The perioperative surgical home (PSH): A comprehensive review of us and non-us studies shows predominantly positive quality and cost outcomes

Milbank Quarterly

Volumn 92, Issue 4, 2014, Pages 796-821

  Kash, Bita A ^a   Zhang, Yichen ^a   Cline, Kayla M ^a   Menser, Terri ^a   Miller, Thomas R ^b  

^a TEXAS A AND M HEALTH SCIENCE CENTER   (United States)

^b Amer Society of Anesthesiologists   (United States)

Author keywords

care coordination; early patient engagement; enhanced recovery after surgery; perioperative management

Indexed keywords

ANESTHESIST; CLINICAL DECISION MAKING; COST CONTROL; COST EFFECTIVENESS ANALYSIS; EMERGENCY CARE; FOLLOW UP; HEALTH CARE COST; HEALTH CARE DELIVERY; HEALTH CARE POLICY; HEALTH CARE QUALITY; HOME CARE; HOSPITAL READMISSION; HUMAN; INFORMATION TECHNOLOGY; PATIENT CARE; PEER REVIEW; PERIOPERATIVE PERIOD; PERIOPERATIVE SURGICAL HOME; POSTOPERATIVE COMPLICATION; REVIEW; SYSTEMATIC REVIEW; TOTAL QUALITY MANAGEMENT; UNITED STATES; DECISION MAKING; ECONOMICS; PROCEDURES; STANDARDS; SURGERY;

CONTINUITY OF PATIENT CARE; COST CONTROL; DECISION MAKING; HUMANS; PATIENT-CENTERED CARE; PERIOPERATIVE CARE; QUALITY OF HEALTH CARE; SURGICAL PROCEDURES, OPERATIVE; UNITED STATES;

EID: 84916893464     PISSN: 0887378X     EISSN: 14680009     Source Type: Journal    
DOI: 10.1111/1468-0009.12093     Document Type: Review

References (84)

1. National Center for Health Statistics. Health, United States, 2012: With Special Feature on Emergency Care. Hyattsville, MD: National Center for Health Statistics; 2013.
2. Reed WA, Ford JL,. Development of an independent outpatient surgical center. Int Anesthesiol Clin. 1976; 14 (2): 113-130.
3. Robinson JC,. Case studies of orthopedic surgery in California: the virtues of care coordination versus specialization. Health Aff (Millwood). May 2013; 32 (5): 921-928.
4. Miller DC, Gust C, Dimick JB, Birkmeyer N, Skinner J, Birkmeyer JD,. Large variations in Medicare payments for surgery highlight savings potential from bundled payment programs. Health Aff (Millwood). 2011; 30 (11): 2107-2115.
5. Vetter TR, Goeddel LA, Boudreaux AM, Hunt TR, Jones KA, Pittet J-F,. The perioperative surgical home: how can it make the case so everyone wins? BMC Anesthesiol. 2013; 13 (1): 6.
6. Lee A, Kerridge RK, Chui PT, Chiu CH, Gin T,. Perioperative systems as a quality model of perioperative medicine and surgical care. Health Policy. 2011; 102 (2): 214-222.
7. Pourat N, Lavarreda SA, Snyder S,. Patient-centered medical homes improve care for adults with chronic conditions. Los Angeles, CA: UCLA Center for Health Policy Research; 2013.
8. Robert Graham Center. The patient centered medical home: history, seven core features, evidence and transformational change. Washington, DC: Robert Graham Center; 2007.
9. Pasternak LR,. Preoperative testing: moving from individual testing to risk management. Anesth Analg. 2009; 108 (2): 393-394.
10. Warner M,. Surgical Home. ASA Newsletter: Academic Anesthesia. 2012; 76 (5): 30-32.
11. Miles MB, Huberman AM,. Qualitative Data Analysis: An Expanded Sourcebook. Thousand Oaks, CA: Sage; 1994.
12. Hsieh H-F, Shannon SE,. Three approaches to qualitative content analysis. Qual Health Res. 2005; 15 (9): 1277-1288.
13. Rotondi AJ, Brindis C, Cantees KK, et al. Benchmarking the perioperative process. I. Patient routing systems: a method for continual improvement of patient flow and resource utilization. J Clin Anesth. 1997; 9 (2): 159-169.
14. Fischer SP,. Development and effectiveness of an anesthesia preoperative evaluation clinic in a teaching hospital. Anesthesiology. 1996; 85 (1): 196-206.
15. Finegan B,. Preadmission and outpatient consultation clinics. Can J Anaesth. 1992; 39 (10): 1009-1011.
16. Kerridge R, Lee A, Latchford E, Beehan S, Hillman K,. The perioperative system: a new approach to managing elective surgery. Anaesth Intensive Care. 1995; 23 (5): 591-596.
17. Khuri SF, Daley J, Henderson W, et al. The Department of Veterans Affairs' NSQIP: the first national, validated, outcome-based, risk-adjusted, and peer-controlled program for the measurement and enhancement of the quality of surgical care (National VA Surgical Quality Improvement Program). Ann Surg. 1998; 228 (4): 491-507. http://journals.lww.com/annalsofsurgery/Abstract/1998/10000/The-Department-of-Veterans-Affairs-NSQIP-The.6.aspx
18. Oates J, Weston WW, Jordan J,. The impact of patient-centered care on outcomes. Fam Pract. 2000; 49: 796-804.
19. Fleisher LA, Beckman JA, Brown KA, et al. ACC/AHA 2007 guidelines on perioperative cardiovascular evaluation and care for noncardiac surgery: a report of the American College of Cardiology / American Heart Association Task Force on Practice Guidelines (Writing Committee to Revise the 2002 Guidelines on Perioperative Cardiovascular Evaluation for Noncardiac Surgery). Circulation. 2007; 116 (17): e418-e499.
20. Johnstone RE,. Anesthesia Practice Trends: What Is Changing? What Does It Mean? Morgantown, WV: American Society of Anesthesiologists; 2012.
21. Froimson MI, Rana A, White RE Jr, et al. Bundled payments for care improvement initiative: the next evolution of payment formulations: AAHKS bundled payment task force. J Arthroplasty. 2013; 28 (8): 157-165.
22. Tompkins CP, Higgins AR, Ritter GA,. Measuring outcomes and efficiency in Medicare value-based purchasing. Health Aff (Millwood). 2009; 28 (2): w251-w261.
23. Van Lare JM, Conway PH,. Value-based purchasing-national programs to move from volume to value. N Engl J Med. 2012; 367 (4): 292-295.
24. Advisory Board Company. Commerical Bundled Payment Tracker. Washington, DC: Advisory Board Company; 2014.
25. Cutler DM, Ghosh K,. The potential for cost savings through bundled episode payments. N Engl J Med. 2012; 366 (12): 1075-1077.
26. Mechanic RE, Altman SH,. Payment reform options: episode payment is a good place to start. Health Aff (Millwood). 2009; 28 (2): w262-w271.
27. Mechanic RE. Opportunities and challenges for episode-based payment. N Engl J Med. 2011; 365 (9): 777-779.
28. Johnstone RE,. 59th Annual American Urological Association Meeting. Cleveland, OH; 2012.
29. Newman MF, Mathew JP, Aronson S,. The evolution of anesthesiology and perioperative medicine. Anesthesiology. 2013; 118 (5): 1005-1007.
30. Eskicioglu C, Forbes SS, Aarts MA, Okrainec A, McLeod RS,. Enhanced recovery after surgery (ERAS) programs for patients having colorectal surgery: a meta-analysis of randomized trials. J Gastrointest Surg. 2009;13(12): 2321-2329.
31. Wind J, Polle S, Fung Kon Jin P, et al. Systematic review of enhanced recovery programmes in colonic surgery. Br J Surg. 2006; 93 (7): 800-809.
32. Fearon K, Ljungqvist O, Von Meyenfeldt M, et al. Enhanced recovery after surgery: a consensus review of clinical care for patients undergoing colonic resection. Clin Nutr. 2005; 24 (3): 466-477.
33. Ferschl MB, Tung A, Sweitzer B, Huo D, Glick DB,. Preoperative clinic visits reduce operating room cancellations and delays. Anesthesiology. 2005; 103 (4): 855-859.
34. Ergina PL, Gold SL, Meakins JL,. Perioperative care of the elderly patient. World J Surg. 1993; 17 (2): 192-198.
35. Knox M, Myers E, Wilson I, Hurley M,. The impact of pre-operative assessment clinics on elective surgical case cancellations. The Surgeon. 2009; 7 (2): 76-78.
36. Leichtle SW, Mouawad NJ, Welch KB, Lampman RM, Cleary RK,. Risk factors for anastomotic leakage after colectomy. Dis Colon Rectum. 2012; 55 (5): 569.
37. Carli F, Charlebois P, Baldini G, Cachero O, Stein B,. An integrated multidisciplinary approach to implementation of a fast-track program for laparoscopic colorectal surgery. Can J Anaesth. 2009; 56 (11): 837-842.
38. Kain ZN, Vakharia S, Garson L, et al. The perioperative surgical home as a future perioperative practice model. Anesth Analg. 2014; 118 (5): 1126-1130.
39. Garson L, Schwarzkopf R, Vakharia S, et al. Implementation of a total joint replacement-focused perioperative surgical home: a management case report. Anesth Analg. 2014; 118 (5): 1081-1089. R1010.1213/ANE.0000000000000191.
40. Jones S, Alnaib M, Kokkinakis M, Wilkinson M, Gibson ASC, Kader D,. Pre-operative patient education reduces length of stay after knee joint arthroplasty. Ann R Coll Surg Engl. 2011; 93 (1): 71.
41. Wong J, Lam D, Abrishami A, Chan MV, Chung F,. Short-term preoperative smoking cessation and postoperative complications: a systematic review and meta-analysis. Can J Anaesth. 2012; 59 (3): 268-279.
42. Chung F, Yuan H, Yin L, Vairavanathan S, Wong DT,. Elimination of preoperative testing in ambulatory surgery. Anesth Analg. 2009; 108 (2): 467-475.
43. Brown SR, Brown J,. Why do physicians order unnecessary preoperative tests? A qualitative study. Fam Med-Kansas City. 2011; 43 (5): 338.
44. Finegan BA, Rashiq S, McAlister FA, O'Connor P,. Selective ordering of preoperative investigations by anesthesiologists reduces the number and cost of tests. Can J Anaesth. 2005; 52 (6): 575-580.
45. Mantha S, Roizen MF, Madduri J, Rajender Y, Shanti Naidu K, Gayatri K,. Usefulness of routine preoperative testing: a prospective single-observer study. J Clin Anesth. 2005; 17 (1): 51-57.
46. Kaplan EB, Sheiner LB, Boeckmann AJ,. The usefulness of preoperative laboratory screening. JAMA. 1985; 253 (24): 3576-3581.
47. Fritsch G, Flamm M, Hepner D, Panisch S, Seer J, Soennichsen A,. Abnormal pre-operative tests, pathologic findings of medical history, and their predictive value for perioperative complications. Acta Anaesthesiol Scand. 2012; 56 (3): 339-350.
48. Aarts M-A, Okrainec A, Glicksman A, Pearsall E, Victor JC, McLeod RS,. Adoption of enhanced recovery after surgery (ERAS) strategies for colorectal surgery at academic teaching hospitals and impact on total length of hospital stay. Surg Endosc. 2012; 26 (2): 442-450.
49. Vazirani S, Lankarani-Fard A, Liang LJ, Stelzner M, Asch SM,. Perioperative processes and outcomes after implementation of a hospitalist-run preoperative clinic. J Hosp Med. 2012; 7 (9): 697-701.
50. Burda S, Hobson D, Pronovost P,. What is the patient really taking? Discrepancies between surgery and anesthesiology preoperative medication histories. Quality Safety Health Care. 2005; 14 (6): 414-416.
51. Cornish PL, Knowles SR, Marchesano R, et al. Unintended medication discrepancies at the time of hospital admission. Arch Intern Med. 2005; 165 (4): 424-429.
52. Leung V, Mach K, Charlesworth E, Hicks S, Kizemchuk K, Stumpo C,. Perioperative Medication Management (POMM) pilot: integrating a community-based medication history (MedsCheck) into medication reconciliation for elective orthopedic surgery inpatients. Can.Pharmacists J. 2010; 143 (2): 82-87.
53. Tam VC, Knowles SR, Cornish PL, Fine N, Marchesano R, Etchells EE,. Frequency, type and clinical importance of medication history errors at admission to hospital: a systematic review. Can Med Assoc J. 2005; 173 (5): 510-515.
54. Joint Commission. National Patient Safety Goals Effective January 1, 2014. Oakbrook Terrace, IL: Joint Commission; 2014.
55. van den Bemt PM, van den Broek S, van Nunen AK, Harbers JB, Lenderink AW,. Medication reconciliation performed by pharmacy technicians at the time of preoperative screening. Ann Pharmacother. 2009; 43 (5): 868-874.
56. Dexter F, Wachtel RE,. Strategies for net cost reductions with the expanded role and expertise of anesthesiologists in the perioperative surgical home. Anesth Analg. 2014; 118 (5): 1062-1071.
57. Mayo NE, Feldman L, Scott S, et al. Impact of preoperative change in physical function on postoperative recovery: argument supporting prehabilitation for colorectal surgery. Surgery. 2011; 150 (3): 505-514.
58. Correll DJ, Bader AM, Hull MW, Hsu C, Tsen LC, Hepner DL,. Value of preoperative clinic visits in identifying issues with potential impact on operating room efficiency. Anesthesiology. 2006; 105 (6): 1254-1259.
59. Glick DB, Tung A, Ferschl MB, Sweitzer B,. Anesthesia preoperative medicine clinic: beyond surgery cancellations. Anesthesiology. 2006; 105 (1): 225-226.
60. Thilen S, Treggiari M, Weaver E,. An opportunity for anesthesiologists to add value by controlling preoperative resources. Paper presented at: ASA Practice Management Meeting, Orlando, FL; 2012.
61. Huesch MD,. Are there always synergies between productive resources and resource deployment capabilities ? Strategic Manage J. 2013; 34 (11): 1288-1313.
62. Frost EA,. Integrating perioperative information from divergent sources. Mount Sinai J Med. 2012; 79 (1): 3-12.
63. Sandberg WS, Daily B, Egan M, et al. Deliberate perioperative systems design improves operating room throughput. Anesthesiology. 2005; 103 (2): 406-418.
64. Cosgrove J, Gaughan M, Snowden C, Lees T,. Decreasing delays in urgent and expedited surgery in a university teaching hospital through audit and communication between perioperative and surgical directorates. Anaesthesia. 2008; 63 (6): 599-603.
65. Kehlet H, Mogensen T,. Hospital stay of 2 days after open sigmoidectomy with a multimodal rehabilitation programme. Br J Surg. 1999; 86 (2): 227-230. http://onlinelibrary.wiley.com/doi/10.1046/j.1365-2168.1999.01023.x/abstract
66. White PF, Kehlet H, Neal JM, et al. The role of the anesthesiologist in fast-track surgery: from multimodal analgesia to perioperative medical care. Anesth Analg. 2007; 104 (6): 1380-1396.
67. Sammour T, Zargar-Shoshtari K, Bhat A, Kahokehr A, Hill AG,. A programme of Enhanced Recovery After Surgery (ERAS) is a cost-effective intervention in elective colonic surgery. N Zealand Med J. 2010; 123 (1319): 61-70.
68. Knott A, Pathak S, McGrath JS, et al. Consensus views on implementation and measurement of enhanced recovery after surgery in England: Delphi study. BMJ Open. 2012; 2 (6).
69. Ren L, Zhu D, Wei Y, et al. Enhanced Recovery After Surgery (ERAS) program attenuates stress and accelerates recovery in patients after radical resection for colorectal cancer: a prospective randomized controlled trial. World J Surg. 2012; 36 (2): 407-414.
70. Ramirez JM, Blasco JA, Roig JV, et al. Enhanced recovery in colorectal surgery: a multicentre study. BMC Surg. 2011; 11: 9.
71. Lassen K, Coolsen MM, Slim K, et al. Guidelines for perioperative care for pancreaticoduodenectomy: Enhanced Recovery After Surgery (ERAS®) Society recommendations. Clin Nutr. 2012; 31: 817-830.
72. Gustafsson U, Scott M, Schwenk W, et al. Guidelines for perioperative care in elective colonic surgery: Enhanced Recovery After Surgery (ERAS®) Society recommendations. Clin Nutr. 2012; 31: 783-800.
73. ERAS Society. ERAS guidelines. 2013. http://www.erassociety.org/index.php/eras-guidelines. Accessed August 23, 2014.
74. Campbell DA Jr,. Quality improvement is local. J Am Coll Surg. 2009; 209 (1): 141-143.
75. Campbell DA Jr, Englesbe MJ, Kubus JJ, et al. Accelerating the pace of surgical quality improvement: the power of hospital collaboration. Arch Surg. 2010; 145 (10): 985.
76. Vakharia SB,. Urology surgical home a transformative model of perioperative care. Irvine, CA: University of California; 2013.
77. Kahokehr A, Sammour T, Zargar-Shoshtari K, Thompson L, Hill AG,. Implementation of ERAS and how to overcome the barriers. Int J Surg. 2009; 7 (1): 16-19.
78. Melnyk M, Casey RG, Black P, Koupparis AJ,. Enhanced Recovery After Surgery (ERAS) protocols: time to change practice ? Can Urological Assoc J. 2011; 5 (5): 342.
79. Keckley PH,. Medical home 2.0: the present, the future. Washington, DC: Deloitte Center for Health Solutions; 2010.
80. Vetter TR, Boudreaux AM, Jones KA, Hunter Jr JM, Pittet J-F,. The perioperative surgical home: how anesthesiology can collaboratively achieve and leverage the Triple Aim in health care. Anesth Analg. 2014; 118 (5): 1131-1136.
81. Hawkins RB, Levy SM, Senter CE, et al. Beyond surgical care improvement program compliance: antibiotic prophylaxis implementation gaps. Am J Surg. 2013; 206 (4): 451-456.
82. Levy SM, Senter CE, Hawkins RB, et al. Implementing a surgical checklist: more than checking a box. Surgery. 2012; 152 (3): 331-336.
83. Birkmeyer JD, Reames BN, McCulloch P, Carr AJ, Campbell WB, Wennberg JE,. Understanding of regional variation in the use of surgery. Lancet. 2013; 382 (9898): 1121-1129.
84. Angood P, Birk S,. The value of physician leadership. Tampa, FL: American College of Physician Executives; 2014.