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1

OR delays

At about $36–$37 per OR minute, one 15-minute tray delay costs over $500 in OR time.
2

Tray errors and rework

Missing instruments and defective sets mean reprocessing, rework, and cases that wait.
3

Failed loads

Every failed load costs time, labor, and instruments the OR is waiting on.
4

Overtime and agency labor

Some of that spend covers for process gaps. Fix the process, and part of it becomes avoidable.
5

Instrument replacement

Instrument and scope damage is a cost driver hiding in plain sight.
6

Survey remediation

In 2016, 74% of Joint Commission immediate-threat-to-life declarations were tied to improperly sterilized or HLD equipment.

Hospitals and Health Systems

For hospital and health system SPD and endoscopy departments that need a scored view of risk, cost, and survey readiness, from one campus to an entire system.

Hospital & Health System

Sterile Processing

Survey-ready SPD starts with an honest baseline.

Our flagship assessment. We follow instruments from point of use to the next case and score every SPD function against the standards surveyors use.

  • Decontamination through sterile storage and case carts
  • Steam, low-temperature, and EO sterilization, including load release
  • Competency, documentation, and quality program alignment
Get Your SPD Roadmap →
Hospital & Health System

Endoscopy

Every scope tells the story of how it was reprocessed.

A step-by-step evaluation of flexible endoscope reprocessing, from bedside pre-cleaning to drying and storage.

  • Point-of-use treatment, leak testing, and manual cleaning
  • High-level disinfection and AER monitoring
  • Drying, storage, and scope-to-patient traceability
Get Your Endoscopy Roadmap →

Ambulatory Surgery Centers

Hospital standards, sized for an ambulatory center. Built for small, cross-trained teams, tight turnover, and CMS Conditions for Coverage.

Ambulatory Surgery Center

ASC SPD & Endoscopy

Small team. Same standards. No margin for error.

Instrument and scope reprocessing in one engagement, scoped to your center's footprint and case mix.

  • Instrument and flexible endoscope reprocessing
  • Sterilizer monitoring, load release, and IUSS use
  • Competency for cross-trained staff
Get Your ASC SPD & Endoscopy Roadmap →
Ambulatory Surgery Center

ASC Sterile Processing

Your surgical schedule depends on the room behind the OR.

The full rigor of ASSI's SPD methodology, sized for surgery-only ambulatory centers.

  • Decontamination through sterile storage
  • Sterilizer monitoring and IUSS documentation
  • Loaner trays, traceability, and competency
Get Your ASC Sterile Processing Roadmap →

Ancillary & Point-of-Care

Some of your highest-risk reprocessing happens outside the SPD, in departments never built to reprocess. We assess those too.

Ancillary & Point-of-Care

Ultrasound Probe Reprocessing

The probe moves between patients all day. Is the process keeping up?

How every probe is classified, cleaned, disinfected, stored, and documented, across every department that uses one.

  • Probe classification by intended use
  • Cleaning and high-level disinfection practice
  • Traceability and consistency across departments
Get Your Ultrasound Roadmap →
Ancillary & Point-of-Care

TEE Probe Reprocessing

High-value probes deserve a high-reliability process.

Every step from bedside pre-cleaning to storage, including the handling habits that drive costly repairs.

  • Leak and damage inspection
  • High-level disinfection and AER monitoring
  • Drying, storage, and protective handling
Get Your TEE Probe Roadmap →
Ancillary & Point-of-Care

Clinic Reprocessing

Off-site doesn't mean out of scope.

Reprocessing in physician practices and outpatient clinics, with one consistent view across every location.

  • Point-of-use treatment and transport to the SPD
  • Tabletop sterilization and load documentation
  • Policy alignment with the system SPD
Get Your Clinic Roadmap →
Ancillary & Point-of-Care

Dental Reprocessing

ASSI's methodology, applied to dental reprocessing.

Dental instrument reprocessing, sterilizer monitoring, and infection prevention practice, assessed to the same standard.

  • Instrument cleaning and sterilization
  • Sterilizer monitoring and documentation
  • Infection prevention practice
Talk to an ASSI Expert →

Facility & Targeted Reviews

Focused reviews of the systems around reprocessing: the water behind every cycle, how IUSS is used, and compliance that crosses department lines.

Facility & Targeted Review

Water Management

Sterilization is only as reliable as the water behind it.

Your water program reviewed against ANSI/AAMI ST108 and CMS expectations, with one shared plan for SPD, Facilities, and IP.

  • Water quality categories at each reprocessing step
  • Testing protocols and documentation
  • Steam quality and Legionella risk controls
Get Your Water Management Roadmap →
Facility & Targeted Review

IUSS Oversight

IUSS should be the exception, not the workflow.

How, when, and why IUSS is used, traced back to root causes, with a corrective action plan.

  • IUSS frequency and justification by service line
  • Cycle documentation and traceability
  • Root causes: inventory, turnaround, loaner timing
Get Your IUSS Roadmap →
Facility & Targeted Review

Facilities & Compliance with VRI

Compliance doesn't stop at the SPD door.

With Vanguard Resources (VRI), we align SPD, OR, and environmental services around one accreditation standard.

  • Cross-departmental compliance alignment
  • EVS integration with SPD and the OR
  • Unified facilities accreditation planning
Talk to an ASSI Expert →

Swipe to explore the plan. Tap a number for details.

MAIN HOSPITALOR 1OR 2OR 3OR 4MAIN CORRIDORPRE-OP / PACUCARDIOLOGY & ECHOSTERILE PROCESSINGDECONPREP & PACKSTERILESTORAGEDIRTYCLEANENDOSCOPY SUITEPROC 1PROC 2SCOPE REPROCESSINGIMAGING WINGULTRASOUNDCTMRIAMBULATORY SURGERY CENTERORENDOSPDSURGERY-ONLY ASCOR 1OR 2SPDFACILITIES & EVSENGINEERINGENVIRONMENTAL SVCSUTILITY PLANTWATER TREATMENT · STEAMOUTPATIENT CLINICEXAMCLEAN/STERILEDENTAL OFFICEOPERATORYSTERILIZATION

Assessment keySite plan · Not to scale

Hospitals and Health Systems

Ambulatory Surgery Centers

Ancillary & Point-of-Care

Facility & Targeted Reviews

A 47-site system thought it had a staffing problem. It had a visibility problem.

A large Southern Virginia health system, with 9 hospitals, 9 endoscopy suites, 28 clinics, and an off-site reprocessing center, was living with late trays, visible bioburden, and IUSS above national benchmarks. ASSI's assessment gave leaders an honest baseline, and that baseline became the plan: an ASSI Interim Director of Sterile Processing and 60 best practices implemented across 47+ campuses.

285

Compliance dangers

160

Improvement opportunities

59

Meeting standards

12

Best practices

Read the Case Study →
Partnering with ASSI was a turning point for our Sterile Processing Department. Their clinical assessment provided an honest, data-driven view of our operational gaps, backed by national standards and actionable insights. We've seen measurable gains in quality, compliance, and team performance.
Chief Operating OfficerSouthern Virginia Healthcare System Market