In 2008, the Medical Licensing Board of Indiana promulgated new rules governing procedures that require moderate sedation/analgesia, deep sedation/analgesia, general anesthesia, or regional anesthesia performed by practitioners in an office-based setting.
For purposes of the rules, “office-based setting” means a facility, clinic, center, office or other setting where the above-listed procedures take place. The rules provide that:
- Practitioners administering deep sedation/analgesia in an office-based setting, or directing or supervising the administration of deep sedation/analgesia in an office-based setting, must be able to rescue patients who enter a state of general anesthesia.
- Practitioners administering moderate sedation/analgesia in an office-based setting, or directing or supervising the administration of moderate sedation/analgesia in an office-based setting, must be able to rescue patients who enter a state of deep sedation/analgesia.
While these rules have been in place for more than a year, it is important for practitioners to keep in mind the additional requirement under the rules, which goes into effect on Jan. 1, 2010.
Practitioners will be required to obtain accreditation from a board-
approved accreditation agency before they are able to continue performing or supervising procedures that require anesthesia in the office-based setting. The board has selected the following accreditation agencies as those that are “approved” under the rules:
- AAAASF (QuadASF) – American Association for Accreditation of Ambulatory Surgery Facilities, Inc.
- AAAHC (TripleAHC) – Accreditation Association for Ambulatory Health Care, Inc.
- JC – Joint Commission
- HFAP – Health Facilities Accreditation Program
Since the time necessary to become accredited by any one of the above-listed agencies varies, it is important that practitioners contact the agencies to determine accreditation timeframes and ensure that the accreditation process is underway with enough time to allow for compliance by the Jan. 1, 2010, deadline.
For additional information, e-mail Leigh Ann Lauth O’Neill or call her at (317) 238-6346 at Krieg DeVault LLP.
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