The Joint Commission accreditation
The Joint Commission is a leading independent, not-for-profit organization that accredits and certifies healthcare organizations and programs in the United States, including ambulatory surgery centers. Joint Commission accreditation is a voluntary, peer-reviewed evaluation of a facility’s governance, clinical practices, patient safety, and quality program.
DOSC successfully completed the Joint Commission accreditation process, which includes:
- Application and self-assessment against the Joint Commission’s Ambulatory Care standards
- On-site survey by Joint Commission surveyors (physicians, nurses, and administrators)
- Corrective-action response where indicated
- Accreditation decision by The Joint Commission
Our facility operates continuously against the Joint Commission standards between surveys — accreditation is treated as an ongoing commitment, not a one-time event. DOSC displays the Joint Commission Gold Seal of Approval®, and a copy of the current accreditation certificate is available on request.
Medicare certification
DOSC is Medicare-certified by the Centers for Medicare & Medicaid Services (CMS) as an Ambulatory Surgical Center (ASC), and we bill Medicare directly for covered facility services. Medicare certification requires compliance with the CMS Conditions for Coverage for ASCs, including governance, quality assessment / performance improvement (QAPI), infection control, pharmaceutical services, and patient rights.
Our billing team works with Medicare, Medicare Advantage plans, and all major commercial carriers. Medical-lien cases are handled through a separate intake channel; the treating physician’s office can coordinate directly with our billing team.
California state licensure
DOSC is licensed and operates under the oversight of the California Department of Public Health (CDPH), consistent with California regulations governing ambulatory surgical facilities and the services we provide.
Medical staff & credentialing
Every physician operating at DOSC is credentialed through our Medical Staff Office, with verification of:
- Current California medical license (primary-source verified)
- DEA registration (if applicable)
- Board certification
- Malpractice insurance with active coverage
- NPDB self-query within 180 days
- Peer references
- Health clearance and immunization documentation
Re-credentialing follows a standard two-year cycle. Full details on the For Physicians page.
Anesthesia standards
Anesthesia providers (anesthesiologists and CRNAs) are credentialed through the same Medical Staff process as surgeons. Anesthesia practice at DOSC adheres to ASA standards for:
- Pre-anesthetic evaluation
- Intra-operative monitoring (ECG, SpO2, EtCO2, NIBP, temperature as indicated)
- Post-anesthesia recovery (PACU Phase I / Phase II) with defined discharge criteria
- Malignant hyperthermia protocol with dantrolene on-site
- Difficult-airway cart availability
Quality & safety program
DOSC’s quality program reviews clinical and operational metrics on an ongoing basis, including:
- Pre-procedure time-out compliance (Universal Protocol)
- Surgical-site infection surveillance
- Unplanned transfers to higher level of care
- Medication-error reporting
- Patient satisfaction and complaint review
- Peer review on adverse events and near-miss reports
Findings from quality review feed back into clinical policies, credentialing decisions, and staff education. Quality metrics are not published publicly — they’re available to physicians and regulatory bodies on request.
Patient rights
Every patient treated at DOSC has the right to:
- Information about their care, risks, and alternatives (informed consent)
- Respectful treatment regardless of race, ethnicity, gender, sexual orientation, religion, or source of payment
- Privacy of their health information (HIPAA)
- Participation in care decisions
- File a grievance without retaliation
Full patient-rights notice is provided at intake.
Accreditation & quality contact
Questions about accreditation status, quality metrics, or patient-rights matters:
This page reflects our current accreditation and licensure. Copies of the Joint Commission accreditation certificate, Medicare CCN letter, and California state license are available on request for credentialing, payer enrollment, or attorney files.