Just days after his inauguration, President Trump signed an executive order directing federal agencies to review and eliminate regulations identified as unnecessary, obsolete or excessively burdensome. Since then, the administration and individual agencies within the U.S. Department of Health and Human Services (HHS) have pursued such policies. Programs like Patients Over Paperwork, the Meaningful Measures Initiative and an overall drive toward “burden reduction” have significantly refocused health care regulation.

The CMS Conditions of Participation (CoPs), including those for hospital, ambulatory and other settings, ensure that common health and safety standards are provided to patients receiving surgical, diagnostic and procedural care.

ASA members have become well acquainted with these CoPs for Anesthesia Services, including those governing the Director of Anesthesia Services (DAS), which have encouraged the highest standard of patient safety in anesthesia. The CoPs have also set expectations for physician responsibilities, shared decision-making and in the establishment of local policies...

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