Prior to applying for Full Approval status, the Center must
first have been granted Provisional Status. While Provisional Status is based
on the adequacy of resources, Full Approval is based on the achievement of
acceptable outcomes.
SRC anticipates developing additional guidelines and criteria for Full Approval
as a freestanding outpatient Bariatric Surgery Center of Excellence® (BSCOE)
based on outcomes data reported by program participants and by other databases.
Future applications for Full Approval as well as renewal applications will be
required to meet any outcomes data requirements and guidelines which may be in
place at the time of application or renewal.
The application for Full Approval as a freestanding ASMBS BSCOE requests:
-
Information to assure that the requirements for Provisional Status remain
satisfied.
-
Information regarding the patient populations, the operations performed, and
their outcomes.
Full Approval requires a site inspection. The process is
initiated once the application for Full Approval has been received by SRC. Nurses trained and experienced in bariatric surgery who are full-time employees of SRC conduct the inspections following a prescribed protocol
that includes:
-
A careful review of the facilities.
-
Interviews with the staff and key leaders of the facility.
-
Random chart reviews.
The purpose of the site inspection is to gather data, not to
make judgments. The information collected during the site inspection is then
submitted to the Bariatric Surgery Review Committee (BSRC) for review with the
Full Approval application. If the guidelines for Full Approval have been met,
approval is granted for a term of three years.
Programs that fail to maintain standards may be placed on Probationary Status.
If the deficits are not corrected or if there are egregious findings, the BSRC
may also recommend to the ASMBS that the designation as a freestanding BSCOE be revoked.
If a program disagrees with the decisions of the BSRC, it can appeal the matter
to the Board of Directors.
The Full Approval application process to become a freestanding ASMBS BSCOE
involves the following steps:
| 1. |
The center and its surgeons
continue to meet the criteria required for Provisional Status and fully comply
with the 13 requirements for Provisional Status.
|
| 2. |
Any deficiencies noted during the Provisional Status
review have been corrected. |
| 3. |
A complete and accurate description of changes
in the institution or the staff (since the Provisional Status
application) has been submitted to the BSRC.
|
| 4. |
A list of the academic activities of the surgeons
including grants obtained, papers published, presentations, participation in
courses, etc. has been provided. |
| 5. |
The surgeon must be, or must have been, board certified by either the
American Board of Surgery (ABS), the American Osteopathic Board of Surgery
(AOBS), and/or the Royal College of Physicians and Surgeons of Canada
(RCPSC).
|
| 6. |
Outcomes data for bariatric surgery are reported in an
anonymous fashion in accordance with HIPAA regulations. Outcomes data must
include a list of all bariatric surgical operations performed within the
previous 12-month period including the following information (partial list):
-
Age
-
Gender
-
Weight
-
Height
-
BMI
-
Co-morbidities
-
Procedure
-
Length of Stay
-
Complications including mortality, re-admissions within 30 days of discharge,
re-operations within 30 days after the initial operation
|
|