Perioperative Surgical Home. Meeting tomorrow's challenges

Area of Science:

• Healthcare Management
• Surgical Care Improvement
• Anesthesiology Innovations

Background:

• Healthcare models are evolving, necessitating changes for anesthesiologists focusing on quality improvement and cost containment.
• The Perioperative Surgical Home (PSH) concept has emerged in response to these evolving healthcare demands.

Purpose of the Study:

• To introduce and describe the Perioperative Surgical Home (PSH) model.
• To differentiate PSH from existing models like Enhanced Recovery After Surgery (ERAS).
• To highlight the benefits of PSH in terms of care coordination, cost-effectiveness, and operational efficiency.

Main Methods:

• PSH coordinates patient care from surgical decision-making through 30 days postoperatively.
• It employs a logical, evidence-based approach to preoperative testing.
• The model integrates engineering strategies, including Lean Six Sigma, and requires active stakeholder participation.

Main Results:

• PSH extends care coordination beyond the surgical episode, unlike ERAS.
• It controls costs by reducing unnecessary testing and cancellations.
• PSH improves operating room (OR) access for inpatients.

Conclusions:

• The Perioperative Surgical Home (PSH) represents an advanced model for surgical care.
• PSH offers significant benefits in quality enhancement, cost reduction, and operational efficiency within healthcare systems.
• Its comprehensive, stakeholder-involved approach positions it as a key innovation in perioperative management.