AEM Program Builder Template
Structure your AEM justification the way a surveyor reads it — inclusion criteria, category rationale, and a program summary, all in your own words and numbers.
$79
All templates
See what's inside
AEM & Program Documentation
Equipment Risk-Classification & PM-Interval Scoring Workbook
Score every asset by risk to decide which devices belong in your PM program and what interval each one earns, then keep the justification in writing for your program record. You score six factors per asset (clinical function, physical risk, maintenance requirement, failure history, mission criticality and manufacturer guidance); the workbook computes a weighted risk total, a band and interval, and an Include / Exclude PM-inclusion flag per asset, and the Scoring Dashboard rolls the results up by band, client / site, modality and department / location. The scoring weights, inclusion threshold, bands and intervals are all editable, described in your own words and aligned to your reading of AAMI EQ56 inclusion expectations. No scoring formula, weight or interval is asserted as an industry standard: every number in the model is one you set.
- Format
- ZIP
- File size
- 90 KB
- Delivery
- Instant download · Secure checkout
$59
One-time purchase · instant download
Secure checkout by Stripe. Your account is created automatically with your purchase.
This template is a documentation aid, not legal, regulatory, or accreditation advice. AAMI EQ56/EQ103, Joint Commission Environment of Care standards, and CMS Conditions of Participation are real published standards; you remain responsible for your own compliance determination.
Instant digital download · all sales final. Refund policy.
What’s included
- Weighted risk-scoring model on six factors (clinical function, physical risk, maintenance requirement, failure history, mission criticality, manufacturer guidance)
- PM Inclusion & Interval tab: Include / Exclude flag, band and interval per asset
- Asset ID, name, modality, client/site and department columns use the same labels as the Equipment Inventory & Asset Registry Builder
- Editable weights, inclusion threshold, bands and intervals, described in your own words, EQ56-aligned
- Scoring Dashboard: score distribution by band, client / site, modality and department
- Methodology Notes and a Reference & Lookup tab that traces any asset's score by Asset ID
- Ships blank; includes an example tab of fictional sample devices, left unscored for you to score
- Delivered as a ZIP bundle
- Instant download after checkout
- Re-download any time from your account
- Compatible with Excel 2016+ and Google Sheets
Want this automated?
HTM Compliance Manager tracks PM schedules, calibration due-dates, and generates this exact audit binder automatically across every client hospital you service.
Also in this category
AEM & Program Documentation
Small / Critical-Access Hospital HTM Program Starter Pack
A single-site in-house biomed program in a box — inventory, PM/calibration and safety logs, and an editable equipment-management plan for a small hospital.
$89
Medical Equipment Management Plan (MEMP) Document Pack
A full-length, editable Medical Equipment Management Plan and policy set — the standard program sections, written in your own words.
$79