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Extended Stay Centers

Development Process
To fulfill the requirements of House Bill 4020, the Health Evidence Review Commission will soon begin work developing a new guideline on the patient characteristics and surgical procedures that may be appropriate for ambulatory surgical centers and extended stay centers.
 
Extended stay centers (ESCs) are a new kind of facility that will be licensed in Oregon according to the requirements of House Bill 4020 (2018). They will operate in conjunction with, but as separate entities from, ambulatory surgery centers (ASCs). Patients could stay up to 48 hours (including time in an ASC), rather than the 24 hours allowed at an ASC. Certain patients who would currently get their surgery in a hospital setting would have the option of receiving the surgery in an ASC. They might receive help with pain management, nausea or other postsurgical symptoms that might be difficult or uncomfortable to receive in a home setting but which would not require hospitalization. 
 
House bill 4020 requires the Health Evidence Review Commission (HERC) to develop “evidence-based guidelines regarding the patient characteristics and surgical procedures that may be appropriate for ambulatory surgical centers and extended stay centers.”
 
Stakeholder Input
The Commission is currently planning its research for its report. A survey collecting information closed at 8 a.m. July 16, 2018. Work for the report is planned to begin in late 2018, with a progress report to the legislature due during the 2019 legislative session.
 
The guideline will be developed through the Health Technology Assessment Subcommittee. Public meetings discussing this topic are anticipated on September 27, 2018 (orientation for subcommittee members), November 15, 2018, February 21, 2019 and April 18, 2019. 
For more information contact herc.info@state.or.us.  

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