January 23, 2017
1 min read
Save

Team-based perioperative model reduced surgical readmissions

You've successfully added to your alerts. You will receive an email when new content is published.

Click Here to Manage Email Alerts

We were unable to process your request. Please try again later. If you continue to have this issue please contact customerservice@slackinc.com.

NEWPORT BEACH, Calif. — Implementation of the Perioperative Surgical Home model has demonstrated encouraging results as a method to reduce surgical readmissions and length of stay in a hospital, as well as improve patient satisfaction, according to a speaker at the Interdisciplinary Conference on Orthopedic Value-Based Care.

 “I think we all know that we have a problem with health care costs. The health care costs in the United States has increased since 1980, but it is not just a problem in the United States. The United Kingdom’s health care costs have increased from 6% to 9% over the past decade,” Zeev N. Kain, MD, MBA, co-course director of the meeting, said here. “I think the only way we are going to move on to be successful is to [focus on the patients].”

The perioperative environment has high costs, he said. Depending on the institution, the perioperative environment is approximately 60% of the entire cost of the hospital.

Perioperative Surgical Home is a patient-centered, physician-led, multidisciplinary and team-based system of coordinated care for the surgical patient.

“[This model] spans around the entire surgical experience from the decision to perform surgery up to 30 days, 60 days, 90 days — depending on the bundling model. What you want to do is decrease the variability,” he said.

According to a study published in Anesthesia & Analgesia, patients who were assigned the Perioperative Surgical Home pathway had a lower mean length of stay in a hospital (2.4 days vs. 3.4 days) and a lower skilled nursing facility bypass rate (94% vs. 80%) compared to enhanced recovery after surgery.

Results from a study conducted at St. Francis Community Hospital in Roslyn, NY, showed readmissions within 30 days decreased from 7.4% to 1.8%, and patient satisfaction with a physician increased from 77% to 86%.

“Unless we are going to work as a team, we are not going to be successful,” Kain said.  by Nhu Te, MS

 

Reference:

Kain Z. Perioperative Surgical Home & enhanced recovery in the world of MACRA/MIPS & value care world. Presented at: Interdisciplinary Conference on Orthopedic Value-Based Care; Jan. 20-22; Newport Beach, Calif.

 

Disclosure: Kain reports he is the president of the American College of Perioperative Medicine.