American College Of Surgeons - Inspiring Quality: Highest Standards, Better Outcomes

Site Visit Application

Site Visit Application - Download Now!

  • Must return completed site visit application 12 months in advance to preferred timeframe.
  • NEW! Centers with an anniversary/expiration date or new centers seeking verification between July 1, 2016 and June 30, 2017 (FY2017) will be invoiced annually for the term of the verification period. Please do not send payment until you receive your invoice. We anticipate an annual verification fee increase to be announced in January 2016.
    • - Level I Adult trauma centers and Level I Pediatric trauma centers verification/reverification will each be recognized as single visits in which they may be scheduled concurrently. Corresponding teams will be assigned for each visit.
  • NEW! Physicians previously approved by way of the Alternate Pathway Criteria, will be required to submit an evaluation submitted by the TMD on an annual basis. A copy of the evaluation form, please visit the VRC Resources page.
  • New and previously approved surgeons/physicians who have been through the Alternate Pathway and are still on the trauma call panel will be reviewed at every reverification visit beginning with the implementation of the new 2014 guidelines. The same fee applies for the additional specialty reviewer.
  • Currently accepting site visit applications to be scheduled starting in July 2016. (No longer accepting applications for visits in 2015 through June 2016) For those trauma centers expiring prior to this date, exceptions may be made provided that capacity is not overwhelmed. 
  • International site visit requests must contact the Verification, Review, and Consultation (VRC) program office at 312-202-5134.
  • TQIP - The requirements with rationale to determine if the [non-TQIP] program meets the risk-adjusted benchmarking criteria are listed on the Resources page
  • For combined centers (Level I adult/Level II peds or Level II adults/Level II peds) these programs are required to participate independently in a risk-adjusted benchmarking program.
  • For Level III centers to satisfy the risk-adjusted benchmarking requirement, the center must participate in the TQIP pilot program

Please contact the VRC office for further information at 312-202-5134.