Health Care Facility Compliance

Health Care Facility Compliance

Health care facilities face many compliance challenges. The health care industry is heavily regulated through numerous codes and standards enforced by a multitude of authorities having jurisdiction. Continuous compliance and preparation for hospital accreditation requires an experienced and dedicated team like the experts at CCI.

CCI has dedicated staff with extensive knowledge and experience, who specialize in providing a variety of services for health care facilities. For more than 40 years CCI has provided expert consultation services and has been integral in the development of the NFPA 101 requirements for health care facilities. Our professional staff’s working knowledge of the accreditation process, code requirements, and intent gives CCI the background and expertise to identify issues and recommend effective solutions. CCI has successfully provided services for hundreds of health care facilities nationwide.

Entrance picture of BJC Progress West Hospital
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Health Care Expertise

CCI Principals are members of multiple National Fire Protection Association (NFPA) committees relevant to health care facilities, including the NFPA 101 Technical Committees on:

  • Health Care Occupancies
  • Ambulatory Health Care Occupancies
  • Assembly Occupancies
  • Business Occupancies

CCI has decades of experience in working with The Centers for Medicare and Medicaid Services (CMS), The Joint Commission (TJC) and other accrediting organizations, the National Fire Protection Association (NFPA), state health departments, and local jurisdictions. This gives CCI a direct line of communication with those organizations, enabling CCI to discuss specific code compliance related items openly and effectively.

CCI understands that meeting the prescriptive requirements of the codes and standards is sometimes challenging. CCI’s solution focused, forward thinking team is there to address these challenges through alternate approaches that meet or exceed the intent of the requirements. Whether a traditional equivalency, a state variance, or a CMS waiver, CCI will lead you through the development and submission of your alternate approach and will accompany you through the process to approval.


Our wide range of health care facility services includes:

  • Code compliant and solution focused consultation
  • Statement of Conditions Life Safety Assessments
  • Life Safety drawing development
  • Mock accreditation surveys
  • Document reviews
  • Fire Door Inspections
  • Firestop Inspections
  • Plan of Correction assistance
  • Code equivalency and alternate method development
  • Training and education
Example of a work product by CCI for Life Safety Plans.

The CCI Advantage

Expertise: Comprehensive knowledge of the fire protection and life safety codes and standards, including intent and application to facilities, and decades of participation in the codes and standards development process.

Solutions: Creative ‘outside the box’ thinkers utilize expertise and experience to develop innovative and effective solutions for design and construction challenges.

Experience: More than 40 years of successfully providing services for hundreds of health care facilities nationwide.

Responsive: Understanding client needs and objectives, meeting project deadlines, and responding in a timely manner.

Certifications: The CCI Health Care team is led by registered Fire Protection Engineers, Certified Healthcare Facility Managers (CHFM), Certified Fire Protection Specialists (CFPS), and Certified Healthcare Safety Professionals (CHSP).

Understanding: Thorough knowledge of the accreditation and survey process, including alternate approaches submission and approval.

Communication: Direct line of communication with CMS, accreditation organizations, State Health Departments, and Local Jurisdictions.