FULL ACCREDITATION
SITE VISIT MATERIALS CHECKLIST
During your site visit, the visitor will anticipate being able to inspect
the items listed below. These materials should be readily available
within the facility on the day of the visit:
Facility License, Certificate of Occupancy, and/or Permit
 Standard A-1
 Must be provided if required by applicable federal, state,
and local law and regulation
Medical Director’s Current Medical License
 Standard B-1
 License must be valid in the state of the facility and in all
states in which patients are seen
 License must include an expiration date
A copy of the RPSGT certificate for each sleep
technologist
 Standard B-8
A copy of the AASM Practice Parameters
 Standard C-4
A copy of the AMA Medical Code of Ethics or instructions
in the Policy and Procedures Manual on where to find it
 Standard A-2
Detailed information on training in polysomnography for
each non-registered sleep tech
 Standard B-9
 This should include evidence of enrollment in or completion
of either the A-STEP Self-Study Modules or a CAAHEP
accredited program meeting Standard B-9(b)
Evidence that technical staff training and credentialing
complies with your state and local laws.
 State requirements may be verified by AASM members in
the Government Relations section of www.aasmnet.org.
Appropriate CME/CEC documentation for professional and
technical staff
 Standards B-3, B-6, and B-10
 Documentation should include official certificates and/or
letters indicating adequate continuing education in sleep
medicine
Original, valid cardiopulmonary resuscitation training
certificates for all members of the technical staff
 Standard B-11

Certification should include including cognitive and skills
training
 Each certification card must include an expiration date
Sleep Facility Letterhead
 Standard D-4
 This letterhead should be used for office notes and sleep
study reports
Advertising Materials
The complete Policy and Procedures Manual including the
following items in particular:
Policy statement specifically addressing the use and
availability of the AMA Medical Code of Ethics
 Standard A-2
Detailed medical emergency policies and procedures
 Standards Section I
Patient acceptance policies
 Standards C-1 and C-2
Protocols for each procedure performed by the
facility
 Including nocturnal polysomnography in adults and
children (if applicable), supplemental oxygen, and all
other procedures as required by Standards Section E.
Procedures must be in accordance with current AASM
Practice Parameters.
Quality assurance policy
 Standards Section J
Inter-scorer reliability policy
 Standards F-7 through F-11
Equipment Monitoring and Electrical Safety Policy
 Standard E-4
The two most recent quarterly reports of your quality
assurance program
 Standards F-7 though F-11 and J-1 through J-3
 This reports must be signed and dated by the individual
fulfilling Standard B-4
 These reports must include the quarterly report for interscorer reliability and at least three other QA indicators
Case samples
 These must include the original note from consultation with
one of your sleep specialists, results of sleep studies (if
any were done), and one office follow up note in which the
patient was advised of the results of the study and a
treatment plan was formulated. Except where noted, case
samples from directly referred patients are not acceptable.
Sleep related breathing disorder treated with PAP
Hypersomnia evaluated with Multiple Sleep Latency
Test
Insomnia treated with behavioral therapy
 Sleep restriction, stimulus control, and/or relaxation
therapy
 Discussion of sleep hygiene is not sufficient
 The patient does not need to have had a
polysomnogram if not clinically indicated.
Restless legs syndrome
 A patient with periodic leg movements during sleep but
without the clinical history to support the diagnosis of
RLS is not sufficient.
 The patient does not need to have had a
polysomnogram if not clinically indicated.
Direct Referrals
 Standard C-3
 At least two examples of how direct referrals are
reviewed should be available.
Consultants/Associated Practitioners
 Section G
 At least two examples of otolaryngologists,
psychiatrists, dentists, or other health professionals to
whom your professional staff refers, if applicable