September 03, 2025

Episode 253 - News and Latest Trends in the ASC Industry and a focus on the Infection Control Risk Assessment and Surveyor Worksheet - August 31, 2025

44 minutes

In this episode of the ASC Podcast with John Goehle, we discuss the latest news and trends in the ASC industry and in our focus segment, we interview Laurie Roderiques, Director of Clinical Services for Ambulatory Healthcare Strategies during the Illinois State Association Meeting and discuss the Infection Control Risk Assessment and the CMS Surveyor Infection Control Worksheet.

This episode is sponsored by Surgical Information Systems, RFX Solutions, Medserve and Ambulatory Healthcare Strategies.

Notes and Resources from this Episode:

ASC News- Management should be engaged with staff to avoid potential risks:

https://ascnews.com/2025/07/employment-attorney-urges-ascs-to-stay-engaged-with-staff-watch-for-legal-risks/?spMailingID=164824&puid=3910766&E=3910766&utm_source=newsletter&utm_medium=email&utm_campaign=164824

Garfunkel Wild ASC $250,000 settlement emphasizes security risk analysis requirement

https://garfunkelwild.com/insights/surgery-center-250000-settlement-emphasizes-security-risk-analysis-requirement/

The Office of the National Coordinator for Health Information Technology (“ONC”), in conjunction with the OCR, has published a tool that can be used by small- to medium-sized covered entities to perform the SRA internally. Here is the link to the tool: https://www.healthit.gov/topic/privacy-security-and-hipaa/security-risk-assessment-tool.

Infection Control Focus Segment:

Link to the Infection Control Worksheet Referenced in the Interview with Laurie: https://www.cms.gov/Regulations-and-Guidance/Guidance/Manuals/downloads/som107_exhibit_351.pdf

Link to Training on Infection Control:

Infection Control 101 – Training for Infection Control Coordinators in ASCs (September 2024 Recording)

Infection Control 201 – Advanced Training for Infection Control Coordinators (September 2024 Recording)

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Important Resources for ASCs:

Conditions for Coverage:

https://www.ecfr.gov/cgi-bin/text-idx?c=ecfr&rgn=div5&view=text&node=42:3.0.1.1.3&idno=42#se42.3.416_150

Infection Control Survey Tool (Used by Surveyors for Infection Control)

https://www.cms.gov/Regulations-and-Guidance/Guidance/Manuals/downloads/som107_exhibit_351.pdf

Updated Guidance for Ambulatory Surgical Centers - Appendix L of the State Operations Manual (SOM)

https://www.cms.gov/Regulations-and-Guidance/Guidance/Manuals/downloads/som107ap_l_ambulatory.pdf

https://www.cms.gov/medicareprovider-enrollment-and-certificationsurveycertificationgeninfopolicy-and-memos-states-and/updated-guidance-ambulatory-surgical-centers-appendix-l-state-operations-manual-som

Policy & Memos to States and Regions

CMS Quality Safety & Oversight memoranda, guidance, clarifications and instructions to State Survey Agencies and CMS Regional Offices.

https://www.cms.gov/Medicare/Provider-Enrollment-and-Certification/SurveyCertificationGenInfo/Policy-and-Memos-to-States-and-Regions

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