Applying Donabedian's Theory as a Framework for Bariatric Surgery Accreditation

Abstract

Since the publication of the Institute of Medicine (IOM) reports, To Err is Human,1 and Crossing the Quality Chasm,2 much attention has been focused on improving quality outcomes in healthcare organizations across the country. Increased use of evidence-based practice in care, as well as transparency surrounding patient outcomes, have challenged healthcare organizations and executives to focus attention on the improvement of quality outcomes within their institutions. Nationally, many programs are promoting and requiring that specific outcome metrics be met or exceeded in order to achieve accreditation. Bariatric surgery, an example of one of these disciplines, considers quality outcomes in its prestigious accreditation program. In order to be considered for this designation, organizations are not only required to meet specific program criteria, but must also demonstrate that specific clinical outcome metrics are met. A theoretical framework can be used as a tool to guide the understanding of the bariatric...