dr david robbins

At Des Moines Plastic Surgery™ we have a fully equipped, state-of-the-art in office operating room that is fully accredited, safe, and private. The operating room is designed to perform only cosmetic surgery and Dr. Robbins is the only surgeon. This design offers privacy, continuity of care, and significant cost savings to the patient. Most importantly, it is a completely safe alternative to having a procedure performed at a surgery center or hospital.

The surgery center at Des Moines Plastic Surgery™ is fully accredited by the QUAD A.

Setting The Standard For Quality Patient Care

These days, there is more to having surgery than just selecting your surgeon. QUAD A has designed an accrediting program to help provide patients with the assurance of safety and quality in all aspects of their outpatient surgery experience. To achieve this goal, every QUAD A-accredited ambulatory surgery facility must meet stringent national standards for equipment, operating room safety, personnel, and surgeon credentials. The experts at QUAD A know that maintaining safety and quality in the ambulatory surgery facility is a dynamic process, requiring constant review and revision of standards to reflect the current state-of-the-art. As the leading accrediting organization, QUAD A has developed systems to effectively monitor and implement the latest advances in outpatient care delivery advances that directly benefit patients.


What is the QUAD A?

QUAD A was established in 1980. Its primary mission is to ensure the highest quality patient care in the ambulatory surgery setting.

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Today, with more than 1000 accredited outpatient surgical facilities, the not-for-profit QUAD A is the largest accrediting organization of its kind in the nation.


QUAD A accreditation has been recognized as the gold standard. The vast majority of ambulatory surgery facilities are not accredited, operating independently of any peer review and inspection process. A growing number of states throughout the country, however, are recognizing the need for mandatory accreditation. QUAD A is in the forefront of legislative efforts to provide patients with safety and quality assurance in the outpatient surgery setting.

In 1996, California became the first state to mandate accreditation for all outpatient facilities that administer sedation or general anesthesia. QUAD A was instrumental in the development of the California legislation (AB595), as well as subsequent laws and regulations adopted by states such as Florida, Georgia, New Jersey, Pennsylvania and Texas. QUAD A accreditation has been accepted by State Departments of Health in lieu of state licensure, and QUAD A has been approved to inspect facilities for certification by Medicare. QUAD A accreditation guidelines have been recognized as the gold standard providing the highest level of safety and quality in ambulatory surgery care.


QUAD A-accredited facilities must meet stringent requirements. All QUAD A-accredited facilities must:

  • comply with applicable local, state, and federal regulations including fire safety, sanitation, and building codes for the protection of patients and medical personnel;
  • adhere to federal laws and regulations affecting their operation such as OSHA blood-borne pathogens standards, hazardous waste standards, the Americans with Disabilities Act, and HIPAA;
  • utilize advanced instruments and monitoring devices for patient safety during surgery and in the recovery period;
  • allow surgery to be performed only by qualified surgeons who have the privilege to perform the same surgical procedures in an accredited hospital. Surgeons must meet the standards, such as peer review and continuing medical education, required for operating in an accredited hospital. Surgeons must be certified (or eligible for certification) in surgical specialties recognized by the American Board of Medical Specialties. This is an important distinction between QUAD A and other organizations that may not require this high standard of qualifications for physicians operating within their accredited facilities; and
  • provide for the administration of general anesthesia, when appropriate, by a board-certified or board-eligible anesthesiologist or a certified registered nurse anesthetist. Other personnel assisting in surgery and providing care for the patient in the recovery room include specially trained and certified surgical technicians, registered nurses, and licensed practical nurses.

Call today and ask for a tour of our beautiful facility and schedule a consultation with Dr. Robbins or any one of our excellent staff members.

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