Office ambulatory surgery centers: creation and management.

Among orthopaedic surgeons, the popularity of in-office ambulatory surgery has steadily increased. Changing practice patterns, including utilization of office surgery centers, have resulted in improved efficiency and increased revenue. However, accurate feasibility and market analyses are necessary before considering the addition of a surgery center to an orthopaedic practice. The legal requirements to operate a center include state licensure, Medicare certification, and accreditation. In addition, approved construction design and effective operations management are essential.