Benchmark Surgical Solutions

The Operational
Standard for
Every ASC

Complete, turnkey operational infrastructure for ambulatory surgery centers nationwide. Designed to meet every major accreditation body — AAAHC, AAAASF, The Joint Commission, and DNV Healthcare.

229+
professional documents in every package
4
accreditation bodies supported
100%
customizable for your facility
1
experienced nurse behind every page
Compatible with ✓ AAAHC ✓ AAAASF ✓ The Joint Commission ✓ DNV Healthcare ✓ CMS 42 CFR §416 ✓ State Regulations
Stacey Pacheco, RN — Founder, Benchmark Surgical Solutions
Stacey Pacheco, RN
Stacey Pacheco, RN
Founder & Director of Nursing · Benchmark Surgical Solutions

With decades of experience in ambulatory surgical nursing and OR management, Stacey built Benchmark Surgical Solutions from the ground up — document by document, policy by policy — drawing on her firsthand knowledge of what surveyors look for, what facilities miss, and what it actually takes to run a safe, compliant ASC.

✓ Registered Nurse ✓ Director of Nursing ✓ OR Management ✓ ASC Operations Expert ✓ Survey Readiness ✓ QAPI Specialist ✓ CLIA Waived Testing
📞 520-954-2926
✉ stacey@benchmarksurgical.com
Built by a Nurse

Not a template.
A system built from
clinical experience.

Most ASC operational packages are written by consultants who have never worked a surgical case, never set up a crash cart, and never stood across from a surveyor defending a policy they barely understand.

Benchmark Surgical Solutions is different. Every policy, every form, every checklist, every QAPI indicator was written by a nurse who has lived it — in the OR, in the PACU, in the C-suite, and in the survey room.

The result is an operational system that doesn't just look good on paper. It works in practice, holds up under scrutiny, and gives your team the confidence to operate at the highest standard.

"Built by a Nurse. Designed for Surgery Centers."

— Benchmark Surgical Solutions

What's Included

Every document your ASC needs — ready to customize.

From the moment you receive your package, every document is pre-built, professionally formatted, and ready for you to fill in your facility's specific information using the yellow fill-in fields throughout.

01
📋

Clinical Policies & Procedures

Sections 1–11 covering every aspect of patient care — admission through pharmacy.

  • Pre-Op & OR policies
  • PACU & anesthesia
  • Central Sterile & pharmacy
  • Emergency procedures
  • Laser & radiation safety
02
📊

QAPI Program & Tools

A complete quality assurance and performance improvement system ready for survey.

  • Full QAPI manual
  • 75+ quality indicators
  • 30 PIP project ideas
  • Meeting minutes forms
  • Annual evaluation
03
🦠

Infection Control

Comprehensive IC program covering surveillance, prevention, and response.

  • Full IC manual
  • OSHA compliance manual
  • HLD & sterilization protocols
  • SSI surveillance tools
  • Outbreak response
04
👥

HR & Staff Management

Everything from hiring to annual review — professionally documented.

  • HR policies manual
  • Employee handbook
  • Employee file forms
  • Competency assessments
  • Performance reviews
05
🩺

Credentialing & Privileging

Complete physician and provider credentialing files meeting all accreditation requirements.

  • Physician credentialing file
  • DOP templates by specialty
  • NPDB query documentation
  • OPPE tracking
  • Re-credentialing checklists
06
📚

Staff Education

15-module mandatory annual training program with competency tests and answer keys for every module.

  • Bloodborne pathogens
  • HIPAA annual training
  • Emergency preparedness
  • Workplace violence
  • Human trafficking recognition
  • CLIA waived testing
07
🚨

Emergency Preparedness (CEMP)

Comprehensive all-hazards emergency management plan meeting CMS 42 CFR §416.54.

  • All-hazards plan
  • Drill templates & logs
  • Code response protocols
  • MH emergency protocol
  • Transfer procedures
08
🏛

Governance & Administration

Complete governance documentation for Governing Body structure and operations.

  • Administration manual
  • Governing Body minutes
  • Corporate compliance
  • Transfer agreement template
  • Startup master checklist
09
📋

Annual Risk Assessments

Three required annual risk assessment templates — fully structured, ready for your facility to complete.

  • HIPAA Security Risk Assessment
  • Hazard Vulnerability Analysis (HVA)
  • Annual Facility Risk Assessment
  • Scored by likelihood & impact
  • Governing Body sign-off included
10
🖨

Cheat Sheets, Signage & Survey Tools

31 print-and-laminate reference documents, signs, and survey readiness tools — with your logo, ready for the wall.

  • 10 clinical cheat sheets
  • 16 facility signs
  • Emergency response guide
  • Survey prep quick ref
  • Benchmarking tracker
  • Mock survey checklist — all 4 accreditation bodies
10
💰

Capital Equipment Planning Guide

The only ASC operational package that includes a comprehensive capital equipment cost guide — built from real clinical experience.

  • All 10 surgical specialties covered
  • P1 / P2 / P3 priority rankings
  • New vs. refurbished cost ranges
  • 1 OR vs. 2 OR vs. 3 OR cost calculator
  • Vendor negotiation insider tips
  • Stacey's clinical insider knowledge
229+
Professional documents — delivered immediately
Policies & Procedures QAPI Tools Staff Education HR & Credentialing Emergency Preparedness Governance Cheat Sheets Signage Navigation Hub Capital Equipment Guide Vendor Directory
Only in Benchmark Surgical Solutions

The Capital Equipment Guide No Other ASC Package Includes

Most operational packages stop at policies and procedures. Ours goes further — with a comprehensive capital equipment planning guide built from real clinical experience, covering every major ASC specialty with priority rankings, cost ranges, and insider tips you cannot get from a vendor catalog.

10
surgical specialties covered
3
OR configuration cost comparisons
P1
priority system — must-have before first case
$0
cost for insider tips that save thousands
Get the Essential Package
Work With Us

Ready to Build Your Surgery Center Right?

Every facility is different. We offer four tiers of service — from a complete self-service document package to a full on-site concierge launch experience.

Schedule a free 30-minute consultation and we'll recommend exactly what your facility needs — and what it will cost. No pressure. Just clarity.

Schedule a Free Consultation → stacey@benchmarksurgical.com
Essential
229+ documents — you customize your facility information
Most Popular
Professional
We customize everything — virtual training & Google Drive setup included
Concierge
On-site launch — full support from day one

Annual update subscription available for all tiers · benchmarksurgical.com

Frequently Asked Questions

Everything you need to know.

Have a question not answered here? Contact Stacey directly.

What format are the documents delivered in?
All 229+ documents are delivered as Microsoft Word (.docx) files, organized in a ZIP package. Every document uses yellow fill-in fields to guide customization — simply open in Word and fill in your facility's specific information.
Does this package work for my accreditation body?
Yes. The package is built to meet the standards of all four major ASC accreditation bodies — AAAHC, AAAASF, The Joint Commission, and DNV Healthcare — as well as CMS Conditions for Coverage and applicable state regulations. Fill-in fields guide you to specify your chosen accreditation body throughout.
Can I use this for a new ASC that isn't open yet?
Absolutely — this package was designed with new ASC startups in mind. The ASC Startup Master Checklist walks you through every step from entity formation to first patient, including licensing, credentialing, NPDB registration, accreditation application, and EMR go-live.
What if my state has specific regulations?
Every document includes yellow fill-in fields for state-specific citations, agency contacts, and regulatory references. The Professional and Concierge packages include assistance updating state-specific language for your jurisdiction.
How is this different from generic policy templates online?
This is not a template collection — it is a complete operational infrastructure system built by an experienced ASC nurse. Every document is written by someone who has worked surgical cases, stood in survey rooms, managed QAPI programs, and credentialed providers. The content reflects real clinical and operational expertise, not generic language.
Do I need to update these documents over time?
Yes — all policies should be reviewed annually and whenever regulations change. Every document is built for easy annual review with governance adoption signature lines. The QAPI Annual Work Plan in your package includes an annual policy review cycle to keep you on track.
Can I add my facility logo to all the documents?
Yes — every document includes a logo placeholder box with step-by-step instructions. The CS-00 Logo Setup Page in your package walks you through the process. Simply insert your logo file into each document using Word's Insert > Pictures function.
How quickly can I receive the package?
The Essential package is delivered immediately upon payment. Professional and Concierge packages require a brief intake to gather your facility information for customization — typically 3–5 business days for delivery after intake is complete.
Get Started

Ready to set the
Benchmark?

Fill out the form and Stacey will personally reach out within one business day to discuss your facility's needs and recommend the right package.

Email
stacey@benchmarksurgical.com
🌐
Website
benchmarksurgical.com
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