George F Chimento1,2, Leslie C Thomas3,4. 1. Department of Orthopaedic Surgery, Ochsner Medical Center, 1514 Jefferson Highway, New Orleans, LA, 70121, USA. gchimento@ochsner.org. 2. Ochsner Clinical School, University of Queensland School of Medicine, New Orleans, LA, USA. gchimento@ochsner.org. 3. Ochsner Clinical School, University of Queensland School of Medicine, New Orleans, LA, USA. 4. Department of Anesthesiology, Ochsner Medical Center, Jefferson, LA, 70121, USA.
Abstract
PURPOSE OF REVIEW: The perioperative surgical home (PSH) is a patient-centered, physician-led, multidisciplinary care pathway developed to deliver value-based care based on shared decision-making. Physician and hospital reimbursement will be tied to providing quality care at lower cost, and the PSH model has been used in providing care to patients undergoing lower extremity arthroplasty. The purpose of this review is to discuss the rationale, definition, development, current state, and future direction of the PSH. RECENT FINDINGS: The PSH model guides the patient throughout the pre and perioperative process and into the postoperative phase. It has been shown in multiple studies to decrease length of stay, improve functional outcomes, allow more home discharges, and lower costs. There is no increase in complications or readmission rates. The PSH pathway is a safe and effective method of providing value-based care to patients undergoing hip and knee arthroplasty.
PURPOSE OF REVIEW: The perioperative surgical home (PSH) is a patient-centered, physician-led, multidisciplinary care pathway developed to deliver value-based care based on shared decision-making. Physician and hospital reimbursement will be tied to providing quality care at lower cost, and the PSH model has been used in providing care to patients undergoing lower extremity arthroplasty. The purpose of this review is to discuss the rationale, definition, development, current state, and future direction of the PSH. RECENT FINDINGS: The PSH model guides the patient throughout the pre and perioperative process and into the postoperative phase. It has been shown in multiple studies to decrease length of stay, improve functional outcomes, allow more home discharges, and lower costs. There is no increase in complications or readmission rates. The PSH pathway is a safe and effective method of providing value-based care to patients undergoing hip and knee arthroplasty.
Authors: Neil Duplantier; David Briski; John Lockwood Ochsner; Mark Meyer; Daryl Stanga; George F Chimento Journal: J Arthroplasty Date: 2015-04-11 Impact factor: 4.757
Authors: Michael Farias; Kathy Jenkins; James Lock; Rahul Rathod; Jane Newburger; David W Bates; Dana G Safran; Kevin Friedman; Josh Greenberg Journal: Health Aff (Millwood) Date: 2013-05 Impact factor: 6.301
Authors: Darren R Raphael; Maxime Cannesson; Ran Schwarzkopf; Leslie M Garson; Shermeen B Vakharia; Ranjan Gupta; Zeev N Kain Journal: Perioper Med (Lond) Date: 2014-08-27