ASC Infection Prevention & Control Consulting
ASC Infection Prevention & Control Consulting
The ambulatory surgical setting presents specific infection prevention challenges that differ from both hospital and outpatient clinic settings. The volume and turnover of surgical cases in an ASC creates opportunities for sterilization failures, inadequate room turnover between cases, and environmental contamination that would not exist in lower-volume settings. The use of implants — particularly orthopedic, spine, and ophthalmologic implants — creates specific infection risks that require specialized prevention protocols. And the movement of patients rapidly through pre-operative, intraoperative, and post-operative spaces within a single facility creates cross-contamination risks that require careful facility flow management.
CMS and all major accrediting organizations place significant emphasis on ASC infection control during surveys — and infection control deficiencies are among the most commonly cited findings in ASC surveys nationally. Sterilization and high-level disinfection (HLD) compliance in particular has been the subject of sustained CMS and accreditor focus, following high-profile ASC infection outbreaks traced to sterilization failures.
Service Areas
Governing Body Structure & Compliance — Assessment and design of ASC governing body structure in accordance with CMS Conditions for Coverage, including board composition, meeting cadence, documentation standards, and delegation of authority to the administrator to ensure effective operational and quality oversight
Medical Staff Bylaws Development & Review — Development and revision of ASC medical staff bylaws to ensure alignment with CMS requirements, accreditation standards, and applicable state law, while establishing clear processes for appointment, reappointment, and clinical privilege delineation
Credentialing & Privileging System Design — Design of comprehensive credentialing and privileging workflows that include primary source verification, National Practitioner Data Bank checks, peer references, competency evaluation, and structured clinical privilege assignment to ensure compliance and patient safety
Focused Professional Practice Evaluation (FPPE) — Development of structured FPPE programs for new or underperforming practitioners, including defined evaluation criteria, reviewer assignment, timelines, and documented outcomes to support privileging decisions
Ongoing Professional Practice Evaluation (OPPE) — Design of continuous practitioner performance monitoring systems using ASC-relevant clinical data such as outcomes, complications, peer review findings, and protocol compliance to support ongoing privileging decisions and quality oversight
Physician Governance in Joint Venture ASCs — Development of governance frameworks for joint venture ASCs that align hospital and physician stakeholder interests, while ensuring compliance with regulatory requirements and managing physician financial relationships consistent with Stark Law considerations
Some or all of the services described herein may not be permissible for HealthBridge US clients and their affiliates or related entities.
The information provided is general in nature and is not intended to address the specific circumstances of any individual or entity. While we strive to offer accurate and timely information, we cannot guarantee that such information remains accurate after it is received or that it will continue to be accurate over time. Anyone seeking to act on such information should first seek professional advice tailored to their specific situation. HealthBridge US does not offer legal services.
HealthBridge US is not affiliated with any department of public health agencies in any state, nor with the Centers for Medicare & Medicaid Services (CMS). We offer healthcare consulting services exclusively and are an independent consulting firm not affiliated with any regulatory organizations, including but not limited to the Accrediting Organizations, the Centers for Medicare & Medicaid Services (CMS), and state departments. HealthBridge is an anti-fraud company in full compliance with all applicable federal and state regulations for CMS, as well as other relevant business and healthcare laws.
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