Abstract
Endoscopy-specific ambulatory surgery centers (ambulatory endoscopy center [AEC]) are the dominant site of service for independent community-based and academic gastroenterology practices in the United States. For most gastroenterologists, constructing a new AEC is the most complex and capital-intensive project that they will encounter in their careers. Much has been written about AEC design, primarily with regard to maximizing functionality and efficient throughput.1,2 However, regulatory considerations are another critical factor, because new AECs require certification to provide care to Medicare recipients and external accreditation as required by state and local jurisdictions or private payers.
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