Updates for Outpatient Surgery Centers Regarding Novel Coronavirus (COVID-19)

All-Client Virtual Meetings

Grey & Company has been hosting regular virtual meetings for all clients at no cost to discuss developments related to COVID-19 notes from past meetings and replay links can be found below:


March 25, 2020 at 9am

On March 25, 2020 Governor Northampton issued an executive order directing hospitals and medical facilities in Virginia to stop performing elective procedures or surgeries in order to preserve medical beds and PPE until April 24, 2020. The order does not apply to any procedure if the delay would cause harm to a patient. The full text of the order can be found here: https://www.governor.virginia.gov/media/governorvirginiagov/executive-actions/Order-of-Public-Health-Emergency-Two---Order-of-The-Governor-and-State-Health-Commissioner.pdf​

March 23, 2020 at 9am

On March 20, 2020 all ASCs in North Carolina should have received a letter from Roy Cooper and Mandy Cohen, MD Secretary of NCDHHS. The letter requested that effective March 23, 2020, all ASCs suspend all elective and non-urgent procedures. Although there is a potential miscommunication in the letter, it is our belief that the intent was to state that urgent procedures are those that, if not done within the next 4 weeks, would cause harm to the patient. ASCs that remain open must determine for themselves which procedures in their scopes of service would likely cause harm to the patient within 4 weeks if not completed.

March 18, 2020 at 12n

AAAHC emailed accredited organizations yesterday, Tuesday, March 17th. Information provided included:

  • All reaccreditation surveys scheduled for March 18, 2020 through May 1, 2020 will be postponed.

  • At this time all initial surveys will continue as scheduled unless the center is closed

  • At this time there will be no negative consequences for surveys that happen after accreditation expiration dates.

  • Organizations with upcoming surveys should report number of persons under investigation and number of confirmed cases of COVID-19 and interruptions in service lasting more than 30-days.

Helpful Links

Updated July 17, 2020 at 12n

Below are links that may be helpful as your facility decides what action to take in response to COVID-19.

  • Link to NCMB COVID-19 page

  • Link to CDC COVID-19 page

  • Link to WHO COVID-19 page

  • Link to CMS Elective Procedure Recommendations

  • Link to NCDHHS COVID-19 page

  • Link to TDH COVID-19 page

  • Link to VDH COVID-19 page

  • Link to the AHA letter to the Surgeon General

  • Link to American College of Surgeons Recommendations

  • Consult your county's human services department for local guidance. Here are links to the HHS pages for some of our more populous counties:

Please email hello@greyandco.com to notify us if your center is rescheduling procedures or closing completely.