Perspectives on Interdisciplinary Perioperative Care for Children with Medical Complexity

Area of Science:

• Pediatric Surgery
• Healthcare Management
• Patient Care Coordination

Background:

• Children with medical complexity require specialized care coordination.
• Interdisciplinary collaboration is crucial for optimizing peri-operative management in pediatric populations.
• Existing models for co-management of complex pediatric surgical patients vary across institutions.

Purpose of the Study:

• To outline key components for establishing successful interdisciplinary peri-operative care programs for children with medical complexity.
• To emphasize the importance of patient selection and co-management strategies.
• To highlight factors essential for program sustainability and effective team function.

Main Methods:

• This study reviews the essential elements of interdisciplinary peri-operative care programs.
• It focuses on patient selection criteria and co-management models.
• It discusses the foundational requirements for successful program implementation and operation.

Main Results:

• Successful interdisciplinary peri-operative care hinges on robust coordination between surgical, peri-operative, and pediatric hospitalist teams.
• Patient selection and the chosen co-management approach are critical determinants of program success.
• Enhanced multidisciplinary communication is a direct outcome of effective co-management teams.

Conclusions:

• Establishing trust and clear communication channels between medical and surgical providers is paramount.
• Adequate funding for clinical staffing and a sustainable business model are necessary for program viability.
• Optimized peri-operative care for medically complex children can be achieved through well-structured interdisciplinary programs.