In the self-insured world, “centers of excellence” is a termthat is beginning to be used for a specific hospital that has beenselected by a large employer for bundled pricing of high-ticket,higher-volume surgeries like knee replacement.

The label alone heightens expectations of vastly superior healthcare. Consumers want to believe they will experience care that isoff the charts in all respects; from advanced techniques, expeditedtreatment and length of stay, to pain management and overallpatient satisfaction.

The name implies that centers of excellence (COEs) are somewhatimmune to the inherent dangers of hospitalization. This expectationpersists, despite a recent study estimating that aquarter of a million deaths are caused by medical errors eachyear.

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