The Perioperative Surgical Home: The New Frontier

Chapter

Abstract

The Perioperative Surgical Home has been promoted as a novel, clinician-championed yet institution-supported, well-coordinated and very patient-centered, interdisciplinary model of care. Major forces are mandating a shift in the way providers and hospitals are paid from the traditional volume-based, fee-for-service contracts to one predominately linked to the value of the care. There are a number of drivers of health care value, which collectively represent a “burning platform” that will necessitate a fundamental change—a “New Frontier”— in perioperative care delivery and payment models in the USA. The highly collaborative Perioperative Surgical Home can consistently and effectively guide the patient through the entire surgical continuum, from the initial decision to undergo surgery to the post-hospital discharge and rehabilitation phase. The Perioperative Surgical Home essentially seeks to maximize health care value, defined as a quotient whose numerator includes perioperative quality, safety, and satisfaction and whose denominator is the total cost of perioperative care. There is an existing and a growing body of the literature supporting implementation and sustaining Perioperative Surgical Home model.

Keywords

Perioperative Surgical Home Triple aim of health care Value-based health care Enhanced recovery after surgery Perioperative risk optimization and planning tool Patient-centered care Shared decision-making Perioperative quality Perioperative safety Perioperative satisfaction Perioperative costs 

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Copyright information

© Springer International Publishing Switzerland 2017

Authors and Affiliations

  • Juhan Paiste
    • 1
  • Daniel I. Chu
    • 2
  • Thomas R. Vetter
    • 1
  1. 1.Anesthesiology and Perioperative MedicineUniversity of Alabama at BirminghamBirminghamUSA
  2. 2.Department of SurgeryUniversity of Alabama at BirminghamBirminghamUSA

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