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Ambulatory Surgery Center (ASC) Conditions for Coverage Audit

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Survey-readiness checklist for ambulatory surgery centers covering governing body, patient rights, surgical services, and infection control under the ASC Conditions for Coverage.

CMS 42 CFR 416SOM Appendix LThe Joint Commission

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Governing Body & Administration

  • Does the ASC have a governing body legally responsible for the conduct of the ASC? *
  • Has the ASC entered into a written transfer agreement with a local hospital, or do physicians have admitting privileges? *
  • Does the governing body ensure a QAPI program is ongoing and data-driven? *

Patient Rights & Admission

  • Are patients informed of their rights, advance directive policy, and grievance process before surgery? *
  • Is a comprehensive medical history and physical assessment completed and updated before surgery? *
  • Is the patient assessed for risks and appropriateness for the ambulatory setting? *

Surgical & Anesthetic Services

  • Are surgical procedures performed only by qualified physicians granted privileges by the governing body? *
  • Is a physician present to evaluate the patient before discharge or is discharge per approved criteria? *
  • Is anesthetic risk and post-anesthesia evaluation documented by a qualified practitioner? *

Infection Control & Environment

  • Is there an infection control program led by a designated qualified professional? *
  • Are safe injection practices and single-dose vial policies followed? *
  • Is the ASC equipped to handle emergencies with a documented plan and periodic drills? *

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