January 23, 2017
1 min read

Team-based perioperative model reduced surgical readmissions

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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



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.