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It defines the Standard ID format as Section-Sub-section-Standard number, clarifies that standards may be non-sequential and include reserved numbers, and describes the five-column book layout covering Standard ID, class by anesthesia definitions, regulatory references, and interpretive guidance. Interpretive Guidance (IG) supports understanding, is non-scorable, and supplements published QUAD A standards during on-site review.",{"@graph":69,"@context":122},[70,84,105],{"@type":71,"itemListElement":72},"BreadcrumbList",[73,77,79,82],{"item":74,"name":75,"@type":76,"position":8},"https://docshare.wps.com","Home","ListItem",{"item":78,"name":9,"@type":76,"position":14},"https://docshare.wps.com/document/",{"item":80,"name":35,"@type":76,"position":81},"https://docshare.wps.com/document/healthcare/",3,{"item":83,"name":65,"@type":76,"position":19},"https://docshare.wps.com/document/medicare-ambulatory-surgical-center-asc-accreditation-standards-manual-version-91-effective-february-2-2026/327882/",{"url":83,"name":65,"@type":85,"image":86,"author":91,"headline":65,"publisher":94,"fileFormat":97,"inLanguage":63,"description":67,"dateModified":98,"datePublished":99,"encodingFormat":97,"isAccessibleForFree":100,"interactionStatistic":101},"DigitalDocument",{"url":87,"@type":88,"width":89,"height":90},"https://docshare.wps.com/thumbnails/medicare-ambulatory-surgical-center-asc-accreditation-standards-manual-version-91-effective-february-2-2026/327882.png","ImageObject",300,407,{"name":92,"@type":93},"Alex Sinclair","Person",{"url":74,"name":95,"@type":96},"DocShare","Organization","application/pdf","2026-09-23","2026-09-21",true,{"@type":102,"interactionType":103,"userInteractionCount":8},"InteractionCounter",{"@type":104},"ViewAction",{"@type":106,"mainEntity":107},"FAQPage",[108,114,118],{"name":109,"@type":110,"acceptedAnswer":111},"How is each accreditation standard uniquely identified in the manual?","Question",{"text":112,"@type":113},"Each standard uses a unique identifier in the form [Section]-[Sub-section]-[Standard #], such as 2-C-4 for the fourth standard in Section 2, Sub-section C.","Answer",{"name":115,"@type":110,"acceptedAnswer":116},"What does the manual say about the sequence of standard numbers?",{"text":117,"@type":113},"Standard numbers are not always sequential; some numbers may be reserved for future use and do not appear in the edition.",{"name":119,"@type":110,"acceptedAnswer":120},"Are Interpretive Guidance (IG) items themselves requirements or scoreable elements?",{"text":121,"@type":113},"No. IGs are explanatory tools that support understanding and application of QUAD A standards, but they are not requirements and are not used as scorable elements during accreditation.","https://schema.org",{"og:url":83,"og:type":124,"og:title":65,"og:site_name":95,"og:description":67},"article",{"robots":126,"canonical":83},"index,follow",{"doc_id":128,"site_id":62},327882,1790182375,{"code":4,"msg":5,"data":131},{"doc_id":128,"user_id":132,"nickname":92,"user_avatar":133,"doc_module":4,"category_id":34,"category_name":35,"doc_title":65,"doc_description":67,"doc_content":134,"file_id":135,"file_url":136,"file_type":137,"file_size":138,"view_count":8,"is_deleted":4,"is_public":8,"is_downloadable":8,"audit_status":8,"page_count":139,"language":140,"language_code":63,"site_id":62,"html_lang":63,"table_of_contents":141,"faqs":142,"seo_title":143,"seo_description":67,"update_tm":144,"read_time":145},1099523882182,"https://ap-avatar.wpscdn.com/davatar_6f874abed73319feea01a86fa6f0fab8","MEDICARE AMBULATORY SURGICAL CENTER (ASC)  \nACCREDITATION STANDARDS MANUAL  \nVersion 9.1 , Effective February 2, 2026  \nSURVEY INSTRUCTIONS  \nPlease complete the Standards Manual for the facility by assessing compliance with the standards contained in this book.  \nSTANDARDS STRUCTURE  \nStandards found in this book are organized by grouping relevant standards together. These groupings are comprised of“Sections,” “Sub-sections,” and then individual standard numbers. Each main “Section” is identified by a numerical value,“Sub-sections” have been assigned an alphabetical value, and the individual standards under the subsection have also been numbered. Based on this format, each standard has been assigned a unique identifier to include all three elements to indicate its location.  \nFor example: The standard which states, “Each operating room is properly cleaned, maintained and free of litter and clutter” is the fourth standard under Section 2, Sub-section C. Therefore, the unique identifier for this standard is: 2-C-4.  \nPlease note that not all standards are necessarily in continuous sequential order. Some numbers have been reserved for future use and do not appear in the manual. The groupings within the Sections and Sub-sections of this book are intended to separate standards into logical sets of standards. Based on 40 years’ experience, such groups are likely, but not guaranteed, to be found and assessed during the same portion of the survey process.  \nThe standards are organized into a logical hierarchy for ease of use:  \n• Sections are numbered (e.g. , 1, 2, 3) .  \n• Sub-sections are assigned a letter (e.g. , A, B, C) .  \n• Individual Standards are numbered under each sub-section (e.g. , 1, 2, 3) .  \nThis structure creates a unique identifier for each standard: [Section]-[Sub-section]-[Standard \\#] .  \nExample: The standard, “Each operating room is properly cleaned, maintained and free of litter and clutter,” is the fourth standard in Section 2, Sub-section C. Its identifier is 2-C-4 .  \nPlease Note:  \n• Standard numbers are not always sequential. Some numbers are reserved for future use and do not appear in this edition.  \nThe groupings are designed to cluster related standards, which may facilitate a more efficient survey process.  \nSTANDARD BOOK LAYOUT  \nThe standards manual layout consists of five (5) columns. The function of each column is as follows:  \nStandard ID:  \nThis column contains the alphanumerical identifier for each standard.  \nClass:  \nThis column indicates the anesthesia classification, based on QUAD A definitions, that is applicable to the standard. Only facilities that provide anesthesia meeting the definition of one or more of the classifications listed in this column are required to comply with it.  \nNote: Facilities must comply with all applicable state or national requirements governing the facility, including country and state laws and regulations relating to anesthesia. When standards conflict, the most stringent requirement applies, unless mandated by laws or regulations applicable to the facility.  \nExample: A facility accredited under QUAD A Class A Standards may be permitted toadminister local, topical anesthesia, minimal sedation, or nitrous oxide using a standalone system for administration. However, if the facility’s state or country has a Class A–equivalent designation that specifically limits anesthesia to local or topical anesthesia only, then the facility must follow the state or national requirement. In this case, the facility may not administer oral medications to achieve minimal sedation, even if accreditation standards would otherwise allow it.  \nStandard / Regulatory Reference:  \nThis column contains the text for each standard. It also indicates the corresponding regulatory reference (e.g. , CMS, DHA, Florida, etc. ), if applicable.  \nInterpretive Guidance:  \nThis column indicates the interpretive guidance (IG) that correlates with the standard.  \nINTERPRETIVE GUIDANCE (IG)  \nInterpret","cbCaihjbScDLhJ0D","https://ap.wps.com/l/cbCaihjbScDLhJ0D","pdf",2773505,245,"English","# Survey Instructions\n## Standards Structure\n## Standard Book Layout\n# Interpretive Guidance (IG)\n## Purpose of Interpretive Guidance\n## Use of IGs in the Accreditation Process\n## Survey Application","[{\"question\":\"How is each accreditation standard uniquely identified in the manual?\",\"answer\":\"Each standard uses a unique identifier in the form [Section]-[Sub-section]-[Standard #], such as 2-C-4 for the fourth standard in Section 2, Sub-section C.\"},{\"question\":\"What does the manual say about the sequence of standard numbers?\",\"answer\":\"Standard numbers are not always sequential; some numbers may be reserved for future use and do not appear in the edition.\"},{\"question\":\"Are Interpretive Guidance (IG) items themselves requirements or scoreable elements?\",\"answer\":\"No. IGs are explanatory tools that support understanding and application of QUAD A standards, but they are not requirements and are not used as scorable elements during accreditation.\"}]","MEDICARE AMBULATORY SURGICAL CENTER (ASC) - ACCREDITATION STANDARDS MANUAL - Version 9.1 - Effective February 2, 2026 | PDF",1789978262,617]