For an ambulatory surgery center (ASC), earning accreditation can be more than a mark of excellence. The Accreditation Association for Ambulatory Health Care (AAAHC) offers Medicare Deemed Status Accreditation, eliminating the need for separate surveys to certify compliance with the Conditions of Participation (CoPs) required by the Centers for Medicare…

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Editor’s Note: This page is a companion piece to the main article, How ASCs ace the AAAHC accreditation survey. The posts below cover the latest version of the handbook from the Accreditation Association for Ambulatory Health Care (AAAHC) and advice on delineation of privileges.  Navigating the new handbook The latest…

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Takeaways • Different types of ASC leadership structures can be adapted to meet organizational needs. • Regulations, accreditation standards, size, and ownership types are examples of factors influencing the leadership structure. • Ongoing success of the ASC leadership team depends on factors such as governing body diversity and strategic planning.…

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Editor's Note The Joint Commission has launched a major redesign of its healthcare accreditation and certification programs with Accreditation 360: The New Standard. According to a June 30 announcement, the new framework introduces outcome-focused performance tools, eliminates hundreds of requirements, and promises to made standards publicly accessible. Reportedly supported by…

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Editor's Note The Joint Commission has announced UNIFY 2025: Convening for Quality, a national event set for September 16-17, 2025, in Washington, DC. The two-day gathering will bring together healthcare leaders and policymakers to address critical challenges in patient safety and healthcare quality. According to the announcement, the event will…

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Takeaways • The prevalence of needlesticks and other sharp object injuries to OR team members is 42.8%, an increase of 16% over the past decade. • New research and perspectives are shaping the discourse around sharps safety, such as new and expanded evidence-based practices presented in AORN’s 2025 update to…

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Editor's Note The Accreditation Association for Ambulatory Health Care (AAAHC) has renewed its Medicare Deemed Status accreditation from the Centers for Medicare and Medicaid Services (CMS), a December 16 press release from AAAHC reports. This renewal reflects AAAHC’s adherence to rigorous federal standards and its commitment to continuous improvement since…

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Editor's Note Since February 2024, changes to the Registrant Validation Toolset from the Drug Enforcement Administration (DEA) have introduced new hurdles for healthcare organizations, MedTrainer October 2024 reports. The updates, which aim to prevent fraud by adding multi-factor authentication, are causing compliance challenges during primary source verification (PSV). Credentialers are…

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Editor's Note The Joint Commission announced on July 31 it has secured renewed deeming approval from the Centers for Medicare & Medicaid Services (CMS) for its Ambulatory Surgical Center (ASC) Accreditation Program. This renewed approval is effective from September 1, 2024, through September 1, 2030, the maximum term allowed by…

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Editor's Note The Centers for Medicare & Medicaid Services (CMS) published 2023 survey data for ambulatory surgery centers (ASCs), highlighting top citations, ASC Focus June 7 reports. Due to system migrations, public data updates halted since May 2022, but CMS staff provided data to ASCA on May 30, 2024. The…

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