Guidelines for an Office-Based Surgical Facility: Quality not Bureaucracy

The laissez faire environment of private medical practice, however, has changed, due in part to pressures from thirdparty payors, health maintenance organizations and the federal government. Widespread adoption of managed care and its practices has caused a need for evaluation of care given in the surgeon's office and establish guidelines for the management of a surgical facility. Managed care organizations, through the National Committee for Quality Assurance (a primarily private-sector organization for evaluation and accreditation of managed care organizations), have pressed for national standards for an office-based surgical facility (OSF).