Know what sterile processing is costing you, and what you can avoid.
Sterile Processing Assessment & Survey Readiness
Every ASSI sterile processing assessment ends with a financial risk assessment, your top five priorities, and a 180-day roadmap. Your Executive Report is in your hands before our team leaves.
Report onsite
400+
Since 1997
The Hidden Cost
Sterile processing costs rarely show up as one line item.
They’re spread across the budget, in overtime, rework, delayed cases, and remediation after a survey. When the risk finally surfaces, fixing it costs the most.
What You Walk Away With
A dollar figure, five priorities, and a 180-day plan.
Most consultants hand you a list of findings. ASSI hands you a financial case and a plan, delivered by the Executive Reporting Tool before our team leaves your site.
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A financial risk assessment shows the annualized cost of inefficiency across five domains, the projected cost avoidance from fixing it, and an expected ROI timeline.
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Your top five executive priorities, ranked, so you know exactly where to invest.
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A 180-day plan with defined phases and actions to move from risk to stability.
Assessment Portfolio
One standard of rigor, for every place you reprocess
Reprocessing doesn’t only happen in the SPD. ASSI assesses every environment where instruments, scopes, and probes are cleaned, disinfected, or sterilized.
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.
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
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
Ambulatory Surgery Centers
Hospital standards, sized for an ambulatory center. Built for small, cross-trained teams, tight turnover, and CMS Conditions for Coverage.
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
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
Ancillary & Point-of-Care
Some of your highest-risk reprocessing happens outside the SPD, in departments never built to reprocess. We assess those too.
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
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
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
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
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.
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
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
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
Case Study
Rebuilding a Regional SPD Network
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
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.
See exactly what a survey-ready assessment covers.
Every ASSI assessment, the areas we inspect, and the standards we assess against. Use it to benchmark your program or brief your leadership team.
Every assessment, with areas and standards
How the process works, from scoping to roadmap
The deliverables leadership receives




