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IG report: Some states fall short on oversight of surgery centers

Cheryl Clark

About Cheryl Clark

Cheryl Clark (@CherClarHealth) is AHCJ's core topic leader for patient safety, a MedPage Today contributor and inewsource.org investigative journalist. For most of 27 years, she covered medicine and science for the San Diego Union-Tribune. After taking a buyout in 2008, she became senior quality editor for HealthLeaders Media.

Photo: Hospital UTPL via Flickr

Here’s a somewhat worrisome report from the Office of Inspector General.  Some two-thirds of the ambulatory surgery centers (ASCs) in the nation are supposed to be surveyed for quality and safety issues by their state health agency, according to Medicare rules. But a troubling number of states seem to be ignoring their responsibility.

Since Medicare reimburses ASCs for certain approved procedures — including some that carry higher risks for complications — federal officials have set requirements for how often and how extensively those state agencies are supposed to inspect those facilities.  One could argue, and many have, that stricter standards should be put into place, but this report is just about the compliance of the ones that do exist. Continue reading