Download eBook for Free

Full Document

FormatFile SizeNotes
PDF file 0.2 MB

Use Adobe Acrobat Reader version 10 or higher for the best experience.

Summary Only

FormatFile SizeNotes
PDF file 0.1 MB

Use Adobe Acrobat Reader version 10 or higher for the best experience.

Ambulatory surgery centers (ASCs) are rapidly growing as a setting for the delivery of health care services, both in California and in the United States. At present, little is known about either the measurement of quality in the ASC setting or about the regulation of ASCs by the various U.S. state governments. This report describes the California ASC landscape, compares California ASCs to hospital outpatient surgery departments, and compares California's regulation of Ambulatory Surgery Centers to the regulations of other states. The research revealed differences in patterns of volume and procedure specialization between ASCs and hospital outpatient surgery departments. These differences could have implications for quality if high volume is associated with quality or if more specialization is associated with higher quality. However, there is little research on these questions for outpatient surgery at present.

Table of Contents

  • Chapter One

    Background and Introduction

  • Chapter Two

    California's Ambulatory Surgery Centers

  • Chapter Three

    A Comparison of ASC Regulation

  • Chapter Four

    Summary and Conclusions

  • Appendix A

    ASC Ownership Comparison

  • Appendix B

    Tabular State Regulation Data

  • Appendix C

    Top 100 Procedures for Either ASCs or Hospitals

  • Appendix D

    National Quality Forum ASC Performance Measures

This work was sponsored by the California HealthCare Foundation. The research was conducted in RAND Health, a division of the RAND Corporation.

This report is part of the RAND Corporation Technical report series. RAND technical reports may include research findings on a specific topic that is limited in scope or intended for a narrow audience; present discussions of the methodology employed in research; provide literature reviews, survey instruments, modeling exercises, guidelines for practitioners and research professionals, and supporting documentation; or deliver preliminary findings. All RAND reports undergo rigorous peer review to ensure that they meet high standards for research quality and objectivity.

This document and trademark(s) contained herein are protected by law. This representation of RAND intellectual property is provided for noncommercial use only. Unauthorized posting of this publication online is prohibited; linking directly to this product page is encouraged. Permission is required from RAND to reproduce, or reuse in another form, any of its research documents for commercial purposes. For information on reprint and reuse permissions, please visit

The RAND Corporation is a nonprofit institution that helps improve policy and decisionmaking through research and analysis. RAND's publications do not necessarily reflect the opinions of its research clients and sponsors.