ASC Academy: A Guide to Governance


Meet Governance Standards and Compliance Requirements 

Governance in an ambulatory surgery center (ASC) refers to the system or framework of policies, procedures, and decision-making processes that are put in place to ensure your center operates safely, efficiently, effectively, and in compliance with regulatory requirements.

A solid governance structure is an essential building block for the success of an ASC – and will help avoid penalties for failure to comply with regulations and policies established by the Centers for Medicare and Medicaid Services (CMS), the Accreditation Association for Ambulatory Health Care (AAAHC), and The Joint Commission (TJC).

Build a Robust Governance Structure

A Guide to Governance provides ASC leaders necessary training on governance, licensure, preparations for an accreditation survey, peer review, and credentialing. This interactive course also includes various customizable tools, along with video-based instructions, to take the guesswork out of implementation at your surgery center.

Course Features

  • Governance, Licensure, Certification, and Accreditation online module
  • A Guide to Governance online module
  • Credentialing: Details, Details, Details On-Demand Webinar
  • Preparation for Accreditation Survey On-Demand Webinar
  • Comprehensive, video-based instructions and 40+ customizable resources to put this knowledge into practice:
    • Tools
    • Checklists (including Governance Checklists for AAAHC, CMS, and The Joint Commission)
    • Templates

Download the Course Syllabus to view all course features and the full list of included implementation tools.

    Course Objectives

    • Determine, create, implement, and monitor policies governing the organization’s total operation.
    • Customize the templates to rate and track your current regulatory compliance for Governance.
    • Create a comprehensive program that meets the requirements for internal reporting to the governing body and throughout the organization.
    • Create a comprehensive, medical staff credentialing and peer review program.

    Contact Hours

    Upon completion of the course and course evaluation, students will earn 3.5 contact hours.


    This program is approved for up to 3.5 hours of AEUs by BASC Provider #0102.

    Course Access

    The learner has 6 months from the time of first course launch to access and complete the course.

    Frequently Asked Questions

    A Guide to Governance includes 40+ customizable tools. Find the full list of what’s included in the Course Syllabus under “Implementation Tools.”

    Yes, you will benefit from this course. It provides a refresher on governance, licensure, certification, and accreditation course material. It also includes the customizable tools, templates, and video-based instructions to guide you through the process of contracting, governing body operations, credentialing, recredentialing, and peer review. It gives you the how-to elements for practical application.

    ASC administrators or leaders covering multiple roles in the ASC. The ASC Academy Leadership Guides Series was created in response to the overwhelming request for “short courses with plug and play tools for practical application of the information.” 

    ASC leaders are wearing multiple hats and need resources to solve problems related to regulatory compliance, accreditation surveys, quality reporting and safety measures in an easy-to-understand, timesaving, manageable format with implementation tools.  

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