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Office Surgery RegulationsFrom: Mark Jutras (mjutras@gate.net)Mon Feb 28 17:23:05 2000
The State of Florida has been introducing Office Surgery Regulations over the last few years. This has heated up in the last couple of weeks with radical changes being introduced without warning and with no time for offices to come under compliance if they were not already, by luck (or paranoia) in compliance. The last regulations became law 10 days after they were adopted by the committee and two months before the board will officially announce the changes to licensed physicians. It is only through email notifications through the FMA and Florida OB/Gyn Society that any of us know about the regulations. The next step appears to be a mandate for certification of each office doing surgery. This was all started after many many deaths across the country related to in office liposuction. So rather than go after the specific problems they went after everyone. As you can imagine, a great deal of money and lobbying effort came from the hospital associations who are actively trying to prevent us from doing any procedures in our offices. I basically do not have problems with the requirements to date. My primary complaints is that there should have been an open forum rather than the behind closed doors negotiations of anesthesia providers and hospitals. The winners in this will be both these groups. Nurse anesthetists have been forced out of the offices. From the descriptions I have received from various anesthesia providers, the surgeons doing unsafe office procedures will continue to do so despite the new regulations. I am aware that many other states are headed in the same direction. I would like comments from others as to what has transpired, how they have dealt with it, and what further changes they anticipate. If any other states require facility certification for office surgery how/and by whom is it done? Florida's law clearly states that any national organization must have requirements that meet or exceed all Florida requirements to received deemed status in this state. If your state has not set standards than I suggest you look at ours (and other states that have set standards) since you will most likely see similar changes soon. http://www.fmaonline.org/comm/news/newrules.html http://www.fmaonline.org/comm/rule64b8.html http://www.fmaonline.org/comm/form.html http://www.fmaonline.org/comm/rule64b8-2.html
-- Mark Jutras, MD Orlando mjutras@gate.net
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