Consensus Statement for Clinical Pathway Development for Perioperative Pain Management and Care Transitions

Area of Science:

• Anesthesiology
• Surgical Care
• Health Services Research

Background:

• The Perioperative Surgical Home (PSH) model aims to improve efficiency, patient experience, and reduce costs in surgical care.
• It emphasizes a multidisciplinary, team-based, and patient-centric approach from pre-operation to post-discharge recovery.
• Coordination of care for patients with chronic pain conditions is a key focus within the PSH framework.

Purpose of the Study:

• To discuss the PSH model, particularly its application in perioperative care coordination for patients with chronic pain.
• To highlight the benefits of preoperative optimization, including patient evaluation, screening, and education.
• To emphasize the positive implications of the PSH model for high-risk populations and modern healthcare approaches.

Main Methods:

• The article presents a consensus view on the PSH model and its strategies.
• It discusses the integration of newer analgesic techniques, such as preemptive and multimodal approaches, to reduce opioid consumption.
• It highlights the role of anesthesiologists and support teams in delivering advanced pain management modalities.

Main Results:

• The PSH model, especially when physician-led and coordinated by anesthesia teams, offers significant benefits for patient care.
• Optimized pain control within the PSH framework leads to reduced complication rates, readmissions, morbidity, and mortality.
• Improved patient satisfaction and shorter hospital stays are key positive outcomes associated with the PSH model.

Conclusions:

• The PSH model is a patient-centered approach integrating multiple disciplines, ideally led by anesthesia.
• Effective pain management within the PSH is crucial for improving patient outcomes and reducing healthcare costs.
• Collaboration among all stakeholders is essential to implement the PSH model for future surgical care quality.