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“To improve patient safety and productivity, patients and clinicians need a health care information ecosystem with integrated technologies that support the clinician’s work, provide safety nets and improve productivity”
*Source: “From Heroism to Safe Design” Leveraging Technology. ASA® Anesthesiology 2014. Peter J. Pronovost, MD, PhD, George W. Bo-Linn, MD, MHA, Adam Sapirstein, MD
THE
PERIOPERATIVE
SURGICAL HOME
As health care reform continues nationwide, providers across the continuum of care are facing increasing pressure to demonstrate that they deliver value-based care—namely high-quality, cost-e ective care and exceptional patient experiences. To achieve this, facilities, providers and payers are exploring coordinated care models that reduce today’s fragmentation.
In the traditional care model, continuum of care is greatly disjointed between hospitals, clinics, labs and physician services. This is not a knock on the care and services they are providing, it’s the result of a system centered on disease and incident with a fee-for-service reimbursement model that does not focus on coordinated care. Postoperative care, especially once a patient is discharged, is generally disorganized, highly variable and dependent on skilled labor2. Postoperative complications can include delirium, renal failure, respiratory
failure, sepsis and surgical site infections, which can lead to additional costs in time, money and patient quality of life.
To emphasize the value of coordinated care and encourage participation in coordinated care models, the U.S. Centers for Medicare & Medicaid Services (CMS) introduced bundled payments, which align incentives for providers—encouraging hospitals, post-acute care providers, physicians and other practitioners to work closely together across all specialties and settings for the bene t of the patient.
The American Society of Anesthesiologists (ASA®) saw the need for a coordinated care model within the surgical system and saw the opportunity for anesthesiologists to drive a model that clearly addresses all key factors. This led to the development of the Perioperative Surgical Home (PSH) model.
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ISSUE ONE | CONNECTED