Monday, November 7, 2011
A recent study found that rule changes that allowed Medicare to pay for laparoscopic adjustable banding, which is less invasive than gastric bypass, brought the cost down significantly and cut the amount of deaths in half. This sounds logical. If Medicare can be flexible enough then elderly patients can be steered to the safer, easier and cheaper procedures. What was really AMAZING about the study, however, was that it made little difference to cost or safey whether the surgery was done in a accredited institution. Hospitals receive accreditation through the American College of Surgeons or the American Society for Bariatric Surgery by performing a certain number of procedures each year and by having staff and facilities that meet certain standards. Wouldn't that be weird? All these third parties making tons of money "accrediting" institutions, all the while driving the doctors and staff nuts and creating more and more administrators, could be worthless? I am officially asking the world to produce a study proving whether the time, cost and effort of using the Joint Commission (or pick another company) is worth it or not. I think it is time for them to be held accountable as well.
Posted by Authentic Medicine Blog at 5:40 AM