Features  |   April 2014
The Role of the Physician Anesthesiologist in the Perioperative Surgical Home
Author Affiliations
  • Mike Schweitzer, M.D., M.B.A.
    Committee on Future Models of Anesthesia Practice
    Chair
  • Zeev N. Kain, M.D., M.B.A.
    Committee on Future Models of Anesthesia Practice
  • Daniel J. Cole, M.D.
    ASA First Vice President
Article Information
Patient Safety / Quality Improvement / Features
Features   |   April 2014
The Role of the Physician Anesthesiologist in the Perioperative Surgical Home
ASA Monitor 04 2014, Vol.78, 7-13.
ASA Monitor 04 2014, Vol.78, 7-13.
The Perioperative Surgical Home (PSH) is an innovative practice model that has been proposed by ASA as a potential solution to the disjointed and costly perioperative system currently found in the United States. This practice model is defined by ASA as “a patient-centered and physician-led multidisciplinary and team-based system of coordinated care that guides the patient throughout the entire surgical experience.”
The current perioperative system consists of discrete episodes of preoperative, intraoperative, postoperative and post-discharge care. This system is disjointed and characterized by significant variability of care, driven by volume and individual surgeon and physician anesthesiologist preference. One way to reduce variability is to treat the entire perioperative episode of care as one continuum of care. This continuum can be achieved by having one perioperative team, headed by the physician anesthesiologist, who coordinates and manages all aspects of care from the minute the surgeon decides to operate until 30-days post-discharge. At each step of the process, patient-centered care and shared decision-making will replace the current physician-centered care. Through the PSH model, physician anesthesiologists have a unique opportunity to improve outcomes and quality of care, improve service to patients and reduce costs. Five major goals for the PSH are:
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