Patent Publication Number: US-2022230183-A1

Title: Surgical center medical instrument regulating apparatus

Description:
BACKGROUND 
     Advances in the health care industry have been accelerated over the past decades at ever increasing rates. Diagnostics, treatments, and medical procedures have become more specialized covering a wide range of health conditions. Health care services have expanded for the benefit of the patients. Accreditation of health care centers has provided patients and the health care insurers with oversight into the quality of care. The numbers and depth of compliance investigation of health care oversight agencies have equally expanded at the same accelerated rate as the advances in the health care industry. The business of the health care industry companies is faced with keeping pace with the accelerated rate of changes in order to maintain a compliant status with the oversight accreditation standards and regulations. Greater numbers of equipment, systems, services and facilities covering the wide range of medical specialties and the broadening of the accreditation standards and regulations to match those advances can no longer be handled by a cadre of administrators and staff alone. 
    
    
     
       BRIEF DESCRIPTION OF THE DRAWINGS 
         FIG. 1  shows for illustrative purposes only an example of an overview of an accreditation compliance method and devices of one embodiment. 
         FIG. 2  shows for illustrative purposes only an example of a flow chart of a surgical company accreditation compliance method and devices of one embodiment. 
         FIG. 3  shows for illustrative purposes only an example of a flow chart of an ambulatory health care company accreditation compliance method and devices of one embodiment. 
         FIG. 4  shows for illustrative purposes only an example of an automatic accreditation standards and regulations updating process of one embodiment. 
         FIG. 5  shows for illustrative purposes only an example of an equipment compliance process of one embodiment. 
         FIG. 6  shows for illustrative purposes only an example of a process for determining compliance of one embodiment. 
         FIG. 7  shows for illustrative purposes only an example of accessing updated standards and regulations of one embodiment. 
         FIG. 8A  shows for illustrative purposes only an example of displaying a web platform dashboard of one embodiment. 
         FIG. 8B  shows for illustrative purposes only an example of a continuation of displaying a web platform dashboard of one embodiment. 
         FIG. 9  shows for illustrative purposes only an example of displaying user tasks of one embodiment. 
         FIG. 10  shows for illustrative purposes only an example of creating a user profile of one embodiment. 
         FIG. 11A  shows for illustrative purposes only an example of a user input of facility details specialties of one embodiment. 
         FIG. 11B  shows for illustrative purposes only an example of a user input of locations in a facility of one embodiment. 
         FIG. 12  shows for illustrative purposes only an example of a user input to identify equipment and locations of one embodiment. 
         FIG. 13  shows for illustrative purposes only an example of a user input to establish meetings and trainings of one embodiment. 
         FIG. 14  shows for illustrative purposes only an example of a display to manage periodic tasks of one embodiment. 
         FIG. 15  shows for illustrative purposes only an example of a process to correct and document out of compliance conditions of one embodiment. 
     
    
    
     DETAILED DESCRIPTION OF THE INVENTION 
     In the following description, reference is made to the accompanying drawings, which form a part hereof, and in which is shown by way of illustration a specific example in which the invention may be practiced. It is to be understood that other embodiments may be utilized and structural changes may be made without departing from the scope of the embodiments. 
     General Overview 
     It should be noted that the descriptions that follow, for example, in terms of accreditation compliance method and devices are described for illustrative purposes and the underlying system can apply to any number and multiple types of health care companies and facilities. In one embodiment of the present invention, the accreditation compliance method and devices can be configured using digital sensors. The accreditation compliance method and devices can be configured to include optical scanners and can be configured to include remote digital actuators using the embodiments. 
     The named invention herein is referred to as “accreditation compliance method and devices” and “AccredAbility” interchangeably without creating any limitation to an interpretation of the meanings disclosed herein. The abbreviation used herein “AAAHC” refers to the Accreditation Association for Ambulatory Health Care (AAAHC). The abbreviation used herein “AAAASF” refers to the American Association for Accreditation of Ambulatory Surgery Facilities (AAAASF). 
       FIG. 1  shows for illustrative purposes only an example of an overview of an accreditation compliance method and devices of one embodiment.  FIG. 1  shows an AccredAbility server  100  including WIFI connectivity, internet connectivity, digital processors, OCR devices, databases, printing devices, laser scanners, equipment interfaces, optical readers, and QR code and barcode readers. The AccredAbility server  100  data mines federal, state and private accreditation regulators  110  including Medicare, AAAHC, AAAASF, and state health care standards and regulations on a predetermined basis for changes, modifications and new issues to update the AccredAbility server  100  databases with those standards and regulations stored within. In one example a company, in this example referred to as Company 1, with at least one health care facility is located in California  120 . Company 1 is registered on the AccredAbility server  100 . Company 1 server  140  accreditation database is updated on a predetermined basis with the updated accreditation agencies and state of California standards and regulations downloaded automatically by the AccredAbility server  100 . The updated accreditation standards and regulations are transmitted by the AccredAbility server  100  to a company 1 server  140  of a company 1 surgical center  150  and compliance activity is transmitted to the AccredAbility server  100 . 
     A company 1 accreditation compliance status report  154  shows graphically the progress of company 1 in reaching a fully compliant accreditation status before a planned accreditation inspection. The company 1 accreditation compliance status reporting to the governing board  156 . Company 1 governing board  152  will use the company 1 accreditation compliance status report  154  for planning and management decision making for taking further actions. A company 1 accreditation compliance process overview is shown in  FIG. 2  that illustrates an example of the interactivity of the AccredAbility server  100  with the company 1 server  140  and equipment used in the company 1 surgical center  150  of one embodiment. 
     In another example State 2  130  for example Alabama is the location of a company 2 server  160  in a company 2 ambulatory health care center  170 . Company 2 is registered with the AccredAbility server  100 . A company 2 governing board  172  can review a current status of a company 2 accreditation compliance status report  174  by logging into a Company 2 server  160 . Periodically company 2 accreditation compliance status reporting is transmitted to the company 2 governing board  176 . The company 2 accreditation compliance status report  174  shows graphically the company 2 accreditation compliance status to enable the company 2 governing board  172  to take any actions they feel are needed to obtain full compliance. In this example company 2 is in a full compliance status prior to the scheduled accreditation inspections. A company 2 accreditation compliance process overview is shown in  FIG. 3  that illustrates an example of the interactivity of the AccredAbility server  100  with the company 2 server  160  and equipment used in the company 2 ambulatory health care center  170  of one embodiment. 
     The accreditation compliance method and devices provides users with a method of inputting a Profile to create a custom profile for a health care facility including for example a surgery center with number of ORs, type of specialties, Medicare participation, and accreditation agencies applicable to the health care facility including AAASF, AAASC, and Joint Commission and automatically updates accreditation compliance standards and regulations. The accreditation compliance method and devices capture all information and data for accreditation for replacing binders and clipboards with user digital devices including tablets, smart phones, computers and laptop computers and other internet enabled devices. It facilitates monitoring of accreditation standards and preparing all required tests captured quickly and accurately. 
     The accreditation compliance method and devices perform analysis of equipment, devices, physical conditions of facility locations, and supply adequacy on a predetermined basis for recognizing any value out of compliance and/or any missing data elements and alerts the user immediately. No more missing information or incomplete reports. The user accreditation reports are set for compliance with the standards and regulations for the user facility. The accreditation compliance method and devices perform prepares reports using the data elements recorded and tracked by date and are available 24/7 from the user secure website. Where appropriate, reports are sent directly to a Governing Board for immediate review and approval—further ensuring the compliance process. The accreditation compliance method and devices facilitate inspections by accreditation agencies ensuring a user is always ready and always prepared for any inspection. The accreditation inspector can simply log onto the user account and have instant access to all reports and data. The accreditation compliance method and devices have the capability to connect with the outside agencies including AAAHC, AAAASF, Medicare, and others. In this manner these agencies can monitor the facilities compliance directly of one embodiment. 
     DETAILED DESCRIPTION 
       FIG. 2  shows for illustrative purposes only an example of a flow chart of a surgical company accreditation compliance method and devices of one embodiment.  FIG. 2  shows a continuation from  FIG. 1 . Assigned staff tasks include daily monitoring of for example operating room compliant environmental conditions. The updated accreditation data shows normal operating room compliant environmental conditions include a temperature in a range of 18 to 23 CC, humidity in a range of 50 to 60%, and air changes of 20 per hour. Assigned staff tasks include for example monitoring various equipment normal operating conditions. A first assigned staff member tasks  210  of company 1 is tasked with monitoring of operating room 1  240 . 
     Operating room 1  240  includes for example a wireless digital temperature sensor 1  220 , a wireless digital humidity sensor 1  224  and a wireless digital air flow sensor 1  230  to determine the environmental conditions. 
     A wireless digital temperature sensor includes a wireless digital actuator including a thermostat temperature setting device not shown for adjusting heating and cooling equipment devices compliant temperature settings. A wireless digital humidity sensor includes a wireless digital actuator including a wireless digital dehumidifier device humidity level setting actuator for lowering the OR humidity and a wireless digital vaporizer device humidity level setting actuator for raising the OR humidity. 
     A wireless digital air flow sensor includes an air handler actuator RPM setting device for adjusting the RPM of an air handler to raise an air flow rate by increasing the RPM and decreasing an air flow rate by lowering the air handler RPM using for example an air handler fan motor rheostat. The wireless digital actuators can be operated remotely using an AccredAbility application installed on a digital device. The wireless digital actuators can be operated remotely by the AccredAbility server  100  of  FIG. 1  when a non-compliant reading is recorded from the wireless digital sensors coupled to the wireless digital actuators wherein the AccredAbility server  100  of  FIG. 1  digital processor calculated value of a non-compliant sensor reading is out of the range of acceptable compliance values. The wireless digital actuators are activated until the non-compliant resulting activated setting reading of the conditions is within the acceptable compliance values. 
     The wireless digital temperature sensor 1  220  has transmitted a temperature 35° C.  222  showing above an acceptable compliance temperature level. The wireless digital temperature sensor 1  220  sends via WIFI email an alert to the first assigned staff member and to the first assigned staff member supervisor  200 . The wireless digital humidity sensor 1  224  has transmitted a humidity reading of 47%  226  showing below an acceptable compliant humidity level. 
     The wireless digital air flow sensor 1  230  illustrates an air flow reading that is in compliance with an acceptable air flow rate. Air flow sensor 1 compliant data  232  is suffixed as compliant  214  and transmitted  212  to the company 1 server  140  of  FIG. 1  where that data is recorded and the first assigned staff member tasks  210  of company 1 is indicated as complete. The non-compliant data  215  from wireless digital temperature sensor 1  220  and wireless digital humidity sensor 1  224  is suffixed as non-compliant. The non-compliant data  215  triggers an alert  213  to the first assigned staff member  210  and a non-compliant data alert is also sent to the supervisor  200  for corrective action  216  of one embodiment. 
     A second assigned staff member tasks  250  of company 1 is tasked with monitoring of operating room 2  280 . Operating room 2 includes a wireless digital temperature sensor 2  260 , a wireless digital humidity sensor 2  264 , and a wireless digital air flow sensor 2  270 . The wireless digital temperature sensor 2  260  is registering 21° C.  262  within the compliant acceptable range. The wireless digital humidity sensor 2  264  is registering 62%  266  humidity within the compliant acceptable range. The compliant data  254  is suffixed for compliance and transmitted  252  to the company 1 server  140  of  FIG. 1  for recording and the second assigned staff member tasks  250  is indicated as complete. 
     The wireless digital air flow sensor 2  270  shows an air flow rate  272  below the acceptable compliant air flow and is suffixed as non-compliant. The non-compliant data  255  triggers an alert  253  to the first assigned staff member  250  and a non-compliant data alert is also sent to the supervisor for corrective action  256  of one embodiment. 
     The wireless digital sensors include a digital actuator for adjusting the operating level of the equipment they are coupled with allowing a supervisor to remotely adjust the operating level to correct a non-compliant condition. As shown in  FIG. 15  the supervisor  200  corrective action is accomplished using an AccredAbility application installed on a digital device including a smart phone. When the supervisor  200  takes this correction action it is recorded in the Company 1 server  140  of  FIG. 1  for documentation. 
     The assigned staff members&#39; tasks are then appended to include a daily check to evaluate whether the corrective operating level adjustment brings the non-compliant condition into compliance. If the non-compliant condition does not become compliant then the supervisor  200  is again alerted and based on suggested alternative corrective actions generated by the AccredAbility server  100  of  FIG. 1  may order maintenance on the offending equipment of one embodiment. 
     In another embodiment the control of temperature, humidity and air flow throughout a health care facility can include nested control devices and smart devices including nest thermostats, nested temperature sensors, smart humidifiers, smart dehumidifiers, smart air flow fan speed regulators and smart refrigeration units installed in sectionalized zones of the health care facility. For example the nested thermostats and temperature sensors can begin cooling the temperature in one zone that is experiencing a rise in temperature due to heavy use. Another set of nested thermostats and temperature sensors in a different zone that has been unused for a period of time has maintained compliance temperatures and no heating or cooling is used. Nested and smart devices can assist in reducing energy consumption versus centralized control of temperature, humidity and air flow throughout an entire health care facility. It further provides an assist to reduce or prevent any human errors that may occur in monitoring the environmental conditions that could increase a migration in and out of compliance standards. 
     An Ambulatory Health Care Company Accreditation Compliance Method and Devices: 
       FIG. 3  shows for illustrative purposes only an example of a flow chart of an ambulatory health care company accreditation compliance method and devices of one embodiment.  FIG. 3  shows a continuation from  FIG. 1  including a first assigned staff member tasks  310  for a company 2 ambulatory health care center  170  monitoring of a crash cart  340  compliance. The crash cart  340  is at a crash cart docking location including for example a wireless digital defibrillator charging sensor  341  and wireless digital defibrillator battery charge sensor  342  not shown. The wireless digital defibrillator charging sensor  341  and wireless digital defibrillator battery charge sensor  342  provide remote monitoring of the crash cart  340  defibrillator to assure it is fully charged when needed recording the sensor reading with the company 2 server  160  of  FIG. 1 . 
     Crash cart supplies are coupled with a QR code and barcode labels. The first assigned staff member using a digital device with the AccredAbility application installed including a smart phone can capture a photo image of the crash cart supplies. The captured photo image is transmitted to the company 2 server  160  of  FIG. 1  and scanned by an optical reader of the AccredAbility server  100  and the QR and barcode labels are read using the QR code and barcode readers to identify the supplies and track the number of each type. 
     If the defibrillator charge is below full and/or the inventory of the crash cart supplies is deficient from the predetermined quantities and types that would be crash cart non-compliant data  330  then an alert would be transmitted with a WIFI email to the first assigned staff member and company 2 supervisor  300 . The wireless digital defibrillator charging sensor and wireless digital defibrillator battery charge sensor recorded operating data can show if the power to the crash cart docking location is on or off indicating an electrical problem. The company 2 supervisor  300  can them issue a maintenance work order to check and correct the problem. The maintenance crew can also check whether the defibrillator rechargeable battery is faulty and replace it. The corrective actions taken are recorded in the company 2 server  160  of  FIG. 1 . 
     In this example the wireless digital defibrillator charging sensor and wireless digital defibrillator battery charge sensor show the defibrillator is fully charges and compliant with the accreditation standards and regulations. The crash cart  340  supply inventory scan shows the crash cart  340  supplies are fully stocked and in compliance. Crash cart compliant data  325  is transmitted to the company 2 server  320  and the company 2 first assigned staff member tasks  310  is indicated to be complete. 
     A second assigned staff member tasks  350  of the company 2 ambulatory health care center  170  includes monitoring of a patient nourishment refrigerator  380 . A patient nourishment refrigerator wireless digital temperature sensor  382  not shown reports the current temperature of the patient nourishment refrigerator  380 . A temperature reading by the patient nourishment refrigerator wireless digital temperature sensor  382  shows the temperature of the patient nourishment refrigerator  380  is within compliance with the accreditation temperature standards. Patient nourishment refrigerator supplies  384  not shown are coupled with QR code and barcode labels can be inventoried by the second assigned staff member using a digital device with the AccredAbility application installed. The inventory can include using a digital device smart phone to capture a photo image of the patient nourishment refrigerator supplies  384 . 
     The captured photo image is transmitted to the company 2 server  160  of  FIG. 1  and scanned by an optical reader of the AccredAbility server  100  of  FIG. 1  and the QR and barcode labels are read using the QR code and barcode readers to identify the supplies and track the number of each type. In this example the QR and barcode labels reading inventory results show the patient nourishment refrigerator supplies  384  are fully stocked and compliant with the accreditation standards. 
     In this example both the temperature and supply inventory of the patient nourishment refrigerator  380  form patient nourishment refrigerator compliant data  365  that is transmitted to company 2 server  360  for recording and suffixed as in accreditation compliance. The second assigned staff member tasks  350  are indicated as complete. No patient nourishment refrigerator non-compliant data  370  has been determined and so no patient nourishment refrigerator non-compliant data  370  alerts have been sent to the second assigned staff member and company 2 supervisor  300  of one embodiment. 
     The AccredAbility server  100  of  FIG. 1  creates QR code and barcode label data from the profile inputted data of an AccredAbility registered company. The profile inputted data includes locations (areas) within a registered company center, for example a nurses station (pre-op/recovery), equipment storage and medication room to name a few. The profile inputted data includes equipment including for example a no. of patient nourishment refrigerators, no. of sterilizers, no. of fire extinguishers, and no. of crash carts. An example of a few crash cart supplies and equipment includes equipment and supplies including Airway (oral and nasal) all sizes, Non rebreather oxygen face masks (3 sizes), IV start packs, Normal saline solution (1000 ml bags), Gauze, Alcohol preps, and Monitor with defibrillator (preferred) or AED and Drugs including Aspirin 81 mg Tablets, Nitroglycerin spray or 0.4 mg tablets, Epinephrine 1:10,000 Abboject™ (3), EpiPen® (2), and Benadryl 50 mg vial (2) of one embodiment. 
     Examples of what a QR code and barcode labels can be coupled is a Monitor with defibrillator (preferred) or AED, the crash cart carriage with wheels, and a package of multiple individually packaged gauze pads. The AccredAbility server  100  of  FIG. 1  assigns a unique number to each piece of equipment and supplies inputted by a registered company and the applicable accreditation standard and regulations that is formatted for printing on self-adhesive labels. In the case of for example the package of multiple individually packaged gauze pads one label is created for the multi-pack and individual labels for the individually packaged gauze pads. When for example an assigned staff member performs a supply inventory, one label for a multi-pack defines the name, use and number of the individual pack inside. When the multi-pack is opened the assigned staff member can couple the individual pack with the individual label. The periodic inventory may be performed daily. The results of the starting and ending inventory provides quantity use patterns that can be used in projecting reorders and for billing for patients for whom the supplies were consumed of one embodiment. 
     QR code and barcode labels can be printed by the registered company in house. QR code and barcode labels can be printed using the AccredAbility server  100  of  FIG. 1  and mailed to the registered company. This may provide a confirmation of the inputted equipment wherein if the registered company finds they do not have enough labels for all the equipment then the inputted equipment listings was deficit and this would identify the equipment missing from the inputted equipment listings and provide a basis for updating the equipment listing. This serves to prevent an accreditation difficulty if the non-listed equipment is not accounted for in the accreditation processing. It further ensures all equipment being used meets the accreditation standards and regulations prior to an inspection of one embodiment. 
     An Automatic Accreditation Standards and Regulations Updating Process: 
       FIG. 4  shows for illustrative purposes only an example of an automatic accreditation standards and regulations updating process of one embodiment.  FIG. 4  shows the AccredAbility server  100  downloading from federal, state and private accreditation regulators  110  changes, modifications and new issues to update a federal accreditation database  410 , a state accreditation database  412 , and private accreditation database  414 . The AccredAbility server  100  populates at least one updated accreditation standards and regulations database  420  with specific accreditation standards and regulations applicable to a registered company profile. The populated specific accreditation standards and regulations are downloaded to a registered company server  430 . The registered company staff can remotely access functions of the registered company server  430  using the AccredAbility application  480  installed on a digital device including a smart phone  450 , a tablet  460 , a computer  470  and a laptop computer  440  of one embodiment. 
     An Equipment Compliance Process: 
       FIG. 5  shows for illustrative purposes only an example of an equipment compliance process of one embodiment.  FIG. 5  shows a user  500  activating a camera of the smart phone  450  with the AccredAbility application  480 . The user  500  is using the smart phone camera to take a photo of a QR code  535  coupled to a registered company piece of equipment  520  for example a medication refrigerator. The registered company piece of equipment  520  is identified with a coupled QR code  530 . Upon capturing a QR code image  540 , the QR code image  540  is transmitted over WIFI to a laptop computer  550 . The laptop computer  440  with the AccredAbility application  480  is used to transmit the QR code image to the registered company server  430  as part of an equipment compliance process and recorded in a registered company equipment database  560 . The QR code image  540  may be transmitted to the registered company server directly  565 . In a compliance process the registered company server  430  records the QR code image  540  and coded data on the registered company equipment database  560  as part of an equipment compliance process including an equipment inventory of one embodiment. 
     A Process of Determining Compliance: 
       FIG. 6  shows for illustrative purposes only an example of a process for determining compliance of one embodiment.  FIG. 6  shows the registered company equipment database  560  using for example a QR code identified piece of equipment operational log of recorded accreditation compliance data  600  for performing an analytical evaluation process  610  on the AccredAbility server  100  of  FIG. 1 . A scale is shown as an illustrative representation only of the analytical evaluation process  610  for determining an accreditation compliance status of the QR code identified piece of equipment. Data 1  620  is the accreditation compliance from the updated standards and regulations applicable for the QR code identified piece of equipment. Data 2  630  for example is one set of recorded accreditation compliance data for an operational period of time for the QR code identified piece of equipment. Data 2 is evaluated against data 1  635 . The data 2  630  analytical determination results in a positive finding of yes  650  for that period of time the identified piece of equipment is accreditation compliant  650 . The accreditation compliant result is recorded and a compliance task complete indication is recorded  670 . 
     Data 3  640  is another set of recorded accreditation compliance data for an operational period of time for the QR code identified piece of equipment. Data 3 is evaluated against data 1  645 . The data 3  640  analytical determination results in a negative finding of no  650  for that period of time the identified piece of equipment is accreditation non-compliant  660 . The negative finding triggers an alert message sent to a supervisor  680  wherein the supervisor determines a plan of correction  690  of one embodiment. 
     Accessing Updated Standards and Regulations: 
       FIG. 7  shows for illustrative purposes only an example of accessing updated standards and regulations of one embodiment.  FIG. 7  shows the user  500  for example a member of a company governing board using a digital device for example a computer  700  and the AccredAbility application  480  for accessing updated standards and regulations. The user can click on a “resources”  740  tab on the main menu then click on a “standards and regulations”  750  tab. The AccredAbility application website platform will then connect to the registered company server  430 . The registered company server  430  will direct the user to their company updated standards and regulations database  420 . The updated standards and regulations database  420  will display on the computer screen federal, state and private accreditation regulators  110  updated standards and regulations. This process allows users to access accreditation compliance guidelines all in one place with ease. 
     Displaying a Web Platform Dashboard: 
       FIG. 8A  shows for illustrative purposes only an example of displaying a web platform dashboard of one embodiment.  FIG. 8A  shows an AccredAbility web platform  800  displaying on a computer screen, not shown, a my dashboard  810  web page. The my dashboard  810  shows a user selection of tabs that can be clicked by the user to select an area of interest. In this example one area of interest may be tasks  820 . Upon clicking the tasks  820  tab multiple selections are displayed from which the user can make a subsequent selection. Tasks  820  subsequent selections include for example manage periodic tasks  821 , review tasks  822 , generate task  823 , custom task  824 , create custom task  825 , manage custom task  826 , update periodic task form  827 , view submitted tasks  828 , and input prior day data  829 . 
     Another tab is reports  830  which includes for example annual tasks logs  831 , as-needed tasks logs  832 , biannual tasks logs  833 , daily tasks logs  834 , monthly tasks logs  835 , quarterly tasks logs  836 , training logs  837 , and weekly tasks logs  838 . 
     A third tab is for selecting surveys  840 . Surveys  840  include for example patient survey  841  and employee survey  842 . The my dashboard  810  web page is further described in  FIG. 8B . 
     A Continuation of Displaying a Web Platform Dashboard: 
       FIG. 8B  shows for illustrative purposes only an example of a continuation of displaying a web platform dashboard of one embodiment.  FIG. 8B  shows continuing from  FIG. 8A  additional my dashboard  810  of  FIG. 8A  web page selections including resources  850  that includes standards and regulations  851 , SDS  852 , policies &amp; procedures  853 , staff training modules  854 , aorn  855 , and ASC quality collaboration  856 . Another tab is staff credentials  860  including add staff  861 , to further select add physician  862  and add employee  863 . A view staff  864  tab includes view physician  865  and view employee  866  selections. 
     A final my dashboard  810  of  FIG. 8A  web page selection in this example is my account  870 . My account  870  when clicked provides selections including profile settings  871 , users, groups &amp; surgeon  872 , ASC details  873 , and closing dates  874  of one embodiment. 
     Displaying User Tasks: 
       FIG. 9  shows for illustrative purposes only an example of displaying user tasks of one embodiment.  FIG. 9  shows the registered company server  430  displaying on a computer screen  900 , not shown, the my dashboard  810  web page with a my tasks  910  listing for a user daily tasks  912 . The users&#39; daily tasks  912  include a due date, title, status, assignee, frequency, and description. The user can setup the AccredAbility application  480  of  FIG. 4  to automatically open and display daily the my dashboard  810  web page with a my tasks  910  listing for user daily tasks  912  when the user starts their digital device of one embodiment. 
     Creating a User Profile: 
       FIG. 10  shows for illustrative purposes only an example of creating a user profile of one embodiment.  FIG. 10  shows an AccredAbility application  480  of  FIG. 4  web page on a computer screen not shown to create a profile of your ASC  1000 . The profile will include for example contact information including address, city, state, zip, and phone number, and fax number  1010 , admin information including email address, first name, and last name  1020 . The profile also include a check list for the company which meets accreditation requirements:  1030  wherein a user checks a box next to all applicable accreditation agencies and types associated with their company. The information is uploaded and recorded on the AccredAbility server  100 . A user continues to input company information including facility details and specialties  1005  on  FIG. 11 a   , identify equipment and locations  1040  on  FIG. 12 , check the following locations in your facility  1050  on  FIG. 11 b    and establish meetings and trainings  1060  on  FIG. 13  of one embodiment. 
     A User Input of Facility Details Specialties: 
       FIG. 11A  shows for illustrative purposes only an example of a user input of facility details specialties of one embodiment.  FIG. 11A  shows a continuation from  FIG. 10  where the user continues inputting company information including facility details and specialties  1005  including medical and health care specialties wherein the user checks the box next to an applicable specialty  1100 . The applicable specialty  1100  includes for example plastic/reconstructive. The checked boxes information is uploaded and recorded on the AccredAbility server  100  of  FIG. 1  as shown in  FIG. 10  of one embodiment. 
     A User Input of Locations in a Facility: 
       FIG. 11B  shows for illustrative purposes only an example of a user input of locations in a facility of one embodiment.  FIG. 11B  shows from  FIG. 10  the user continuing inputting company information including check the following locations in your facility  1050 . The user checks the box next to applicable types of location descriptions  1110  for example nurses station (pre-op). The checked boxes information is uploaded and recorded on the AccredAbility server  100  of  FIG. 1  as shown in  FIG. 10  of one embodiment. 
     A User Input to Identify Equipment and Locations: 
       FIG. 12  shows for illustrative purposes only an example of a user input to identify equipment and locations of one embodiment.  FIG. 12  shows a continuation from  FIG. 10  where the user continues inputting company information including identify equipment and locations  1040 . The user clicks on a drop down icon and selects the number of the particular equipment description to show how many pieces of that equipment are located in the facility  1200 . A particular equipment description includes for example a no. of staff refrigerators. Some types of equipment have a drop down icon that displays when clicked a yes or no (y/n) selection to indicate whether for example the facility includes a pathology lab. The checked boxes information is uploaded and recorded on the AccredAbility server  100  of  FIG. 1  as shown in  FIG. 10  of one embodiment. 
     A User Input to Establish Meetings and Trainings: 
       FIG. 13  shows for illustrative purposes only an example of a user input to establish meetings and trainings of one embodiment.  FIG. 13  shows a user continuing to input company information from  FIG. 10 . The additional company information includes information to establish meetings and trainings  1060 . A check list of types of meetings and trainings are displayed on a user computer screen  1300  not shown. The user checks a box next to a selected meeting description then using a drop down selector selects for example a month or meeting schedule frequency for the checked selected meeting. Some meetings only offer a yes or no (y-n) selection to indicate that type of described meeting is held or not. The checked boxes information is uploaded and recorded on the AccredAbility server  100  of  FIG. 1  as shown in  FIG. 10  of one embodiment. 
     A Display to Manage Periodic Tasks: 
       FIG. 14  shows for illustrative purposes only an example of a display to manage periodic tasks of one embodiment.  FIG. 14  shows the registered company server  430  displaying on a computer screen not shown a manage periodic tasks  821  listing of tasks and assignees  1410 . The listing includes a task name, the name of a task assignee, a location of the task, the frequency of the task and a description of the task. An example shown is a crash cart task assigned to staff #1. The crash cart is located in a recovery room and the task is to be completed daily. The manage periodic tasks  821  is used by a supervisor to review an assignee performance of task completions of one embodiment. 
     A Process to Correct and Document Out of Compliance Conditions: 
       FIG. 15  shows for illustrative purposes only an example of a process to correct and document out of compliance conditions of one embodiment.  FIG. 15  shows the registered company server  430  determining “out of normal” values and allowing a user to document corrections  1500 . In this example the display shows an out of normal condition for humidity or 2 in operating room 2  1510 . The humidity sensor reading is 69% above the normal operating room compliant environmental conditions for humidity in a range of 50 to 60%. 
     The out of normal condition display is shown automatically to a supervisor. The display includes an instruction wherein the supervisor can click on the gray bar to adjust the humidity  1520 . When the supervisor clicks on the gray bar and adjusts the humidity to become “normal” and in compliance the corrective action is recorded on the registered company server  430 . Clicking on the gray bar transmits a signal to the registered company server  430  to activate a remote digital actuator including a wireless digital actuator including a wireless digital dehumidifier device humidity level setting actuator for lowering the humidity in operating room 2 to bring the humidity into compliance of one embodiment. 
     The foregoing has described the principles, embodiments and modes of operation of the embodiments. However, the embodiments should not be construed as being limited to the particular embodiments discussed. The above described embodiments should be regarded as illustrative rather than restrictive, and it should be appreciated that variations may be made in those embodiments by workers skilled in the art without departing from the scope of the present invention as defined by the following claims.