ASA’s Committee on Quality Management and Departmental Administration developed the templates, which cover the following areas:
- Introduction CMS Hospital IG 121109
- Scope of Anesthesia Services Policy
- Director of Anesthesia Services Policy
- Policies and Procedures Governing Anesthesia Privileging in Hospitals
- Pre-Anesthesia Evaluation Policy
- Pre-Anesthesia Evaluation Note
- CMS Pre-Anesthesia Evaluation Form
- Intraoperative Anesthesia Record Policy
- Post-Anesthesia Evaluation Policy
- Post-Anesthesia Evaluation Note
- CMS Post-Anesthesia Evaluation Form
The templates are available in Microsoft Word and PDF files on the ASA’s website.
Read the ASA’s templates for Interpretive Guideline implementation.
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