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Healthgrades report

COE status does not equate to lower in-hospital complications

From 2010-2012, there were 199,926 in-hospital bariatric procedures performed and 4.83% of patients experienced one or more in-hospital complications

According to the latest report form Healthgrades, Center of Excellence (COE) designation alone does not equate to high performance in terms of in-hospital complications. The 2014 Healthgrades Bariatric Surgery Excellence Award is an annual report representing the top 10% of hospitals evaluated performing bariatric surgery.

“The results of our 2014 report underscore the importance of doing your homework before selecting a healthcare provider for bariatric surgery,” said Evan Marks, Chief Strategy Officer, Healthgrades. “The hospitals recognized by Healthgrades stand above the rest for their commitment to quality care.”

In its related report, Healthgrades explores whether hospitals performing bariatric surgery with a Center of Excellence (COE) designation have lower complication rates than those hospitals that do not.

The Healthgrades analysis suggests that a statistically higher percentage of hospitals with COE designation are rated 5-stars for bariatric surgery (21% of those with designation relative to 8% of those without). However, COE designation alone is not enough.

In addition to top performers, over 27% of the COE designated facilities performed statistically worse than expected, according to the Healthgrades methodology. As a group, the risk-adjusted complication rate for COE designated facilities is not statistically different from the non-designated facilities (5.18% vs. 5.37%). This suggests that COE designation alone does not equate to high performance in terms of in-hospital complications.

The latest analysis revealed that from 2010 through 2012, across the states studied, there were 199,926 in-hospital bariatric procedures performed and 4.83% of patients experienced one or more in-hospital complications1.

In addition, patients having bariatric surgery at hospitals with 5-star performance in bariatric surgery had 70% lower risk of experiencing an in-hospital complication2.

From 2010 to 2012, if all hospitals had performed at the same level as Bariatric Surgery Excellence Award recipients, 4,349 patients could have potentially avoided a major, in-hospital complication2.

References

  1. Statistics for first bullet based on analysis for three years for all-payer data (2010-2012) from 19 states where all-payer data was publicly available during any year(s) of the three year timeframe.
  2. Statistics for final bullets based on analysis for three years for all-payer data (2010-2012) from 17 states where all-payer data was publicly available during all three years of the analysis timeframe.

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