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Memorandum to NYSAASC Members (March 29, 2006)

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Ambulatory Surgery Centers Discussed at Joint PHC-SHRPC Meeting (03/24/2006)


ASC Legislation Resources

Commissioner Reconstitutes Office-Based Surgery Advisory Panel

The Committee on Quality Assurance in Office-Based Surgery was initially established in 1997 to develop clinical guidelines that physicians should use in establishing and operating office based surgical practices. The guidelines cover the provision of anesthesia services by trained and qualified personnel, the hiring and credentialing of staff, medical record maintenance, infection control, informed consent and the maintenance of equipment. Recognizing the continued growth of office-based procedures, the Commissioner has reconvened this panel to make further recommendations to improve patient safety. ...read more

Tremendous Victory in Final ASC Procedures List Regulation

The Center for Medicare and Medicaid Services (CMS) will publish this week an interim-final regulation that restores to the ASC procedures list 95 of the 100 services that were proposed for deletion late last year.

Procedure Manual Available for Training Ambulatory Surgery Center Staff for Malignant Hyperthermia Crisis

May 9, 2005

(Sherburne, NY) - The Malignant Hyperthermia Association of the United States (MHAUS) has announced the availability of its Malignant Hyperthermia (MH) Procedure Manual for the Ambulatory Surgery Center. The manual organizes and prepares the ASC staff with the latest treatment methods for an MH crisis.

MH is a metabolic crisis precipitated by triggering general anesthetics in susceptible individuals. Because MH can result in morbidity and mortality, minutes count in its management.

"By having a plan for coordinated emergency response to the malignant hyperthermia crisis, the time from diagnosis to control of the syndrome is significantly shortened," says Henry Rosenberg, MD, the president of MHAUS. In dealing with MH every minute counts in reducing the chance of patient injury or death.”

That plan is exactly what the procedure manual will accomplish for you and your colleagues in the ASC setting, in order to minimize the risk associated with malignant hyperthermia. The manual:

  • assigns specific tasks to staff
  • provides checklists and worksheets
  • emphasizes frequent mock drills


An instructional video, which enacts the response plan, accompanies the manual, all packaged in a durable, 3-ring binder. The MH Procedure Manual is also available in versions for hospital or office surgical settings.

For more information on the MH procedure manuals, contact MHAUS at (607)674-7901, PO Box 1069, Sherburne NY 13460, or www.mhaus.org.

The Malignant Hyperthermia Association of the United States has spent more than 20 years saving lives by providing MH educational services. It is dedicated to reducing the morbidity and mortality from MH and improving scientific understanding. Basic services include the MH Hotline, which provides access 24/7 to anesthesiologists specializing in MH-crisis management, a quarterly newsletter with the most recent info on MH, its Web site, www.mhaus.org, a valuable information resource, a treatment poster and other educational tools.

Contact:
Jo Nichols (607) 674-7901
Al Rothstein (866) 636-3342

CMS Publishes ASC Procedure List Proposed Rule

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New MedPAC Report Analyzes High Volume Medicare Procedures

The Medicare Payment Advisory Commission (MedPAC) issued two reports, both assembled by RAND, which are of great potential interest to the ambulatory surgery center community. The studies compare patient characteristics for several procedures across various ambulatory settings, cataract surgery, colonoscopy, and MRI of head, neck and brain in hospitals and ambulatory surgery centers. Click here for AAASC review.