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

Geriatric Surgery Verification Program

The American College of Surgeons (ACS) Geriatric Surgery Verification (GSV) Program presents 32 new surgical standards (2 of which are optional) designed to systematically improve surgical care and outcomes for the aging adult population. The standards provide a framework for hospitals to take an interdisciplinary approach to continuously optimize surgical care for older adults.

With support from The John A. Hartford Foundation, the standards were collaboratively developed by the ACS Coalition for Quality in Geriatric Surgery Project, composed of more than 50 stakeholder organizations representing the needs of older patients and families, advocacy and regulatory groups, health care professionals, and multiple medical and surgical specialties.

Preparing Now to Care for More Older Adults Facing Surgery

Today, 10,000 people in the U.S. turn 65 every day. The U.S. Census Bureau projects the number of older adults to grow by 55 percent from 2010 to 2050, eventually making up 21 percent of the population.1 Currently, older adults account for more than 40 percent of all inpatient operations, and 33 percent of outpatient procedures performed annually in the U.S. This number will grow as the population ages, and the need for surgical services concurrently rises.2-3

Getting Started

The GSV Program standards are publicly available on the ACS website for hospitals to download and review. Hospitals interested in enrolling in the GSV Program can submit an application through the online portal


  1. Bureau UC. 65+ in the United States: 2010. Accessed June 2019.
  2. Centers for Disease Control. National Hospital Discharge Survey: Number of All-Listed Procedures for Discharges from Short-Stay Hospitals, by Procedure Category and Age: United States, 2010. Available at:, 2010. Accessed June 2019.
  3. Hall MJ. Ambulatory Surgery Data From Hospitals and Ambulatory Surgery Centers: United States, 2010. 2017;(102):15.

ACS partners with JAHF

American College of Surgeons partners with The John A. Hartford Foundation to enhance and expand its Geriatric Surgery Verification Program

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GSV Standards

Read the standards. Learn how to systematically improve the quality of care for older adults facing surgery.

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Apply Today

The application is now available for the Geriatric Surgery Verification Quality Improvement Program. 

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News from ACS-GSV program

We have verified  the first hospital in the nation that meets our standardized quality criteria for geriatric surgery.

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