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Featured Article

The Perioperative Surgical Home

What is it?

Periop Surgical HomeThe Perioperative Surgical Home (PSH) is a new model for perioperative care delivery being encouraged and advanced by the American Society of Anesthesiologists (ASA). While the model is still evolving, the ASA has put forth the following description: “The Perioperative Surgical Home (PSH) strives to achieve the triple aim of better health, better healthcare, and reduced expenditures for all patients undergoing surgery and invasive procedures. As a patient-centered, physician-led, interdisciplinary and team-based system, the PSH coordinates care from pre-procedure assessment through the acute care episode, recovery, and post-acute care. The goal is for each perioperative patient to receive the right care at the right place and at the right time, with better patient satisfaction, fewer complications, and decreased costs.” 1

Why is it gaining traction?

The ASA’s motivation for the development of the PSH has been to address “deficiencies and weaknesses in a patient’s surgical care experience”. Deficiencies and Weaknesses such as: variations in practice, costs and outcomes; lack of coordination of care, collaboration, and communication among perioperative healthcare professionals; and lack of transparency, patient-centeredness/engagement, and shared decision making during the perioperative journey.  The PSH is seen as a viable solution for hospitals and anesthesia providers to achieve the “triple aim” of better health outcomes, a better patient experience, at a lower cost and is designed to be more in-line with value based reimbursement models and the transition to pay for performance.

Some of the Potential Benefits
Check Mark Improved quality and safety
Check Mark Increased collaboration
Check Mark Improved patient satisfaction
Check Mark Enhanced team-based care models
Check Mark Advancement of standardization and use of evidence based protocols
Check Mark Decreased surgical delays and cancellations
Check Mark Quicker surgical recovery; decreased hospital length of stay & readmissions

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-Johnny Roberts, Director - Surgical Services, United Regional Healthcare System


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-Lori Wiskochil, Systems Coordinator for Surgery