Payment & Practice Management  |   June 2013
The Perioperative Surgical Home Model
Author Affiliations
  • Richard Rosenquist, M.D.
    Committee on Future Models of Anesthesia Practice
Article Information
Ambulatory Anesthesia / Coagulation and Transfusion / Geriatric Anesthesia / Pain Medicine / Practice Management / Quality Improvement / Payment & Practice Management
Payment & Practice Management   |   June 2013
The Perioperative Surgical Home Model
ASA Monitor 06 2013, Vol.77, 58-59.
ASA Monitor 06 2013, Vol.77, 58-59.
ASA formed the Committee on Future Models of Anesthesia Practice (CFMAP) approximately two years ago. One purpose of this committee is to evaluate how the rapidly changing health care system could affect anesthesiologists and develop strategies for our members to effectively deal with those possible changes.
The proposed system changes include Accountable Care Organizations, Shared Savings programs and various forms of enterprise contracting. Most of the proposed changes include models for bundling most or all of the services provided to patients by multiple providers across one or more care settings into a single payment. From a payer standpoint, this is not only efficient, but significantly reduces the financial risks associated with an episode of care that can span an extended period of time, involve multiple providers (surgeon, anesthesiologist, intensivists, multiple specialists, physical and occupational therapists, etc.) and several care settings (hospitals, rehab centers, skilled nursing facilities and home health care).

“Improved coordination and management of surgical patients has been shown to increase quality, reduce complications, increase the efficiency and cost-effectiveness of perioperative care, and improve the patient’s perception of the surgical experience.”

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