Perioperative Surgical Home Models - 02/11/18

Doi : 10.1016/j.anclin.2018.07.015

Thomas R. Vetter, MD, MPH ^a,^b,^⁎
^a Department of Surgery and Perioperative Care, Dell Medical School at the University of Texas at Austin, Health Discovery Building, Room 6.812, 1701 Trinity Street, Austin, TX 78712-1875, USA
^b Department of Population Health, Dell Medical School at the University of Texas at Austin, Health Discovery Building, Room 6.812, 1701 Trinity Street, Austin, TX 78712-1875, USA

^∗Corresponding author. Department of Population Health, Dell Medical School at the University of Texas at Austin, Health Discovery Building, Room 6.812, 1701 Trinity Street, Austin, TX 78712-1875.Department of Population HealthDell Medical School at the University of Texas at AustinHealth Discovery BuildingRoom 6.8121701 Trinity StreetAustinTX78712-1875

Résumé

The rising prominence of value-based health care and population health management supports evolving perioperative surgical home (PSH) models that rely on continuously evolving evidence-based best practice and telemedicine and telehealth, including mobile technologies and connectivity. To successfully deliver greater perioperative valued-based care and to effectively contribute to sustained and meaningful perioperative population health management, the scope of existing perioperative management and its associated services and care provider skills must be expanded. This article focuses on the PSH model as continued opportunity and mechanism for delivering greater value-based, comprehensive perioperative assessment and global optimization of surgical patients.

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Keywords : Surgical home, Perioperative assessment, Perioperative optimization, Value-based health care, Perioperative population health management

Plan

Key points

Introduction

The perioperative surgical home

Patients and Their Transitions of Care Are Paramount

The perioperative surgical home as a programmatic umbrella

The role of a perioperative surgical home within a rapid-learning health system

The ethical opportunities with a perioperative surgical home

The rising prominence of value-based care and population health management

Summary

Disclosures: The author has no relationship with a commercial company that has a direct financial interest in the subject matter or materials discussed in this article, or with a company making a competing product.