PSH

Enhanced recovery after surgery program at Kaiser Permanente improves surgical outcomes

A comprehensive Enhanced Recovery After Surgery program implemented in Kaiser Permanente’s 20 Northern California medical centers involved nearly 9,000 surgical patients and resulted in a one-third relative reduction in postoperative complication rates and a 21 percent reduction in opioid prescribing rates. A study of the program, published today in JAMA Surgery, also showed decreased hospital mortality among colorectal resection patients and increased rates of home discharge over discharge to skilled nursing facilities among hip fracture patients.

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The Effect of Implementation of Preoperative and Postoperative Care Elements of a Perioperative Surgical Home Model on Outcomes in Patients Undergoing Hip Arthroplasty or Knee Arthroplasty

On the basis of our preliminary findings, it appears that a PSH model with its expanded role of the anesthesiologist as the “perioperativist” can be associated with improvements in the operational outcomes of increased on-time surgery starts and reduced anesthesia-related delays and day-of-surgery case cancellations, and decreased selected costs in patients undergoing THA and TKA.

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Q&A with HSS and Rothman: The Future of Ortho Value-Based Care

Healthcare has changed and continues to change, particularly as pertains to alignment of interests (payors, providers, patients). Movement from a transactional model to a true patient-level (value) model is a huge undertaking and not one that can be accomplished overnight. A forum, as this one, that encourages discussion and collaboration among formerly independent parties is important.

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Perioperative Surgical Home in Pediatric Settings: Preliminary Results

The Perioperative Surgical Home (PSH) is a patient-centered, team-based approach that aims to improve the value of perioperative care. We implemented a PSH for patients with adolescent idiopathic scoliosis who were undergoing posterior spinal fusion at Children’s National Health System. We hypothesized that this PSH would improve patient surgical outcomes and reduce hospital length of stay (LOS).

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Total Joint Replacement Perioperative Surgical Home Program: 2-Year Follow-Up

Previously, our group successfully established one of the nation’s first Perioperative Surgical Homes (PSHs) aimed at coordinating services to patients undergoing primary total hip arthroplasty (THA) and primary total knee arthroplasty (TKA). As we now focus on extending the PSH to other service lines within the hospital, the long-term sustainability of this practice model is an important factor to consider moving forward.

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