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CoE certification does not limit access to surgery

Center of Excellence (CoE) certification does not appear to limit access to bariatric surgery, according to a paper ‘Effect of Mandatory Centers of Excellence Designation on Demographic Characteristics of Patients Who Undergo Bariatric Surgery’ published in JAMA. “The CoE requirement limited bariatric surgery to designated locations, which potentially restricted access,” the authors write.

Accreditation linked to better patient outcomes

Patients who underwent weight loss operations in recent years, when most bariatric surgical centres were accredited, had fewer postoperative complications and were 2.3 times less likely to die in the hospital than patients who had bariatric procedures performed before a national movement toward facility accreditation was taking place, according to a study published in the Journal of the American College of Surgeons.

COE status does not equate to lower 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.

Surgical groups disappointed with Medicare CoE ruling

The American Society for Metabolic and Bariatric Surgery and the American College of Surgeons have expressed their disappoint at the Centers for Medicare & Medicaid Services (CMS) recent decision that it will no longer require Medicare patients to undergo bariatric surgical procedures at accredited facilities. The ruling means that eligible Medicare patients may have bariatric operations performed at any centre they choose, even those facilities with little experience in handling high-risk patients.

CMS drops bariatric Center of Excellence facilitation

The Centers for Medicare & Medicaid Services (CMS) has ruled it will no longer require Medicare patients to undergo bariatric surgical procedures at accredited facilities. The ruling means that eligible Medicare patients may have bariatric operations performed at any center they choose, even those facilities with little experience in handling high-risk patients. The decision is effective from 25 September 2013.

CMS urged to reconsider need for bariatric certification

The American Society for Metabolic and Bariatric Surgery (ASMBS), the American College of Surgeons (ACS), and other medical societies claim that the Centers for Medicare & Medicaid Services’ (CMS) decision to consider a reversal of its 2006 decision requiring certification of facilities that perform bariatric surgery could endanger Medicare patients who undergo bariatric surgery.

CMS to eliminate CoE accreditation for bariatrics?

The Centers for Medicare & Medicaid Services (CMS) is proposing to eliminate the requirement for facility certification/Center of Excellence (CoE) designation, so centres can perform surgery on CMS patients. According to the proposed decision, the CMS claims that the evidence is sufficient to conclude that continuing the requirement for certification for bariatric surgery facilities would not improve health outcomes for Medicare beneficiaries.  Therefore, CMS proposes to remove this certification requirement.

Age and sex are predictors of in-hospital mortality from surgery

Two studies involving over 800,000 patients have provided important insights into mortality and morbidity rates following bariatric surgery.

The first study, from researchers at Staten Island University Hospital, reported that despite morbidly obese patients presenting with several comorbidities excellent outcomes have been achieved when patients are appropriately managed.

Brazilian obesity society launches Center of Excellence programme

The Brazilian Society of Bariatric and Metabolic Surgery (SBCBM), the world's second-largest bariatric surgery society, has announced the launch of a Center of Excellence Programme for bariatric surgery providers in Brazil. The program, which will be administered by Surgical Review Corporation (SRC), is designed specifically for Brazilian surgeons and their associated hospitals that are full titular members in good standing with the society. 


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