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November 2015

Blue Cross recognizes Blue Distinction Center+ designations for bariatric surgery

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Blue Cross Blue Shield of Michigan recognizes Spectrum Health Zeeland Community Hospital as one of the first health care facilities in the state to receive a Blue Distinction® Center+ designation for bariatric surgery by the Blue Distinction® Centers Specialty Care program. From left are Ryan J. Powers, vice president of Finance and System Services, Spectrum Health Zeeland Community Hospital; Jane Czerew, vice president of Nursing Services and Quality Services, Spectrum Health Zeeland Community Hospital; Lori Wolters, Bariatric Program coordinator, Spectrum Health Zeeland Community Hospital; Jawwad Baig, Blue Distinction Center administrator, Blue Cross Blue Shield of Michigan; Beth Mehall, provider consultant, Blue Cross Blue Shield of Michigan and Blue Care Network.

Thirteen Michigan facilities received distinction in the area of bariatric surgery this year. As you may recall from previous Record articles, a facility can earn the designation of either a Blue Distinction® Center — for delivering quality care resulting in better overall outcomes for bariatric patients — or Blue Distinction® Center+ for delivering the same quality care as a Blue Distinction Center while also meeting key requirements for cost-efficiency. See a list of designated facilities at the end of this article.

To receive a Blue Distinction Center for bariatric surgery designation, a health care facility must:

  • Demonstrate success in meeting patient safety measures.
  • Demonstrate success in meeting bariatric-specific quality measures, including complications and readmissions for gastric stapling or gastric banding procedures.
  • Have earned national accreditations at both the facility level and the bariatric care-specific level.

To receive a Blue Distinction Center+ for bariatric surgery designation, a health care facility must:

  • Demonstrate quality. Only those facilities that first meet Blue Distinction’s nationally established, objective quality measures will be considered for Blue Distinction Center+ designation
  • Meet the criteria for a Blue Distinction Center for bariatric surgery.
  • Demonstrate better cost-efficiency compared to its peers.

This year’s bariatric surgery designation includes facilities that are recognized for gastric banding, in addition to those recognized for gastric stapling.
Designated bariatric facilities
Here are the Michigan facilities that received distinction in the area of bariatric surgery as of Oct. 1, 2015:

Facility name

Bariatric surgery type

Designated Blue Distinction Center+

Designated Blue Distinction Center

Borgess Medical Center Kalamazoo

Gastric banding

 

X

Gastric stapling

X

 

Covenant Medical Center
Saginaw

Gastric banding

X

 

Gastric stapling

X

 

Henry Ford Hospital
Detroit

Gastric banding

 

X

Gastric stapling

X

 

Hurley Medical Center
Flint

Gastric banding

 

X

Gastric stapling

X

 

Marquette General Hospital
Marquette

Gastric banding

X

 

Gastric stapling

X

 

McLaren Flint
Flint

Gastric banding

X

 

Gastric stapling

X

 

MidMichigan Medical Center-Gratiot
Alma

Gastric banding

X

 

Gastric stapling

X

 

Mercy Health Mercy Muskegon Campus
Muskegon

Gastric stapling

X

 

Sparrow Hospital
Lansing

Gastric banding

 

X

Gastric stapling

X

 

Spectrum Health Blodgett

Gastric banding

 

X

Gastric stapling

 

X

Spectrum Health Zeeland Community

Gastric banding

X

 

Gastric stapling

X

 

St. John Macomb-Oakland Hospital
Madison Heights

Gastric banding

 

X

Gastric stapling

 

X

William Beaumont Hospital-Royal Oak

Gastric banding

X

 

Gastric stapling

X

 

No portion of this publication may be copied without the express written permission of Blue Cross Blue Shield of Michigan, except that BCBSM participating health care providers may make copies for their personal use. In no event may any portion of this publication be copied or reprinted and used for commercial purposes by any party other than BCBSM.

*CPT codes, descriptions and two-digit numeric modifiers only are copyright 2014 American Medical Association. All rights reserved.