Ambulatory surgical facilities (ASFs) can use this tool in tracking and trending day-of-surgery (DOS) cancellation and transfer rates, as well as event information and costs associated with DOS cancellations. Three versions of the tool are available, per scope of care: (1) general surgical ASFs, (2) endoscopic ASFs, and (3) ophthalmologic ASFs. The available reference guide includes instructions for use.
The tool is in Microsoft Excel format and requires Excel to view and/or use the electronic entry feature.
Note: To download copies or if the links fail to open, please right-click on the links below and select "save target as." This action will allow download of zipped files containing copies of the tool.
For any questions about the tool, please contact the Authority at