Every ambulatory surgery center (ASC) has a Quality Assessment and Performance Improvement (QAPI) program. This program includes risk management (RM) activities used to identify, prioritize, and proactively respond to threats while maximizing opportunities for improvement. While incident or occurrence reports are most frequently associated with RM, historically speaking, accrediting organizations have promoted a risk-based approach. As a result, the Centers for Medicare and Medicaid Services (CMS) is beginning to require a growing number of risk assessments (RAs) that focus on specific issues as they pertain to your facility.