Question / Intervention Goal / Objectives
Blossom Bariatrics is a weight loss clinic, along with Warm Springs Surgical Center, an ambulatory surgery center that specializes in bariatric surgery. The Fast Track Program offers a bundled price that covers its patented Safe Sleeve surgery and coordination of care. The program assists patients traveling from other states with transportation, lodging, and follow-up care.
The goal of the program is to deliver high quality care at a competitive price with few surgical complications.
For the analysis, Blossom reviewed medical records of all patients (n = 2,233) served between January 1, 2017 and December 31, 2019 to determine how many experienced post-surgical complications. The measure then calculated the ratio of patients having complications to all patients receiving the surgery through the Fast Track Program.
Complications were defined using the American Society for Metabolic and Bariatric Surgery outcome reporting standards, as published by Brethauer et al in 2015.
Findings / Metric/ Outcome/ Savings
Of the 2,233 patients, 20 had a post-surgical complication. (See Table I.) The complication rate is estimated at 0.9%. This compares favorably with complication rates published in the literature. In the systematic review and meta-analysis by Chang et al, the complication rate was 17% and the re-operation rate was 7%. (Note: the rate calculated by Blossom includes both complications and re-operations.)
Since some patients traveled to receive care, complications that occurred after they returned home may be under-reported.
 Brethauer et al, Standardized outcomes reporting in metabolic and bariatric surgery, Surgery for Obesity and Related Diseases 11, (2015) 489 – 506  Chang S., et al, Bariatric Surgery: an updated systematic review and meta-analysis 2003 – 2012, JAMA Surg. 2014 March 1; 149(3): 275–287. doi:10.1001/jamasurg.2013.3654