Perioperative Surgical What Is Perioperative Surgical Home Model

12/17/21, 8:12 PM Perioperative Surgical What is Perioperative Surgical Home Model
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Perioperative Surgical Home:

What is the Perioperative
Surgical Home Model?
The healthcare industry is constantly looking for ways to improve population
health and provider better patient care while cutting costs. With US
healthcare costs on the rise, this seems like a nearly impossible task.
However, a new type of care model is providing a way for hospitals to
provide better care, at lower costs, with the resources they already have.
Perioperative Surgical Home Model

What is the Perioperative Surgical Home (PSH)?
According to the American Society of Anesthesiologists, the Perioperative
Surgical Home is, “a patient-centric, physician-led, interdisciplinary and
team-based system of coordinated care that spans the entire surgical
episode from the decision of need for an invasive procedure (surgical,
diagnostic, therapeutic) to discharge and beyond.”
Why Do We Need It?

Current care processes are variable and fragmented among core team
members. The need for surgery already disconnects patients from their
usual care and new providers likely don’t know the patient’s medical history.
Communication lapses can occur during care transitions resulting in
https://www.fusionanesthesia.com/perioperative-surgical-home-model/ 1/9
duplicate tests and preventable harm. Having caregivers working in silos

results in longer stays, delayed/inefficient care, increased risk of
complications, and higher costs.
Current care is fragmented resulting in disjointed communication and

negative patient outcomes.
What is PSH Supposed to Achieve?

The goal of the Perioperative Surgical Home model is for each patient to,
“get the right care, in the right place, at the right time with better patient
satisfaction, fewer complications, and decreased costs.”
Physician-led, patient-centric collaborative care is at the core of the

PSH model.
Collaboration is critical to achieving this goal. Care must be patient-centric,

consistent, seamless, and coordinated among a physician-led team. This
care is not intended to replace the traditional post-op recommendations
from surgeons but instead ensure recuperation procedures are supported
by the abilities of the entire team.
Organizations who have implemented a PSH model have seen:
Improved quality and safety
Lower readmission rates
Fewer complications
Reduced surgical costs
Enhanced patient and family experiences
What Are the Key Components?

So how can you begin implementing this type of model in your healthcare
organization? You must start by:
Establishing leadership in the care team
Asses the patient’s current condition
Understanding “prehabilitation” to optimize the patient’s health status
Coordinating all transitions of care
And then you must continuously measure before, during, and after:
Patient outcomes: satisfaction, improved or full return to functional

status
Internal efficiency outcomes: delays, cancellations, length of stay
Clinical and safety outcomes: complications, readmissions, post-

acute functional status
Economic outcomes: total cost of the episode of care, resource

utilization
Continuous quality improvement: trends over time, satisfaction of

stakeholders
How Anesthesiology Plays into the

Perioperative Surgical Home Model
The Role of Anesthesiology
Anesthesiologists play a central role in the Perioperative Surgical Home
model. An anesthesiologist’s role entails working with the patient before
(pre-op), during, and after (pain management) the surgical event. There is a
natural evolution in the continuation of care through this position.
Anesthesiologists must work closely with surgeons inside the OR and then
help transition the patient into the care of the primary perioperative
physician. Your expertise and skills can be utilized and applied across the
entire PSH model.
Anesthesiologists are central to the continuation of care between pre-

op, surgery, and post-op transitions.
How it Impacts Anesthesiologists

Many anesthesiologists are
looking for ways to improve
patient care and decrease costs
within their practices.
The PSH model aligns with many

of the goals outlined in various
value-based payment models and
can be good choice for those
looking to truly implement quality rather than “checking the boxes” just to
avoid a Medicare penalty. (See our eBook on Quality Reporting Models and
if your practice really needs to implement APM or MIPS for financial

reasons.)
Interested in learning more about the Perioperative Surgical Home model?
Check out these additional resources:
On-Demand Webinar: Perioperative Surgical Home Learning

Collaborative: Leveraging the PSH Model
Fact Sheets, White Papers, and Other Resources: From the

American Society of Anesthesiologists
Journal Article: The Perioperative Surgical Home as a Future

Perioperative Practice Model from the Anesthesia and Analgesia Journal
Web Article: 10 Things to Know about Setting Up a Perioperative

Surgical Home from Becker’s Hospital Review
Case Study Summary: What are the Benefits of the Perioperative

Surgical Home? from the American Academy of Orthopaedic Surgeons
Want to know how implementing this type of care model would impact your
billing?
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12/17/21, 8:12 PM Perioperative Surgical What is Perioperative Surgical Home Model

SIGN UP FOR THE FUSION ANESTHESIA E-NEWSLETTER

Perioperative Surgical Home:

Perioperative Surgical Home Model

Why Do We Need It?

duplicate tests and preventable harm. Having caregivers working in silos

Current care is fragmented resulting in disjointed communication and

What is PSH Supposed to Achieve?

Physician-led, patient-centric collaborative care is at the core of the

Collaboration is critical to achieving this goal. Care must be patient-centric,

Organizations who have implemented a PSH model have seen:

Improved quality and safety

Lower readmission rates

Reduced surgical costs

Enhanced patient and family experiences

What Are the Key Components?

Establishing leadership in the care team

Asses the patient’s current condition

Understanding “prehabilitation” to optimize the patient’s health status

Coordinating all transitions of care

Patient outcomes: satisfaction, improved or full return to functional

Internal efficiency outcomes: delays, cancellations, length of stay

Clinical and safety outcomes: complications, readmissions, post-

Economic outcomes: total cost of the episode of care, resource

Continuous quality improvement: trends over time, satisfaction of

How Anesthesiology Plays into the

Anesthesiologists are central to the continuation of care between pre-

How it Impacts Anesthesiologists

The PSH model aligns with many

if your practice really needs to implement APM or MIPS for financial

Interested in learning more about the Perioperative Surgical Home model?

Check out these additional resources:

On-Demand Webinar: Perioperative Surgical Home Learning

Fact Sheets, White Papers, and Other Resources: From the

Journal Article: The Perioperative Surgical Home as a Future

Web Article: 10 Things to Know about Setting Up a Perioperative

Case Study Summary: What are the Benefits of the Perioperative

How Hospitals Benefit From Outsourcing Anesthesia Revenue Cycle

Top Three Takeaways for Private Practice Anesthesiologists from

Always Know the latest

Anesthesia Practice Management

Increasing Anesthesia Revenue

Increasing Hospital Revenue

Tools & Tips for Anesthesia Billing

Have a question? Want to know

Hospital / Practice / Organization *

I'm not a robot

Sign up for “The Independent

Billing for Hospital Anesthesiology Departments

Compliance & Auditing

Bookkeeping & Bill Paying

Scheduling & Efficiency Analysis

225 S. Executive Drive

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