b'NIAHO A hospital must be in full conformance with ISO by their NIAHO standard requirements embody ourfourth visit:acute hospital accreditation program.The National Integrated Accreditation for HealthcareInitial SurveyNIAHOISO 9001 Organizations (NIAHO) is the comprehensive setCycleof hospital accreditation standards and guidelinesInitial visitAccreditation N/A developed by DNV integrating requirements based on Center for Medicare & Medicaid Services (CMS)Year 1 Conditions of Participation.(secondPeriodic N/A The NIAHO standards include interpretive guidelinesvisit)and surveyor guidance for organizations to meet expectations. It also gives insight to what DNVYear 2 Periodic Stage 1 Active surveyors will assess for during an accreditation survey. (third visit) implementation An eCopy of the NIAHO Hospital standards is available on the Accreditation & Regulatory Department portal. Year 3ReaccreditationFull ISO 9001 (fourth visit) Stage 2 conformance DNV integrates ISO 9001 standards with the Centerrequired.of Medicare & Medicaid Services (CMS) Conditions of Participation (CoPs), National Fire Protection Association (NFPA) to constitute the accrediting bodys DNV hospitalHospital organizations will follow a 3-year cycle requirements.thereafter of continued compliance to both NIAHO and ISO 9001 requirements. Surveyors will continue to survey to NIAHO and ISO 9001 compliance every year after this initial survey cycle. Failure to meet these requirements can result in severe consequences called non-conformities.The survey team will assess the applicable ISO 9001 Two common non-conformities cited arerequirements and review the status of findings and categorized into level 1 and 2.corrective action(s) taken to validate that they have been implemented. A separate ISO 9001 report will be created Nonconformity (NC)Category 1: Definedto indicate any findings because of the ISO survey, when by DNV as Objective evidence exists that aapplicable.requirement has not been addressed, a practice differs from the defined system, or the system is not effective.Nonconformity (NC) Category 2: Defined by DNV as a lapse of either discipline or control during the implementation of system/procedural requirements, which does not indicate a system breakdown or raise doubt that services will meet requirements. Overall system requirement is defined, implemented and effective.The DNV survey team visits our facilities under the hospital license annually.6 Nicklaus Childrens Health System'