As urologic procedures continue to migrate from the inpatient to the office setting, office-based surgery assumes greater importance, particularly with respect to patient safety. Numerous states have issued regulations establishing guidelines for surgery in the office setting; however, not every state has such specific protocols.
Users can access state guidance on such issues as infection control, structural recommendations, directive standards for all levels of office surgery and anesthesia, as well as office accreditation as executed by the governing state medical board.
American Society of Anesthesiologists (ASA) Anesthesia Standards and Guidelines
Many of the state regulations, as well as the American College of Surgeons Guidelines, require adherence to standards/guidelines established by the American Society of Anesthesiologists (ASA). The ASA standards and guidelines are available to review online.
Accreditation Organizations for Office-based Surgery
Some of the state regulations require that office-based surgery facilities be accredited through an outside organization. There are three outside organizations: Joint Commission on Accreditation of Healthcare Organizations, Accreditation Association for Ambulatory Health Care and American Association for Accreditation of Ambulatory Surgery Facilities, Inc., in addition to Medicare that will be able to provide assistance in the accreditation process and may be specifically designated as the official accrediting body in the regulations. View the contact information for these organizations.
American College of Surgeons Guidelines
Also included on the site is the American College of Surgeons (ACS) publication, Guidelines for Optimal Ambulatory Surgical Care and Office-based Surgery. The ACS has provided its permission to make this information available to all AUA members. Review the ACS Guidelines online.
How to Use This Site
Select a state in the drop down menu below to access the corresponding regulations and guidelines. If your state has not issued regulations for office-based surgery, the ACS guidelines, which are endorsed by the AUA apply.
For more information about reimbursement and regulations, email r&r@AUAnet.org.