More On PA Surgery Centers and Laparoscopic Procedures

Posted by Clark Venable on 12/20/2004

A recent Pittsburgh Post-Gazette article contains a baffling statement from the spokesman for the PA Department of Health:

" "Surgery center operators say they have been performing laparoscopic procedures for years, but the state Department of Health became aware of the practice only this year, said spokesman Richard McGarvey." "

Laparoscopic surgery has been performed at surgery centers in Pennsylvania since 1985. Before a new center can open, it must be approved to perform certain procedures (such as laparoscopy). In their annual review if each center, the DOH inspects random charts, review lists of cases performed, looks at all event reports as well as QA minutes. In short, it is just not credible for the state to claim they did not 'become aware' until this year.

As far as I am aware, we have yet to see any evidence that laparoscopic surgery performed at a surgery center is any more risky to the patient. If I thought it was, I'd be the first to agree with the state's ruling. If patient safety were truly their motivation, the State would be looking at individual surgeons as risk factors, rather than the location of the procedure.

[Disclosure: I do not own a financial stake in any ASC, though my group does provide anesthesia for several. In other words, it's no loss to me because we provide anesthesia for the case either way.]

This post has 0 replies
See full thread

Feeds and Categories

Blog Roll

Google Modules
   Body Mass Index
   Allowable Blood Loss

   The Ether Way
   Westmead Anaesthesia Blog
   Book of Joe
   i'm so sleepy

   Aggravated DocSurg
   Retired Doc
   Finger and Tubes
   Running A Hospital
   Chance To Cut
   DB's Medical Rants
   Palmdoc Chronicles
   The Well-Timed Period


Geeks Like Me
   Seth Dillingham
   Jonathan Greene