Two Centegra Health System Hospitals have been recognized by Aetna and are now accepting insurance for their respected treatments of care. Centegra Hospital-McHenry is now named by Aetna as an Institute of Quality Orthopedic Care-Total Joint Replacement and Cardiac Medical Intervention. In addition, Centegra Hospital-Woodstock has met Aetna’s criteria and has been designated as an Institute of Quality Bariatric Surgery Facility.
Aetna allocates hospitals and facilities in their network as Institutes of Quality based upon evaluation of the clinical performance and overall value of these facilities. Furthermore, Aetna recognizes the hospitals and facilities in its network that offer specialized clinical services for certain health conditions. Facilities are selected for their unique expertise in consistently delivering evidence-based, safe care.
”Centegra Health System currently offers state-of-the-art care to countless community members and with Aetna acknowledging our Institutes of Quality, we will be able to serve more residents of the greater McHenry County,” said Rachel Sebastian, vice president of service line operations. “We look forward to welcoming many new patients to the Centegra family.”
In order to become an Institute of Quality Bariatric Surgery, Centegra Hospital-Woodstock met the following criteria: significant experience in bariatric surgery; inpatient facilities with a minimum of 125 procedures in the most recent calendar year; ambulatory surgery centers that perform a minimum of 75 procedures in the most recent calendar year; evidence-based and recognized standards for clinical outcomes, processes of care and patient safety; ongoing follow-up programs and support for their bariatric surgery patients; Aetna’s standards for member access to the facility and Aetna participating providers; efficiency in providing care based on overall cost of care, readmission rates and comprehensiveness of program; and ambulatory surgery centers that are accredited by either the American Association of Ambulatory Healthcare, American Association of Ambulatory Surgery Centers, American Osteopathic Associations’ Healthcare Facilities Accreditation Program, or Joint Commission on Accreditation of Healthcare Organizations.
Centegra Hospital-McHenry met the following criteria in order to become an Institute of Quality Orthopedic Care Facility-Total Joint Replacement and Cardiac Medical Intervention: experience in orthopedic care, including annual volumes at a minimum of 200 knee replacement procedures annually 100 hip replacement procedures, and 100 spine procedures; physician experience in orthopedic care, with at least one physician achieving minimum annual volumes of 50 knee replacement procedures, 50 hip replacement procedures, and 50 spine procedures; evidence-based and recognized standards for clinical outcomes, processes of care and patient safety; ongoing follow-up programs and support for orthopedic patients; Aetna’s standards for member access to the facility and Aetna participating providers; and efficiency in providing care based on overall cost of care, readmission rates and comprehensiveness of program.
With Aetna now recognizing both bariatric surgery and orthopedic care, Centegra Health System may accept insurance from community members who choose Aetna as their insurance provider. Those community members will now have access to the many services and treatments that Centegra provides to the community.