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Ann Vasc Surg. 2017 Jan;38:332-338. doi: 10.1016/j.avsg.2016.06.010. Epub 2016 Aug 20.

The Need for Accreditation of Office-Based Interventional Vascular Centers.

Author information

1
Michael E. DeBakey Department of Surgery, Baylor College of Medicine, Houston, TX; Department of Vascular Surgery, University Vascular Associates, Los Angeles, CA.
2
Department of Mechanical Engineering, Massachusetts Institute of Technology, Cambridge, MA.
3
Department of Anesthesiology, Brigham and Women's Hospital, Boston, MA.
4
Department of Anesthesiology, University of Miami Hospital, Miami, FL.
5
Department of Anesthesiology, Beth Israel Deaconess Medical Center, Boston, MA.
6
Department of Vascular Surgery, University Vascular Associates, Los Angeles, CA; Department of Vascular Surgery, DFW Vascular Group, Dallas, TX. Electronic address: ssahn100@gmail.com.

Abstract

The rise in office-based interventional vascular laboratories in recent years was prompted in part by expedient ambulatory patient experience and favorable outpatient procedural reimbursement. While studies have shown that clinical safety and treatment efficacy can be achieved in office-based vascular facilities, critics have raised various concerns due to inconsistent patient care standards and lack of organizational oversight to ensure optimal patient outcome. Available literature showed widely varied clinical outcomes which were partly attributable to nonuniform standards in reporting clinical efficacy and adverse events. In this report, various concerns and pitfalls of office-based interventional vascular centers are discussed. Strategies to improve patient care delivery in office-based laboratories including accreditations which serve as external validation of processes to ensure patient care and safety are also mentioned. Finally, the requirements to obtain accreditation in an office-based practice and the differences between these nationally recognized accrediting organizations are discussed herein.

PMID:
27554695
DOI:
10.1016/j.avsg.2016.06.010
[Indexed for MEDLINE]

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