Surgical & ASC
Compliance
Solutions.
Deep compliance with Texas HHSC Title 26 Chapter 508, AAAHC, Joint Commission, and Life Safety Code (NFPA 101).
We turn operating room logs, sterilization tracking, and QAPI programs into your competitive advantage. No more survey anxiety — just a structured, defensible compliance framework for your ambulatory surgery center.
Alloy Clinical Solutions
ASC Compliance Partner
Built for Ambulatory Surgery Centers
Surgical centers face unique regulatory scrutiny. From sterile processing to operating room documentation and life safety drills, our frameworks are engineered to meet the rigorous demands of ASC surveyors.
OR Logs & Sterilization
We conduct meticulous reviews of your implant logs, flash sterilization records, biological indicators, and instrument tracking. Our gap analysis ensures every sterile processing step is documented and defensible under AAAHC and Joint Commission standards.
Life Safety Code (NFPA 101)
Surgical suites require rigorous fire safety, egress, and emergency preparedness. We evaluate your physical environment, conduct drill reviews, and align your ASC with Texas HHSC and NFPA 101 requirements to ensure surveyors find zero deficiencies in your building safety.
ASC QAPI & PI Plans
Quality Assessment and Performance Improvement (QAPI) is non-negotiable for ASCs. We build data-driven, specialty-specific QAPI programs that track surgical outcomes, infection rates, and patient satisfaction — turning your PI plan into a powerful story of continuous improvement for surveyors.
ASC Survey Prep: Checklist vs. Culture
Generic compliance firms treat ASC surveys like a checkbox exercise. We treat them as an opportunity to embed safety and efficiency into every OR process.
Typical ASC Consultants
- ✕ Generic binders: Provide standard templates that ignore your specialty (ortho, GI, pain management).
- ✕ Light touch on NFPA: Overlook Life Safety Code nuances like OR suite pressurization and fire drills.
- ✕ Reactive QAPI: Create PI plans that sit on a shelf, rather than driving actual clinical improvement.
- ✕ Disappear after survey: Leave you scrambling when the next unannounced visit occurs.
Alloy Clinical Solutions (ACS)
- ✓ Specialty-tailored: Policies written around your specific surgical volumes, implant types, and staffing models.
- ✓ NFPA 101 deep-dive: We walk your physical plant and drill your staff on emergency scenarios until it's muscle memory.
- ✓ Living QAPI: We help you select meaningful measures, collect data, and create action plans that actually improve outcomes.
- ✓ Year-round readiness: Continuous monitoring, mock surveys, and staff training to keep you perpetually audit-ready.
Don't let a generic consultant fail your ASC. Get a partner who speaks surgical safety.
Partner with ACS4 Steps to ASC Survey Confidence
From sterile processing to life safety drills, we build a comprehensive compliance ecosystem for your surgery center.
ASC Gap Assessment
We review your OR logs, sterile processing records, QAPI data, and NFPA 101 documentation against Texas HHSC, AAAHC, and Joint Commission standards to identify every deficiency before surveyors do.
Policy & Protocol Overhaul
We rewrite your sterilization protocols, OR checklists, emergency evacuation plans, and infection control policies to align with current regulatory expectations and best-practice surgical standards.
Staff Drills & Integration
Through live walk-throughs, fire drill simulations, and interview practice, we ensure your OR staff, sterile processing team, and administrators can confidently answer any surveyor question with precision.
Annual Mock Survey
We conduct a full-scale, unannounced-style mock survey that covers OR observations, sterile core reviews, QAPI interviews, and Life Safety Code inspections — giving you a clear roadmap to a flawless actual survey.
Trevor McIntire
MPH
Founder & Healthcare Compliance Specialist
MPH – Health Policy & Administration
The University of Southern Mississippi
B.S. – Biomedical Sciences & Research Certificate
Texas A&M University
Surgical Safety Is Personal
Trevor McIntire’s biomedical research background gives him a unique edge in understanding sterile processing, surgical instrumentation, and infection control at a granular level. He has led compliance turnarounds for multi-specialty ASCs, addressing everything from implant traceability to OR suite airflow.
His approach to Texas HHSC Title 26 Chapter 508 and Life Safety Code (NFPA 101) is grounded in practical, walkable solutions — not abstract theory. Trevor works alongside your surgical teams to ensure that compliance enhances, rather than hinders, your clinical workflow.
“An ASC survey shouldn't feel like a trial. With the right preparation, it becomes a showcase of your team's dedication to safety and excellence.”
Let's Get Your ASC Survey-Ready
Whether you need a full mock survey, a QAPI overhaul, or a deep-dive into your sterile processing logs, we're here to help you navigate Texas HHSC, AAAHC, and Joint Commission requirements with confidence.
The Standard for Patient Safety. Built on integrity, clinical expertise, and a commitment to safer care.
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