Clinical Quality

For more than 25 years the staff and surgeons in CSA affiliated surgery centers have worked with a deep commitment to assure patients receive the best possible care and surgical outcomes. Clinical quality, safety and patient satisfaction are paramount to the patient experience which is why CSA surgery centers deploy a robust clinical quality program and advanced technology that helps caregivers measure, track and report patient outcomes. We are proud that each year more than 90,000 patients and 400 surgeons choose to receive care and give care in a CSA affiliated surgery center.

Designations and Awards

The Leapfrog Group

Since the launch of the Leapfrog Group’s “Top ASC” designation in 2022, CSA-partnered centers have earned it 17 times.

Who is the Leapfrog Group?

The Leapfrog Group is an independent national nonprofit that evaluates hospitals and surgery centers on patient safety and quality of care. Their Top Ambulatory Surgery Center designation — earned by fewer than 10% of eligible centers — is one of the most credible independent quality recognitions in outpatient surgery. In 2025, just 37 centers nationally made the list. Eight were ours.

U.S. News & World Report

Multiple CSA-affiliated centers have been recognized as U.S. News & World Report "Best ASC" award winners across specialty categories.

What is the U.S. News & World Report “Best ASC” award?

U.S. News & World Report rates nearly 5,000 surgery centers on key clinical quality and patient safety criteria, including how successfully the ASCs avoided costly surgical complications such as ER visits and unplanned hospitalizations. "Best Ambulatory Surgery Center" designation is awarded to those surgical centers that satisfy U.S. News' statistical assessment of performance. Only the highest-rated surgery centers earned a "Best" rating.

Accreditations

All CSA centers are licensed by CMS and accredited by AAAHC and/or The Joint Commission (TJC). CSA centers participate in the federal ASCQR Program, publicly reporting quality outcomes under national evidence-based standards.

Hartford Surgery Center became the first center in Connecticut — and one of only ten ASCs in the U.S. — to receive dual AAAHC certification in both total joint replacement and complex spine surgery simultaneously.

Our clinical approach is built for complexity and proven by outcomes.

CSA is purpose-built for the most demanding surgical cases: total joint replacement, complex spine, and advanced orthopedic procedures that reward deep specialization, proven protocols, and a clinical infrastructure designed specifically around complexity.

That infrastructure includes proprietary clinical protocols developed and continuously refined by our clinical team. They cover pre-operative patient optimization, procedure-specific care pathways, and structured post-operative education programs that prepare patients for recovery before they ever enter the OR.

Pre-Operative Optimization

Structured patient preparation protocols including education, risk stratification, and expectation-setting designed to reduce complications and support faster recovery before the procedure begins.

Procedure-Specific Clinical Pathways

Proprietary care protocols tailored to total joint replacement, spine, and other complex procedures that reduce variation across surgeons and sites and produce consistently better results.

Post-Operative Education and Recovery

Recovery at home can be a critical period for complication and readmission risks. Our structured programs equip patients and families with the knowledge and resources to support recovery at home.

Patient Experience

Here's what our patients say.

Learn about our centers

Facilities & Staff

Facility Rating (0–10)

Would Recommend

2024 CSA Top Box Patient Survey Scores ·
All CSA-affiliated centers

New England Baptist Surgery Center · Dedham, MA

"Exceptional care from start to finish. Could not be more pleased with my experience."

Hartford Surgery Center · Hartford, CT

"I would highly recommend the Hartford Surgery Center to family and friends. Overall, an excellent experience."

McLean Tysons Orthopedic Surgery Center · McLean, VA

"Extremely kind, empathetic, and very professional. The whole experience was made pleasant by the staff."

A Proprietary Registry. A Feedback Loop That Never Stops.

Our proprietary clinical registry collects outcomes data on every patient and procedure and feeds findings back into our clinical protocols. We get better with every case.

Patient-Reported Outcomes (PROs) let surgeons evaluate practice effectiveness and patients to create recovery benchmarks.

Quality of Life

Self-reported health status and quality of life outcomes tracked longitudinally

Joint Function

Pain levels and joint function tracked pre- and post-procedure for every patient

Activity Levels

Return-to-activity timelines benchmarked against peer patient populations

Long-Term Success

Implant and procedure effectiveness tracked over multi-year horizons