Common Roadblocks to ASC Accreditation

Donna Tiberi, RN, from Healthcare Facilities Accreditation Program tells Becker’s ASC about the roadblocks she observed during the surveying process of achieving Ambulatory Surgery Center Accreditation.  


Verifying all physicians’ credentials and educational background through:

  • the American Medical Association
  • American Board of Medical Specialties
  • American Osteopathic Association
  • Educational Commissions for Foreign Medical Graduates
  • Federation of State Medical Boards


ASC’s must have the correct staff, equipment, and medications, for patient emergency situations. Most surgery centers believe they are prepared but a few items, commonly are missing:

  • EG intubation
  • Blood pressure cuff sizes
  • Pediatric unit dose medication
  • Nurses who are competent in ACLS or PALS


Ambulatory Surgery Centers are required to have a standardized “time out” process before all surgical procedures. A “time out” checklist ensures consistency in verifying you have the right patient, right procedure, right medications, right surgical marking and the right physician is present.




Do you have any stories of roadblocks that your Surgery Center has run into during the accreditation process? Share them with us!



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Andréa Venezio , Chief Executive Officer
(972) 232-7700 |

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