SurgeReady Ready-Kit 42 CFR §416.54 · SOM Appendix Z

Emergency preparedness · Surgery center edition

Survey-ready
in a weekend.
Not a citation.

Every Medicare-certified ambulatory surgery center must maintain an emergency preparedness program — plan, risk assessment, staff training, and an annual exercise with a written after-action review. This kit is all of it: six editable Word documents built around the patients on your table and in your PACU, mapped tag-by-tag to what the surveyor checks.

Get the kit — $299 See what's inside One-time purchase · Instant download
Three printed documents from the surgery center kit fanned out: the Emergency Operations Plan, the Tabletop Exercise Kit, and the After-Action Review & Improvement Plan, each with the SurgeReady Ready-Kit Surgery Center Edition cover design
6 documentsEOP, risk assessment, exercise, AAR, training log, binder checklist
Every E-tag mappedEach template states the requirement it satisfies
Editable .docxYour agency's name, your hazards, your logo — not a PDF you can't touch

The problem

The rule was written for hospitals. Your patients are asleep when it matters.

An ASC's emergency isn't a shelter-in-place problem — it's a patient under general anesthesia when the grid fails. These are the questions that turn into deficiency citations on survey day:

E-0006

No documented risk assessment

Surveyors want a facility-based, all-hazards assessment that reflects your reality: case mix, generator scope, PACU capacity, transfer distance — current, scored, and signed.

E-0039

No annual exercise, no AAR

One exercise every year with a written after-action review. "We'd handle it" is not documentation, and surveyors ask for your last two exercises by name.

E-0013

No answer to the hardest question

"The power fails mid-procedure — walk me through it." Complete-vs-abort authority, transfer procedure, patient tracking. Surveyors ask to see the transfer agreement itself.

What's inside

Six documents. Eight binder tabs. One boring survey.

Each template is written specifically for surgical care — patient phases instead of bed counts, tracking logs instead of shelter plans — and states the E-tag it satisfies.

Not a 300-page manual. Every document is built to be completed, signed, and put in a binder — because a plan that exists is worth more than a plan that impresses.

How it works

Download Friday. Adopt Monday.

Hour one

Make it yours

Replace the bracketed placeholders with your center's details, score your hazards, and complete the facility snapshot. Everything is plain Word — no software to learn.

This month

Train and exercise

Run the 30-minute staff training from the outline, then the 90-minute tabletop with your team. Sign-in sheets and documentation forms are included.

Survey day

Hand over the binder

Eight tabs, everything current and signed. The surveyor's emergency-preparedness review becomes a ten-minute conversation.

"I built this kit because the Emergency Preparedness Rule holds a physician-owned surgery center to the same standard as a hospital system — without giving it any of the tools. You shouldn't need a consultant retainer to prove you can protect a patient who's asleep on your table. You need documents that are already 90% written, that a surveyor recognizes on sight."
Dr. Arzoo Salami — practicing physician & founder, SurgeReady

Get the kit

Less than one hour of a consultant's time.

Surgery center edition

$299 one-time

  • All six documents as editable Microsoft Word files
  • E-tag mapping on every template
  • Tabletop scenario + alternate outbreak scenario
  • Knowledge check with answer key
  • Free updates when CMS revises Appendix Z
Get the kit

30-day guarantee: if your administrator doesn't think it will survive a survey, reply to your receipt for a full refund.

By purchasing you agree to the Terms of Service. The kit is a set of professional templates — not legal or regulatory advice — and must be customized to your organization. No survey outcome is guaranteed.

Free sample

See the quality before you buy.

Download the All-Hazards Risk Assessment Worksheet — a complete document from the kit, free. It's the page E-0006 citations hinge on, and the fastest way to judge whether the rest is worth $299.

Download the worksheet — free (PDF)

✓ On the list — and your worksheet download has started.

Free. We'll send occasional SurgeReady updates — unsubscribe anytime. The complete six-document kit is available on this page.

Other facility types

Same rule. Different care model. Dedicated editions.

The Emergency Preparedness Rule covers seventeen provider types — and a surgery center's emergency is nothing like a home health agency's. Each edition is rewritten for its care model: what the surveyor checks, what your staff actually do, and the exercise that fits your day.

§484.102

Home Health

Home-based patients, classification rosters, field staff — the original edition of the kit.

See the edition — $299
§418.113

Hospice

Home- and facility-based patients, comfort-kit continuity, volunteers, on-call guidance for families — including a death during the emergency.

See the edition — $299
§491.12

Rural Health Clinic

Closure decisions and community notification, the patients who can't wait a week, telehealth fallback, and vaccine cold-chain failure.

See the edition — $299
HSEEP

EMS Agency

MCI surge, mutual aid, recall tiers, and sustained storm operations — in the HSEEP format coalitions, states, and grant reviewers expect.

See the edition — $299
§485.625

Critical Access Hospital

The inpatient rule in full: two exercises a year, subsistence math, emergency power documentation, patient tracking, and the evacuate-vs-shelter decision.

See the edition — $299

Beyond the binder · SurgeReady Software

Templates make you survey-ready. The software runs the drill itself: evaluators tap observations on phones, command watches live, and the HSEEP After-Action Report writes itself the moment you close the exercise. Founding-agency pilot now open.
See the software →

Questions

Asked by every administrator so far

Will this pass my state's survey, or just federal?

The kit is built on the federal requirements (42 CFR §484.102 and Appendix Z) that every state surveyor applies. Some states add requirements on top — the EOP includes a section to record yours, and the checklist prompts you to verify state rules during customization.

We had a real emergency last year. Do we still need an exercise?

A documented real activation counts — it exempts you from the next required full-scale exercise for one year, if you wrote it up. The After-Action Review form in the kit is exactly that documentation.

Is this a subscription?

No. $299 once, files are yours forever, and updates for CMS revisions are included by email.

We're a different provider type. Is there an edition for us?

Editions exist for home health agencies (42 CFR §484.102), hospices (§418.113), ambulatory surgery centers (§416.54), rural health clinics (§491.12), critical access hospitals (§485.625), and EMS agencies (HSEEP-framed) — see "Other facility types" above. Run more than one provider type? Email us about a bundle.

Is this legal advice?

No. It's a professionally drafted documentation starting point that you customize and your leadership adopts. Regulations change — verify current requirements, and consult counsel for legal questions.