital disease-specific-certifications hospital office-based-surgery staffing-certificationspdf
Crash Cart Tracer Tool, , , , , pdf147 KBambulatory-care behavioral-health critical-access-hospital hospital office-based-surgery premium-document-librarypdf
Data, Infection Control, and Medication Management Session, pdf210 KBhospital premium-document-librarypdf
Dialysis Environment of Care Tracer Tool, , , pdf175 KBambulatory-care critical-access-hospital hospital premium-document-librarypdf
Dialysis Patient Care Tracer Tool, , , pdf228 KBambulatory-care critical-access-hospital hospital premium-document-librarypdf
Dialysis Patient Record Tracer Tool, , , pdf165 KBambulatory-care critical-access-hospital hospital premium-document-librarypdf
Dialysis QAPI Tracer Tool, , , pdf214 KBambulatory-care critical-access-hospital hospital premium-document-librarypdf
Emergency Management Letter of Appointment, , , , , pdf159 KBambulatory-care behavioral-health critical-access-hospital hospital office-based-surgery premium-document-librarypdf
Emergency Management Program Review Tool, , , , pdf230 KBambulatory-care behavioral-health critical-access-hospital hospital premium-document-librarypdf
Endoscope Cleaning-Disinfecting-Storage Tracer Tool, , , , pdf187 KBambulatory-care critical-access-hospital hospital office-based-surgery premium-document-librarypdf
Essential Contract Addendum Template for Healthcare Providers, , , , , , pdf189 KBambulatory-care behavioral-health critical-access-hospital disease-specific-certifications hospital office-based-surgery staffing-certificationspdf
Exergen Temporal Thermometer Competency Tool, , , , , pdf148 KBambulatory-care behavioral-health critical-access-hospital hospital office-based-surgery premium-document-librarypdf
Eyedrop Instillation Competency, , , , , pdf194 KBambulatory-care behavioral-health critical-access-hospital hospital office-based-surgery premium-document-librarypdf
Eyewash Inspection Log, , , , , pdf211 KBambulatory-care behavioral-health critical-access-hospital hospital office-based-surgery premium-document-librarypdf
Focused Professional Performance Evaluation (FPPE) Policy Template, , , pdf245 KBbehavioral-health critical-access-hospital hospital premium-document-librarypdf
Food Service and Nutrition checklist, , , , pdf175 KBambulatory-care behavioral-health critical-access-hospital hospital premium-document-librarypdf
Glucometer Management Tracer Tool, , , , , , pdf157 KBambulatory-care behavioral-health critical-access-hospital disease-specific-certifications hospital office-based-surgery premium-document-librarypdf
Hazardous Chemical Use Tracer Tool, , , , , pdf148 KBambulatory-care behavioral-health critical-access-hospital hospital office-based-surgery premium-document-librarypdf
HHS Security Risk Assessment Tool-v3.4, , , , , www196 KBambulatory-care behavioral-health critical-access-hospital home-care-and-hospice hospital office-based-surgerywww
Home Care-Hospice Tracer Toolpdf218 KBhome-care-and-hospicepdf
Human Resources File Review Checklist, , , , , , pdf116 KBambulatory-care behavioral-health critical-access-hospital disease-specific-certifications hospital office-based-surgery staffing-certificationspdf
Hyperbaric Therapy Tracer Tool, , , pdf213 KBambulatory-care critical-access-hospital hospital premium-document-librarypdf
Imaging Xray-Fluoroscopy Tracer Tool, , , pdf169 KBambulatory-care critical-access-hospital hospital premium-document-librarypdf
Immediate Use Compounding Competency, , , , , pdf244 KBambulatory-care behavioral-health critical-access-hospital hospital office-based-surgery premium-document-librarypdf
Infant Circumcision Tracer, , , pdf151 KBambulatory-care critical-access-hospital hospital premium-document-librarypdf
Infection Prevention & Control Leader Letter of Appointment, , , , , pdf145 KBambulatory-care behavioral-health critical-access-hospital hospital office-based-surgery premium-document-librarypdf
Institute for Safe Medication Practice, , , , , , , www196 KBambulatory-care behavioral-health critical-access-hospital disease-specific-certifications home-care-and-hospice hospital office-based-surgery staffing-certificationswww
Last Minute Survey Checklist, , , , pdf176 KBambulatory-care behavioral-health critical-access-hospital hospital office-based-surgerypdf
Laundry Services Tracer, , , , , pdf131 KBambulatory-care behavioral-health critical-access-hospital hospital office-based-surgery premium-document-librarypdf
Leadership Guidance Tool, , , , pdf209 KBambulatory-care behavioral-health critical-access-hospital hospital premium-document-librarypdf
Life Safety Code & Health Care Facilities Code Requirements, , , , www196 KBambulatory-care behavioral-health critical-access-hospital hospital office-based-surgerywww
LLD, HLD and Instrument Processing, , , , pdf149 KBambulatory-care critical-access-hospital hospital office-based-surgery premium-document-librarypdf
Malignant Hyperthermia Cart Content Toolpdf181 KBhospitalpdf
Malignant Hyperthermia Competency Tool, , , pdf187 KBambulatory-care critical-access-hospital hospital premium-document-librarypdf
Managing Fail Cycles, Spills and Maintenance of the Trophon Competency Tool, , , , pdf197 KBambulatory-care critical-access-hospital hospital office-based-surgery premium-document-librarypdf
Managing Suicide in Behavioral Health Competency Tool, pdf268 KBbehavioral-health premium-document-librarypdf
Maternal Hemorrhage Safety Program Checklist, , pdf346 KBambulatory-care critical-access-hospital hospitalpdf
Maternal Hemorrhage Tracer Tool, , , pdf133 KBambulatory-care critical-access-hospital hospital premium-document-librarypdf
Medical Equipment Tracer Tool, , , , , pdf168 KBambulatory-care behavioral-health critical-access-hospital hospital office-based-surgery premium-document-librarypdf
Medical Staff Credentialing File Checklist, , , , , pdf161 KBambulatory-care behavioral-health critical-access-hospital hospital premium-document-library staffing-certificationspdf
Medical Staff Credentialing/Privileging Program Review Tool, , , , , pdf148 KBambulatory-care critical-access-hospital hospital office-based-surgery premium-document-library staffing-certificationspdf
Medication & Sample Product Log Tracer, , , , , pdf158 KBambulatory-care behavioral-health critical-access-hospital hospital office-based-surgery premium-document-librarypdf
Medication Administration Competency Skill Checklist, , , pdf280 KBambulatory-care behavioral-health critical-access-hospital hospitalpdf
Medication Administration Observation, , pdf183 KBbehavioral-health hospital premium-document-librarypdf
Medication Management Tracer Tool, pdf256 KBhospital premium-document-librarypdf
Medication Refrigerator Temperature Log, , , , , pdf186 KBambulatory-care behavioral-health critical-access-hospital hospital office-based-surgery premium-document-librarypdf
Moderate Sedation Tracer Tool, , , , , pdf184 KBambulatory-care behavioral-health critical-access-hospital hospital office-based-surgery premium-document-librarypdf
Mother-Baby ServicesTracer Tool, , pdf179 KBcritical-access-hospital hospital premium-document-librarypdf
MRI Tracer Tool, , , pdf174 KBambulatory-care critical-access-hospital hospital premium-document-librarypdf
National Fire Protection Association List of Codes & Standards, , , , , www196 KBambulatory-care behavioral-health critical-access-hospital hospital office-based-surgery staffing-certificationswww
Negative Pressure Wound Therapy Competency Tool, , , pdf258 KBambulatory-care critical-access-hospital hospital premium-document-librarypdf
Non-Violent, Non-Self-Destructive Behavior Restraint Tracer Tool, pdf172 KBhospital premium-document-librarypdf
Nuclear Medicine Tracer Tool, , , pdf188 KBambulatory-care critical-access-hospital hospital premium-document-librarypdf
NY State Office of Mental Health Patient Safety Standards Guidelines, , , , , , , www196 KBambulatory-care behavioral-health critical-access-hospital disease-specific-certifications home-care-and-hospice hospital office-based-surgery staffing-certificationswww
Ongoing Physician Performance Evaluation (OPPE) Policy Template, , , pdf264 KBbehavioral-health critical-access-hospital hospital premium-document-librarypdf
OSHA Workplace Violence, , , , , , , www196 KBambulatory-care behavioral-health critical-access-hospital disease-specific-certifications home-care-and-hospice hospital office-based-surgery staffing-certificationswww
Pain Management Competency Tool, , , , pdf261 KBambulatory-care behavioral-health critical-access-hospital hospital premium-document-librarypdf
Pain Management Program Tracer, , , pdf177 KBambulatory-care critical-access-hospital hospital premium-document-librarypdf
Patient at Risk Monitoring Audit Tool, , pdf245 KBbehavioral-health hospital premium-document-librarypdf
Peri-Operative Outpatient Tracer, , , pdf160 KBambulatory-care critical-access-hospital hospital premium-document-librarypdf
Personal Protective Equipment Donning-Doffing Competency Tool, , , , pdf198 KBambulatory-care behavioral-health critical-access-hospital hospital office-based-surgerypdf
Pet Therapy Checklist, , , , , , pdf135 KBambulatory-care behavioral-health critical-access-hospital disease-specific-certifications hospital office-based-surgery premium-document-librarypdf
Physical Plant Maintenance Competency, , , pdf190 KBambulatory-care critical-access-hospital hospital premium-document-librarypdf
Point of Use Cleaning Tracer Tool, , , , pdf136 KBambulatory-care critical-access-hospital hospital office-based-surgery premium-document-librarypdf
QA-PI Plan Attachment- Gap Analysis and Risk Assessment Approaches, , , , , , pdf172 KBambulatory-care behavioral-health critical-access-hospital hospital office-based-surgery premium-document-library staffing-certificationspdf
Rehabilitation Services Tracer Tool, , , , pdf159 KBambulatory-care behavioral-health critical-access-hospital hospital premium-document-librarypdf
Respiratory Tracer Tool, , , pdf160 KBambulatory-care critical-access-hospital hospital premium-document-librarypdf
Risk Assessment Tool – Generic, , , , pdf238 KBambulatory-care behavioral-health critical-access-hospital hospital office-based-surgerypdf
Sample Educational Workplace Violence Template, , , , , , pptx297 KBambulatory-care behavioral-health critical-access-hospital hospital office-based-surgery premium-document-library staffing-certificationspptx
Sharps Use Tracer Tool, , , , , pdf155 KBambulatory-care behavioral-health critical-access-hospital hospital office-based-surgery premium-document-librarypdf
Sleep Study Center Tracer Tool, , , pdf161 KBambulatory-care critical-access-hospital hospital premium-document-librarypdf
Surgical & Procedural Fire Risk Tracer, , , , pdf184 KBambulatory-care critical-access-hospital hospital office-based-surgery premium-document-librarypdf
Surgical Instrument InspectionTool, , , , , pdf159 KBambulatory-care behavioral-health critical-access-hospital hospital office-based-surgery premium-document-librarypdf
Survey Readiness Execution Checklist, , , , , pdf155 KBambulatory-care behavioral-health critical-access-hospital hospital office-based-surgery premium-document-librarypdf
Surveyor Safety Briefing Templatepdf196 KBhospitalpdf
Tissue System Tracer Tool, , , pdf129 KBambulatory-care critical-access-hospital hospital premium-document-librarypdf
TJC Required Plans-Policies-Documents List, , , , pdf521 KBambulatory-care behavioral-health critical-access-hospital hospital office-based-surgerypdf
Trophon Use Competency Tool, , , , pdf246 KBambulatory-care critical-access-hospital hospital office-based-surgery premium-document-librarypdf
Ultrasound Probe Cleaning Disinfecting Competency Toolpdf204 KBhospitalpdf
Ultrasound Tracer Tool, , , pdf171 KBambulatory-care critical-access-hospital hospital premium-document-librarypdf
US Department of Health and Human Services’ Substance Abuse and Mental Health Services Administration (SAMHSA) Useful Resources on Opiod Overdose Prevention, , , , pdf1 MBambulatory-care behavioral-health critical-access-hospital hospital office-based-surgerypdf
VHA Workplace Violence Prevention Program Policypdf3 MBhospitalpdf
Violent Restraints and Seclusion Competency Tool, , pdf267 KBbehavioral-health hospital premium-document-librarypdf
Violent, Self-Destructive Behavior Restraint/Seclusion Tracer Tool, pdf183 KBhospital premium-document-librarypdf
Workplace Violence Sample Education & Training Plan Design, , , , , , pdf208 KBambulatory-care behavioral-health critical-access-hospital hospital office-based-surgery premium-document-library staffing-certificationspdf
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