ARIS CENTRE OF EXCELLENCE IN ROBOTIC SURGERY (COE):
The Centre of Excellence in Robotic Surgery program is an ARIS initiative aimed at patient safety and quality improvement available to all robotic surgeons and facilities across the globe. The COE program reflects the specific needs of surgical patients and the unique roles and responsibilities of robotic surgery providers.
Safe patient care is the result of both the individual surgeon and the facility where the surgery is performed. The COE certification is therefore awarded to a facility and its associated surgeons who have successfully completed the designation process, which enables patients to distinguish providers who have met the state-of-the-art requirements with regards to volume, manpower and facility for delivering high-quality perioperative and long-term follow-up care.
Benefits of becoming an ARIS Centre of Excellence:
ARIS believes that even the best can improve. Excellence is not simply an achievement – it is a culture that must be sustained. ARIS is in an unique position to provide the experience it has gained through its expert executive members to those who wish to improve beyond their accreditation. Significant benefits of ARIS COE are as follows:
The primary requirement for applying to COE is that the primary applicant surgeon who will be the designated program director should be a member of ARIS. The application facility should have a dedicated robotic surgery department functioning for at least a period of 12 months at the time of application. The department should also have their one years surgical data in to their registry by the time of interview / inspection.
The applicant facility should have performed at least 50 qualifying robotic surgical procedures including all specialities in the preceding 12 months. Also, each applicant speciality surgeon should have performed at least 12 qualifying surgeries in a calendar year and 50 qualifying robotic surgery procedures in their lifetime. All these procedures should have been entered in the hospital registry. Applications failing to comply with the above clause will not be considered for COE. Each applicant facility and surgeon should meet surgical outcomes benchmarks for mortalities, complications, readmissions and reoperations.
The primary applicant robotic surgeon would be the Programme Director. A minimum of two-member Robotic committee would need to be constituted with the following members:
Each surgeon with the required surgical experience as per the ARIS requirements will be given a certificate as a speciality Director apart from the Institute’s COE
The program director should hold interdisciplinary team meetings at least quarterly to ensure that decisions related to robotic surgery are addressed in a comprehensive manner. The minutes of the meetings need to be recorded and will be checked by the assessor. The Director would be primarily responsible for coordinating the interdisciplinary services and guidelines for robotic surgery.
All surgical specialities associated with Robotic surgery or other international and national guidelines which include any procedures involving robotic technology.
Applicant facilities and surgeons are required to meet the following outcomes benchmarks for all robotic surgery procedures performed at the applicant facility
This would comprise of
Full time with 24 hour coverage
Full time / On-site within 30 minutes of request:
The facility should also able to identify the following consultative staff:
Equipments And Instruments:
Surgeon Dedication And Qualified Call Coverage:
The applicant facility should have policies and guidelines in place that require applicant / all eligible robotic surgeons to have qualified call coverage, and the applicant surgeon certifies that each speciality surgeon is capable of identifying and treating robotic surgery complications.
The applicant surgeon / program director spends a significant portion of his efforts in the field of robotic surgery and completes continuing medical education. The applicant surgeon should be a qualified surgeon by the highest certifying authority, and is a member of ARIS. The applicant surgeon has privileges as both a robotic and conventional surgeon at the applicant facility. The application facility should have a dedicated department of robotic surgery under which all the protocols, guidelines and SOP’s are functioning.
Clinical Pathways And Standardized Operating Procedures:
The applicant formally adopts and implements clinical pathways that facilitate the standardization of perioperative care for the relevant procedure:
The applicant provides organized and supervised support groups for all patients who may undergo or have undergone robotic surgery.
Continuing Medical Education:
The applicant / facility would be committed to spread the science of safe Robotic surgery. At least two courses/ CME’S would be conducted every year by the facility to impart teaching and training of surgeons and their team in the field of Robotic surgery.
Inspection For Accreditation:
The certification would carry the: