MBSAQIP Readiness Assessment

A comprehensive evaluation of your bariatric program’s readiness for accreditation or reaccreditation. This assessment includes:

• Review of program structure and documentation

• Evaluation of quality improvement processes

• Registry workflow and data accuracy review

• Identification of gaps relative to accreditation standards

• A written readiness report with recommended action steps

Mock Site Visit Preparation

A structured mock site visit designed to prepare your team for successful accreditation review. This preparation may include:

• Simulated site visit interviews

• Review of program policies and documentation

• Evaluation of registry reporting and complication tracking

• Leadership and staff interview preparation

• Identification of areas requiring improvement prior to review

PRQ & Documentation Preparation

Support for programs preparing required documentation for accreditation review. Services may include:

• Organizing accreditation documentation

• Reviewing policies and protocols

• Guidance on quality improvement project documentation

• Assistance aligning program practices with accreditation standards

• Preparation for accreditation submission timelines

Initial MBSAQIP Accreditation Support

Guidance for hospitals developing a new bariatric surgery program and preparing for initial MBSAQIP accreditation. Support may include:

• Guidance on bariatric program structure and multidisciplinary team development

• Development of program policies, protocols, and documentation

• Establishment of bariatric committee structure and meeting processes

• Registry workflow setup and data management guidance

• Quality improvement program development

• Preparation for initial PRQ submission and site visit readiness