Author: Nicole Brown

Emergency drills need to be performed and documented on a quarterly basis.  Surveyors like to see a variety in your drills and suggest that you perform separate drills for fire safety, CPR, fire extinguisher testing, malignant hyperthermia, and disaster preparedness i.e. earthquake, bomb threat, or bio-terrorism. Certification or licensure requirement state that you must show…

The medical staff bylaws describe the purpose of the surgery center and its structure.  It should be recognized in the bylaws that your surgery center will provide an alternative to the high cost of hospital inpatient care.  In fact with your surgery center you are in a better position to provide better quality of care…

The Governing Body or Governance assumes full legal responsibility and addresses the operational issues of the facility addressing patient rights, administrative policies & procedures for the effective management of the facility.   This is where it can get confusing but I am going to make this very easy to understand.  In earlier postings I mentioned that…