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Accreditation standards

Unified MBSAQIP accreditation standards revealed for surgery

Societies issue new accreditation standards designed to foster surgical quality improvement

The American College of Surgeons (ACS) and the American Society for Metabolic and Bariatric Surgery (ASMBS) have released the inaugural standards for their joint accreditation program, the Metabolic Bariatric Surgery and Quality Improvement Program (MBSAQIP).

“The MBSAQIP standards are the cornerstone of the MBSAQIP and address future initiatives such as risk-adjusted data, enhanced verification, and quality improvement efforts” said Dr John Morton, MD, MPH, FACS, President-Elect, American Society of Metabolic and Bariatric Surgery, Co-Chair of the ACS Committee for Metabolic and Bariatric Surgery, and chief, bariatric and minimally invasive surgery, Stanford School of Medicine, Stanford, CA. “The standards are a blueprint for continued and future safe and effective outcomes for patients undergoing bariatric surgery. With over 18 million potential surgical candidates, the bariatric surgical community through MBSAQIP has taken stewardship of these patients in need. The standards build upon a legacy of success for bariatric surgery where mortality has fallen from one percent to 0.1 percent over the past decade. With the standards in place, future innovation and improvement in care for bariatric surgery can take place.”

These standards, published online in the document ‘Resources for Optimal Care of the Metabolic and Bariatric Surgery Patient 2014’, provides guidance for inpatient and outpatient facilities in the US and Canada seeking accreditation from the MBSAQIP. According to the societies, the new accreditation provides an objective and accountable process whereby centres can demonstrate high-quality surgical care for bariatric patients in a multidisciplinary format.

Centres are required to meet seven Core Standards for MBSAQIP accreditation, as well as two additional standards specific to band center and adolescent centre accreditation:

  • case volume, patient selection, and approved procedures by designation level
  • commitment to quality care
  • appropriate equipment and instruments
  • critical care support
  • continuum of care
  • data collection
  • continuous quality improvement
  • band center accreditation
  • adolescent center accreditation

The new standards are important because they create a “national unified program around which all MBSAQIP participating centers will comply,” said Dr Ronald Clements, MD, Co-Chair of the ACS Committee for Metabolic and Bariatric Surgery, which oversees the MBSAQIP, and professor of surgery and director of bariatric surgery, Vanderbilt University, Nashville, TN. He added that the standards are “designed around locally driven quality improvement…and foster a collaborative relationship at any one given hospital,” meaning the standards provide locally driven data with national oversight that allows each centre to have their own data, analyse it, and develop surgical quality improvement processes.

As part of the accreditation process, an MBSAQIP-trained metabolic and bariatric surgeon surveyor conducts an on-site visit. During these visits, centres are verified against set criteria, including annual facility and individual surgeon volumes for stapling and non-stapling procedures.

The newly released standards can be found here

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American Society for Metabolic and Bariatric Surgery

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