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TIME.com’s Article “Joan Rivers’ Death Raises Questions About Outpatient Care Centers”

Time magazine logo - TIME.com's Article "Joan Rivers' Death Raises Questions About Outpatient Care Centers" | Beverly Hills | Los Angeles

 

 

September 5, 2014

Just under half of states, including New York, require that the latter centers receive accreditation from any of four organizations that set criteria for patient care and safety. The New York Department of Health lists threeAccreditation Association for Ambulatory Health CareAmerican Association for Accreditation of Ambulatory Surgery Facilities (AAAASF), and the Joint Commission.

As one of the organizations that accredits centers for which Medicare reimburses procedures, the AAAASF has a 162 page checklist of items, from requiring that a circulating nurse is in both the operating room and the recovery rooms, to board certification of surgeons performing the procedures and the presence of crash carts for resuscitating patients should complications occur. Centers also need to have an agreement with a nearby hospital to respond to any emergencies. Because of these criteria, says Dr. Geoffrey Keyes, president of AAAASF, death rates at ambulatory surgery centers that are accredited are similar to those at hospitals.

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