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What is a Center of Excellence?



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Here I thought I extensively researched this surgery and the best doctors in my city. But I keep reading in posts about “centers of excellence” and I have no idea what that is!!! How do I know if my hospital is one? Or if my surgeon is affiliated with one? Oh dear, I hope I have chosen a reputable place!

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So it really depends on your insurance. I picked a center close to my home that was a COE however my insurance made me enroll with Optum BRS program and they have a set list of COE. Of course the center I picked was not on their list. The only one on their list in OK is 2 hours drive away from me. It sucks.

The surgery centers website should tell you if it’s a COE or research with your insurance. They can provide a list.

A center of excellence (CoE) is a team, a shared facility or an entity that provides leadership, best practices, research, support and/or training for a focus area.


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You would want to choose a COE whether your insurance requires or not IMHO

COE stands for Center of Excellence. Hospitals have to go through a rigorous reporting process and inspection to become a COE certified hospital. Along with having certain types of equipment geared towards the bariatric patient, they also have to maintain minimum number bariatric cases per year in order to maintain their standing.

Hospitals that are accredited Bariatric Centers of Excellence are required to maintain a minimum of 140 bariatric procedures per year. Currently, in the United States there are two institutions that inspect facilities, collect data, and accredit hospitals with the Bariatric Center of Excellence designation.

  • The American Society of Metabolic Surgeons (ASMBS) and…
  • The Surgical Review Corporation (SRC)

While these institutions have slightly different requirements, the intent is the same. Their accreditation signifies a level of excellence in the field of bariatric medicine.

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Here are a few more reasons to choose COE

Another important feature of an accredited Center of Excellence is the training that is required. Below are a few of the required training courses that the hospital’s staff are required to take.

  • Obesity Sensitivity Training
  • Proper Moving of an Obese Patient
  • Recognizing the signs and symptoms of bariatric surgery complications
  • Post-op care of the bariatric patient
  • Bariatric surgery post-op nutrition

For these reasons its a good idea to have your surgery done at a COE even if your insurance doesn’t require it.

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Thank you so much for all this info! I knew my doctor had a laundry list of certifications, accreditation, and fellowships. But I wasn't sure if the hospital was a CoE. I now see that it is. In fact, my doctor performs surgery only at CoEs apparently. Wow, I feel even more confident going forward with this surgery.

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    • Alisa_S

      On day 4 of the 2 week liquid pre-op diet. Surgery scheduled for June 11th.
      Soooo I am coming to a realization
      of something and I'm not sure what to do about it. For years the only thing I've enjoyed is eating. We rarely do anything or go anywhere and if we do it always includes food. Family comes over? Big family dinner! Go camping? Food! Take a short ride or trip? Food! Holiday? Food! Go out of town for a Dr appointment? Food! When we go to a new town we don't look for any attractions, we look for restaurants we haven't been to. Heck, I look forward to getting off work because that means it's almost supper time. Now that I'm drinking these pre-op shakes for breakfast, lunch, and supper I have nothing to look forward to.  And once I have surgery on June 11th it'll be more of the same shakes. Even after pureed stage, soft food stage, and finally regular food stage, it's going to be a drastic change for the rest of my life. I'm giving up the one thing that really brings me joy. Eating. How do you cope with that? What do you do to fill that void? Wow. Now I'm sad.
      · 0 replies
      1. This update has no replies.
    • Alisa_S

      On day 4 of the 2 week liquid pre-op diet. Surgery scheduled for June 11th.
      Soooo I am coming to a realization
      of something and I'm not sure what to do about it. For years the only thing I've enjoyed is eating. We rarely do anything or go anywhere and if we do it always includes food. Family comes over? Big family dinner! Go camping? Food! Take a short ride or trip? Food! Holiday? Food! Go out of town for a Dr appointment? Food! When we go to a new town we don't look for any attractions, we look for restaurants we haven't been to. Heck, I look forward to getting off work because that means it's almost supper time. Now that I'm drinking these pre-op shakes for breakfast, lunch, and supper I have nothing to look forward to.  And once I have surgery on June 11th it'll be more of the same shakes. Even after pureed stage, soft food stage, and finally regular food stage, it's going to be a drastic change for the rest of my life. I'm giving up the one thing that really brings me joy. Eating. How do you cope with that? What do you do to fill that void? Wow. Now I'm sad.
      · 1 reply
      1. summerseeker

        Life as a big person had limited my life to what I knew I could manage to do each day. That was eat. I hadn't anything else to look forward to. So my eating choices were the best I could dream up. I planned the cooking in managable lots in my head and filled my day with and around it.

        Now I have a whole new big, bigger, biggest, best days ever. I am out there with those skinny people doing stuff i could never have dreamt of. Food is now an after thought. It doesn't consume my day. I still enjoy the good home cooked food but I eat smaller portions. I leave food on my plate when I am full. I can no longer hear my mother's voice saying eat it all up, ther are starving children in Africa who would want that!

        I still cook for family feasts, I love cooking. I still do holidays but I have changed from the All inclusive drinking and eating everything everyday kind to Self catering accommodation. This gives me the choice of cooking or eating out as I choose. I rarely drink anymore as I usually travel alone now and I feel I need to keep aware of my surroundings.

        I don't know at what point my life expanded, was it when I lost 100 pounds? Was it when I left my walking stick at home ? Was it when I said yes to an outing instead of finding an excuse to stay home ? i look back at my last five years and wonder how loosing weight has made such a difference. Be ready to amaze yourself.

        BTW, the liquid diet sucks, one more day and you are over the worst. You can do it.

    • CaseyP1011

      Officially here for a long time, not just a good time💪
      · 0 replies
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    • KimBaxleyWilson

      Three months and four days ago... I was in Costa Rica having a life changing surgery! Yesterday we had a followup visit with Dr. Esmeral via video chat and this morning my middle number changed.  I'm down 47lbs and two pants sizes. I can wear a Large tshirt for the first time in like... 14 years! Woot!! Everything is going great. I have zero regrets. I went down to the riverwalk with a friend and walked 2 miles on Monday without even getting fatigued. And no more snoring or chugging pickle juice for crazy leg cramps! I need to go to the gym more... I'm making new shirts next week so that will motivate me. LOL But I'm also just not as TIRED all the time! I have a LONG way to go...but seeing the progress on the scales and in the mirror is a huge motivator!! Thank you all for cheering me on and supporting me!!
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      1. This update has no replies.
    • bellaamey

      https://alluniqueguide.com/java-burn-coffee-reviews/
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