On behalf of the American College of Surgeons (Chicago, Illinois) Children’s Surgery Verification program, we wish to clarify some of the statements in the article by McManus and França entitled “Availability of Inpatient Pediatric Surgery in the United States,” and the accompanying editorial by Ambardekar and Schwartz. Though we completely agree that there has been consolidation of pediatric surgery toward high-capability pediatric centers, we disagree with the statement that “the American College of Surgeons launched its Children’s Surgery Verification Quality Improvement program to promote regionalization.” Regionalization is defined as the “integrated organization of a healthcare system, wherein regional structures are responsible for providing and administrating health services in a specific region.” This was never the intent of the American College of Surgeons Children’s Surgery Verification program. In contrast, the program strives to provide care in...

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