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  • 1.  Quad A Certification

    Posted 05-04-2024 15:58

    Early career solo plastic surgeon here in a high cost-of-living/doing-business location...looking to optimize surgical resources without breaking the bank...think that Quad A is best bet for highest quality office operators guidelines, so thinking of pursuing that within a new office location/opportunity...the questions for those of you that have navigated Quad A accreditation:

    • What are the main "big picture" items you have to have in place BEFORE moving into the location you are trying to develop? Ie, things that can't readily be modified later
    • Is level B "worth it" if accreditation is not required and your state doesn't require licensure unless you are doing general anesthesia? Ie, what does it really "get you" to get Quad A for moderate sedation cases (level B)?
    • At the end of the day, what are the REAL cost and time totals for Quad A accreditation? I've heard anywhere from $50k and 6 months to $2 million and 3 years. I know this will be somewhat location-specific, but need a more realistic picture in order to move forward

    Appreciate anyone's insights! Thank you. 



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    Kristopher Day MD
    Kristopher Day, MD, FACS
    Bellevue WA
    425-818-8991
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  • 2.  RE: Quad A Certification

    Posted 10-31-2024 14:59

    I can't speak to level B.

    But for general anesthesia,  interior build out for a surgery center is around 400 a square foot. Probably only 90 days for the accreditation process paperwork is my guess but not quite there yet.



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    Pramit Malhotra MD
    Ann Arbor Plastic Surgery
    Ann Arbor MI
    734-913-5100
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  • 3.  RE: Quad A Certification

    Posted 05-29-2026 18:48

    Kristopher,

    I have had a Quad A certified O.R. for 26 years.  I only do Local with IV Sedation and would be happy to share my perspective. Give me a call in Dallas.  



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    Bryan Pruitt MD
    Practice, Bryan H. Pruitt MD
    Dallas TX
    214-363-6000
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  • 4.  RE: Quad A Certification

    Posted 05-30-2026 11:17

    You might also look to see if your state board of Health certifies office-based surgery suites and/or ASCs. I found that it was a better option that Quad A



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    Donald Griffin MD
    Practice, Donald Griffin MD
    Nashville TN
    615-321-1003
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    Original Message


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