What are the Accreditation Standards for Outpatient Surgery Settings?

California Health and Safety Code Section 1248.15 establishes the mandatory accreditation standards for outpatient surgery settings. Approved accreditation agencies conduct thorough inspections to ensure compliance before granting accreditation.

Accreditation Inspection Requirements

Each approved accreditation agency must inspect outpatient surgery settings at least once every three years. During these inspections, the agency assesses whether the facility meets state-mandated standards for patient care, anesthesia safety, and operational procedures.

Consequences of Non-Compliance

If an outpatient setting fails to meet accreditation standards, the agency issues a deficiency report and may take the following actions:

1. Require corrective measures to address violations.

2. Issue a formal reprimand for serious infractions.

3. Place the facility on probation until compliance is restored.

4. Suspend or revoke accreditation for ongoing violations.

Reporting and Public Disclosure

If a facility is reprimanded, placed on probation, or loses accreditation, the agency must notify the Medical Board of California within 24 hours. This information is then made publicly accessible on the Board’s website.

Additionally, if the accreditation agency discovers deficiencies related to patient safety—such as anesthesia, pharmaceutical services, or quality of care—the case is forwarded to the Board’s Central Complaint Unit for formal investigation.