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Enhanced Recovery After Surgery, Lean, and claims-based quality databases: how does it all make sense?
Pranav R Shah1, Stefan Leichtle2, Paula Spencer3
1Department of Anesthesiology, Virginia Commonwealth University.
Current Opinion in Anaesthesiology
|February 25, 2021
Summary
Enhanced Recovery After Surgery (ERAS) and Lean management principles can optimize healthcare value by integrating outcomes and cost. Understanding these concepts improves perioperative quality and reduces expenses.
Area of Science:
- Perioperative Medicine
- Healthcare Management
- Health Services Research
Background:
- Healthcare is shifting towards value-based care, emphasizing outcomes and cost-efficiency over volume.
- Enhanced Recovery After Surgery (ERAS) protocols, Lean management, and risk-adjusted databases are key tools for optimizing value.
- The integration of Lean principles and risk-adjusted outcomes in perioperative medicine requires further exploration.
Purpose of the Study:
- To explore the application of Lean principles and risk-adjusted outcomes in perioperative medicine.
- To describe how Lean management and ERAS can optimize value in surgical care.
- To bridge the gap between health system tools and perioperative medical concepts for quality improvement.
Main Methods:
- Review of concepts related to Enhanced Recovery After Surgery (ERAS).
- Analysis of Lean management principles and process optimization tools.
- Examination of claims-based risk-adjusted databases for quality measurement.
Main Results:
- Lean management and process optimization facilitate consistent application of ERAS protocols to enhance surgical outcomes.
- Vizient risk-stratified outcomes are commonly utilized by hospitals for quality assessment and benchmarking.
- Combining Lean and ERAS offers a framework for improving perioperative care quality and efficiency.
Conclusions:
- Understanding administrative databases and Lean concepts is crucial for perioperative physicians.
- Aligning medical practices with health system tools can improve quality and reduce costs in surgical settings.
- The integration of Lean and ERAS principles offers a pathway to value-based perioperative care.
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