Hospital Regina

Center of Excellence Metabolic & Bariatric SurgeryWe received our Center of Excellence designation in July of 2012. What does this certification mean for us? I will tell you in one word: REVOLUTION.

Since receiving the Center of Excellence status, our annual number of surgeries has doubled, the incidence of serious surgical complications has decreased by a factor of three to four times and patient follow up attendance improved significantly, among several other positive developments. The constant improvement of our service processes and the focused commitment among our professional staff has enhanced our delivery of medical care and improved our patient outcomes.

Patients are not the only benefactors from SRC’s programs, as our professionals have grown personally and professionally, the Hospital has becomes a better institution and our team has strengthened, working together more cooperatively and fluently. The bariatric COEMBS initiative is our pilot program for healthcare quality in our hospital, becoming an innovative way for other specialties to improve services and care. This is more than an evolution for us, but rather a revolution! We are delighted to promote and participate in programs delivering such success!

Dr. Carlos Dillenburg
Hospital Regina
Novo Hamburgo, Rio Grande do Sul, Brazil

Dr. Alper Celik

Surgeon of Excellence Metabolic & Bariatric SurgeryToday, Metabolic Syndrome and its most important components, Obesity and Type 2 Diabetes have reached pandemic proportions which made people aware that present treatment options were not sufficient. That is why alternative options were sought and Metabolic and Bariatric Surgery came out as the answer.

Of course, it is hard to claim that Metabolic and Bariatric Surgery is the perfect solution, but it is the most effective treatment we have at the moment. It is an ever evolving field, new procedures, publications coming out every day and its demand, along with its popularity, increases as well. And where is demand, there is supply. This led to an increase in the number of people and clinics/centers/hospitals which offer services in this field. It might be easier for people who work in the field of metabolic and bariatric surgery to differentiate the procedures from each other, understand and interpret their outcomes, and but can the same be said for common people? It might be known to professionals that which centers/doctors offer high quality healthcare services, but what about the patients? Also, for clinics and doctors in this field, how can they improve their outcomes? What mortality rate is acceptable and what should be accepted as excellent? What can be done to improve the performance of clinical personnel, how should their training be organized, how to organize a clinical pathway? Do we have to repeat the mistakes of our predecessors until we can find the right answer?

The answer to this question is of course; ‘’NO’’. There are standards laid for us, standards that have been founded on facts, tested again and again in time and evolved with experience. And this is where accreditation programs come in.

Accreditation programs, which are administered by independent, international institutions around the world are shaped by these standards. Program participants which can fulfill these standards earn recognition as Center/Surgeon of Excellence both among the public and patients, payers (government and insurance companies) and scientific community. Which means everyone wins, so to speak. Of course there are many different aspects of this process, but what I can tell of is our own experience.

During the process, the most remarkable thing I observed was that the program brought the entire team together. In-service trainings, weekly pre-op patient discussions and multi-disciplinary meetings made everyone realize that each one of them is a crucial part of the team. Every one came to know what other people do, learn from their experience, understand their difficulties. This strengthened their respect toward each other and feel that they are an integral part of a bigger group. Not only that, but regular multidisciplinary meetings and weekly pre-op evaluation meetings greatly improved our patient selection, which overall improved our statistics regarding complication rates, post-operative hospitalization, etc. In-service trainings increased the awareness of our nurses towards complication symptoms. This also improved their confidence, knowing that they are our first line of defense as they are responsible for the monitorization of the patients. Regular patient meetings helped us understand what each patient expects of the operation, their difficulties, their opinions. We also received positive feedback from them, as they said that these meetings made them feel unique, which is exactly what we want because we know each patient is different. All in all, the program integrated each member, and truly made us a team.

Therefore, it would be fitting to say that Center and Surgeon of Excellence designations and the program process were truly a milestone both for me and my staff.

In conclusion, it is my firm belief that Center of Excellence and Surgeon of Excellence accreditation programs are indispensable for Metabolic and Bariatric Surgery and I would strongly recommend it to any institution, team and surgeon working in this field. It was really a remarkable experience.

Kindest Regards
Alper Celik, MD
Medical Director
Metabolic Surgery Clinic
Istanbul, Turkey

Hospital Ernesto Dornelles

Center of Excellence Metabolic & Bariatric SurgeryI have enjoyed working in the bariatric surgery field since the late 90s, and our group was a pioneer in performing bariatric surgery in Southern Brazil.

The GECOM (Obesity and Metabolic’s Surgeries Study Group) has always sought to be fully informed and up to date with the latest surgery techniques and certifications, creating an optimally qualified staff, for example we performed gastric bypass surgery by laparoscopy in May 2001.

In 2011, we began SRC’s program of Excellence in Bariatric surgery, and at that time, the Hospital Ernesto Donelles of Porto Alegre/RS, Brazil started an internal qualification process to become a Center of Excellence.

GECOM and the full bariatric team at the Hospital Ernesto Dornelles were motivated by this designation to enhance our knowledge about bariatric surgery and to improve our outcomes.

In April 2012, Dr Neil Hutcher performed a site inspection at GECOM practice as well as at Hospital Ernesto Dornelles, and in 3 months we receive our first certification as a Center of Excellence.

Since then, our surgery volume has doubled (to about 400 surgeries /year), and an 8 bed exclusive wing of our hospital will be soon dedicated solely for bariatric surgery patients, demonstrating our great institutional commitment to Bariatric Surgery.

Dr. Gabriel Vargas
Bariatric Coordinator, Hospital Ernesto Dornelles

Puget Sound Surgical Center

Main office, clinic and ambulatory surgical center (ASC) located in Edmonds, WA. Center of Excellence Metabolic & Bariatric SurgerySatellite office and clinic located in Bellingham, WA. Majority of surgical procedures performed at ASC, which consists of one operating room and one procedure room for endoscopies, colonoscopies and fluoroscopies. Bariatric surgeons also do cases through Evergreen Health at Evergreen Hospital in Kirkland, WA.

Facility Size – ASC has 4 bariatric beds with 6 patient bays for admission and recovery. Bariatric recliners are provided for patient comfort.

Click to View Puget Sound Designee Spotlight

South Miami Hospital

AAGL COEMIG Seal_Dark“Achieving the COEMIG designation validates our dedication to caring for our patients with advanced practices, and it reinforces our role as a national and international leader in innovative healthcare for women. The designation process compelled us to formalize our clinical pathways and provide ongoing surgeon and staff education, which continues to enhance our drive toward optimal clinical outcomes. Our surgeons who are not yet designated recognize the value and are actively pursuing it. Through the COEMIG program, we are leading minimally invasive gynecological surgery at our hospital to new levels of excellence.”

Nicholas C. Lambrou, MD
Medical Director, Minimally Invasive Gynecologic Surgery
South Miami Hospital Center for Women & Infants

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Franciscan Health System

AAGL COEMIG Seal_Dark“The COEMIG designation process enabled us to align all of the stakeholders in our gynecologic surgery program, including our surgeons, perioperative staff and women’s care leadership. The quarterly interdisciplinary team meetings provide the platform we need to collaborate on the development of clinical pathways to standardize care and promote best practices. With the implementation of the BOLD database, we now have another tool to monitor surgical care and continuously improve outcomes for our patients.”

Cindy Mosbrucker, MD, FACOG
COEMIG Program Director
Franciscan Health System

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Inova Fair Oaks

AAGL COEMIG Seal_DarkInova Fair Oaks Hospital in Fairfax, Virginia, and seven of its surgeons were among the first to earn the AAGL Center of Excellence in Minimally Invasive Gynecology (COEMIG) designation – several more surgeons are currently working toward it.

Lynne Kennedy, MIG Program Coordinator, provides her perspective on the COEMIG program and designation process in the following Q&A. We hope you find her insight helpful as you consider pursuing designation or advancing your MIG program through the process.

Click to View Inova Fair Oaks Q&A