On June 7, 2010, in Uncategorized, by Andrea

For giggles, this is the list of things a program has to have in place to be placed on probationary status, which, barring an egregious error (major malpractice issues) will get approved with the check made out to the right people.

And yes, I really wish I was making this crap up.

1. a. An institutional commitment at the highest levels of the applicant medical staff and the institution’s administration to excellence in the care of bariatric surgical patients as documented with an ongoing, regularly scheduled, in-service education program in bariatric surgery.

b. An institutional commitment that is also demonstrated by employing credentialing guidelines for bariatric surgery.
2.a. The reasonable expectation that the applicant institution will perform at least 125 bariatric surgical cases per year.

b. The reasonable expectation that each applicant surgeon will have performed at least 125 total bariatric cases lifetime, with at least 50 cases performed in the preceding 12-month period.

3. The applicant maintains a designated physician Medical Director for bariatric surgery who participates in the relevant decision-making administrative meetings of the institution.

4. The applicant hospital maintains, within 30 minutes of request, a full complement on staff of the various consultative services required for the care of bariatric surgical patients, including the immediate availability of an ACLS-qualified physician on-site who can perform patient resuscitations.

5. The applicant maintains a full line of equipment and instruments for the care of bariatric surgical patients including furniture, wheelchairs, operating room tables, floor-mounted or floor-supported toilets, beds, radiologic capabilities, surgical instruments and other facilities suitable for morbidly obese patients.

6. The applicant has a bariatric surgeon who spends a significant portion of his or her efforts in the field of bariatric surgery and who has qualified coverage and support for patient care.

7. The applicant utilizes clinical pathways and orders that facilitate the standardization of perioperative care for the relevant procedure. In addition, all bariatric surgical procedures are standardized for each surgeon.

8. The applicant utilizes designated nurse or physician extenders who are dedicated to serving bariatric surgical patients and who are involved in continuing education in the care of bariatric patients.

9. The applicant makes available organized and supervised support groups for all patients who have undergone bariatric surgery at the institution.

10. The applicant provides documentation of a program dedicated to a goal of long-term patient follow-up of at least 75 percent for bariatric procedures at five years with a monitoring and tracking system for outcomes, and agrees to provide surgical outcomes data on all patients to SRC through the Bariatric Outcomes Longitudinal Database (BOLD) in a manner consistent with Health Insurance Portability and Accountability Act (HIPAA) regulations.

Just because a hospital is a COE does not mean they walk on water, have the best program, or know everything.  My doc was a COE and gave me RICKETS and a ferritin level of 7!  Another lady’s COE sliced and diced her liver, decided not to tell her about it (then lied about it when asked point blank about it), and now she has permanent scarring in her lungs because of it!  But they were COE’s and we know it cause I had a floor-mounted toilet in my room and they had pressure boots on my feet!  Oh!  And they knew CPR!

Related Posts with Thumbnails

2 Responses to “COE”

  1. MacMadame says:

    Thanks for publishing this. I get frustrated when people say “My hospital is a Center of Excellence” as if that means they are one of the best in the Nation or won the medical equivalent of an Oscar.

  2. Penney says:

    To call a facility a Center Of Excellence SHOULD mean they walk on water, too bad it doesn’t. Knock on wood, so far I am hugely pleased with Grand Health Partners (Wooo Dr. Foote!), other than puzzlement that the two nutritionists and two NPs I spoke to there had never heard of Proferrin or Bifera and could offer no opinion. Just to be my own advocate, I still request a copy of my labs and take it with me to my appointments and ask questions.

Leave a Reply