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Accreditation and certification requirements for hernia centers and surgeons: the ACCESS project
F Köckerling1, A J Sheen2, F Berrevoet3
1Department of Surgery, Center for Minimally Invasive Surgery, Academic Teaching Hospital of Charité Medical School, Vivantes Hospital, Neue Bergstrasse 6, 13585, Berlin, Germany. ferdinand.koeckerling@vivantes.de.
Hernia : the Journal of Hernias and Abdominal Wall Surgery
|January 24, 2019
Summary
Accredited hernia centers and specialist surgeons are crucial for complex hernia repair. The European Hernia Society (EHS) established criteria for certification, ensuring high-quality patient care and advancing hernia surgery research.
Area of Science:
- Hernia Surgery
- Surgical Accreditation
- Healthcare Quality Improvement
Background:
- Increasing complexity of hernia surgery necessitates specialized centers and surgeons.
- Growing public demand for optimal treatment outcomes drives the need for accreditation.
Purpose of the Study:
- To formulate scientifically based requirements for accredited hernia centers and specialist hernia surgeons.
- To establish criteria adaptable to diverse healthcare systems.
Main Methods:
- A working group (ACCESS Group) of 18 European hernia experts was convened by the European Hernia Society (EHS).
- Consensus on key questions was achieved through meetings, teleconferences, and collaborative contributions.
- Requirements were developed considering implementability across different national healthcare systems.
Main Results:
- Hernia centers require accreditation, higher case volumes, experienced surgeons beyond the learning curve, adherence to guidelines, prospective data documentation, and follow-up for quality assurance and research.
- Specialist hernia surgeons must master all guideline-recommended open and laparo-endoscopic procedures, maintain a high caseload, and meet center requirements.
Conclusions:
- The EHS-developed requirements provide a framework for national and international hernia societies to create their own accreditation programs.
- These programs should be tailored to specific healthcare systems, ensuring consistent standards in hernia care.
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