The Joint Commission’s Advanced Certification in Spine Surgery (ACSS) elevates your services with evidence-based proof of clinical quality. We have developed the resources below to support sites with the registry requirement for the certification process.

The Joint Commission ACSS is offered in collaboration with the American Academy of Orthopaedic Surgeons (AAOS) and the ASR, a collaborative effort between the American Association of Neurological Surgeons and AAOS.


Quick Reference Guide

ASR participation is the sole pathway for the registry requirement of The Joint Commission ACSS, and a set of standardized performance measures are also required.

Click here for a guide with a list of the measures and how to view them on the RegistryInsights® Performance Measures Dashboard. The performance measure data must be submitted to The Joint Commission quarterly.


Frequently Asked Questions

View frequently asked questions about using ASR participation for The Joint Commission ACSS here.



This toolkit provides details related to Registry participation for obtaining and maintaining The Joint Commission ACSS. It includes information related to measure definitions, details to aid in the data submission process to appropriately calculate measures to inform quality improvement at your site, and frequently asked questions to support ongoing data submission to the ASR.


Webinar Recording

View the webinar recording below for more information on how to attain The Joint Commission ACSS.


If you have any additional questions about Registry participation or The Joint Commission ACSS performance measures, please contact the ASR Engagement team at or call 1-800-999-2939.

The resources on this page can also be found in the Tools & Resources section of RegistryInsights.