Decreasing Readmissions through Opportunities Provided (DROP): The First National Quality Improvement Collaborative from the Metabolic and Bariatric Surgery Accreditation and Quality Improvement Program (MBSAQIP)
2016; Elsevier BV; Volume: 12; Issue: 7 Linguagem: Inglês
10.1016/j.soard.2016.08.030
ISSN1878-7533
AutoresJohn Morton, Stacy A. Brethauer, Teresa Fraker, Jennifer Bradford, Kristopher M. Huffman, Elizabeth R. Berger, Anthony Petrick, Cliff Ko,
Tópico(s)Healthcare cost, quality, practices
ResumoBariatric surgery has made significant improvements in morbidity and mortality over the past decade due to accreditation, fellowship training and changes in procedure practice. In 2013, the Centers for Medicare and Medicaid Services began tying reimbursement to readmissions through their Hospital Readmissions Reduction Program with one of the measures being hospital-wide readmissions including all surgical patients. While bariatric surgery has demonstrated patient safety gains, a potential area for further quality improvement are readmission rates. Several studies have demonstrated that many bariatric surgery readmissions are primarily due to preventable causes such as nausea, vomiting, electrolyte and nutritional depletion. In addition, readmissions represent a meta-outcome including patient safety, cost, and physician/patient satisfaction. In 2012, the American College of Surgeons (ACS) and the American Society for Metabolic and Bariatric Surgery (ASMBS) combined their respective national bariatric surgery accreditation programs into a single unified program for accreditation and quality improvement, the Metabolic and Bariatric Surgery Accreditation and Quality Improvement Program (MBSAQIP). Here we present the first nation-wide quality improvement MBSAQIP initiative to decrease bariatric surgery readmissions.
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