Seven requirements that were most troublesome for ASCs, ranked in order of citation frequency:
1. Ensure safety from fire and life safety code compliance.
Citation frequency: 41 percent
2. Conduct periodic review of the scope of services, and establish a process for reappraising medical staff privileges.
Citation frequency: 27 percent
3. The governing body may only grant clinicians privileges based on medical staff recommendations detailing the applicant’s competence.
Citation frequency: 23 percent
4. Maintain a functional and sanitary environment for surgical services in all areas of the facility, in accordance with nationally recognized infection control guidelines.
Citation frequency: 23 percent
5. Preoperatively assess a patient’s anesthesia risk and include it in medical record documentation, along with documentation that a physician completed the procedure.
Citation frequency: 23 percent
6. Using quality indicators, implement an ongoing program for reducing medical errors and improving patient outcomes.
Citation frequency: 18 percent
7. An ASC’s governing body has formal responsibility for the medical staff.
Citation frequency: 14 percent
More articles on accreditation:
The Joint Commission: How healthcare organizations can advance antimicrobial stewardship
8 ASCs receiving accreditation in 2019
Gastroenterology surgery center secures AAAHC accreditation
