Features  |   December 2014
The Future of Surgical Care in the U.S.: State Surgical Quality Collaboratives, Optimized Perioperative Care, and the Perioperative Surgical Home
Author Affiliations
  • David C. Mackey, M.D.
    ASA Committee on Future Models of Anesthesia Practice
  • Michael P. Schweitzer, M.D., M.B.A.
    ASA Committee on Future Models of Anesthesia Practice
    Chair
Article Information
Central and Peripheral Nervous Systems / Coagulation and Transfusion / Critical Care / Education / CPD / Gastrointestinal and Hepatic Systems / Pain Medicine / Palliative Care / End-of-Life Care / Patient Safety / Practice Management / Advocacy and Legislative Issues / Quality Improvement / Features
Features   |   December 2014
The Future of Surgical Care in the U.S.: State Surgical Quality Collaboratives, Optimized Perioperative Care, and the Perioperative Surgical Home
ASA Monitor 12 2014, Vol.78, 10-13.
ASA Monitor 12 2014, Vol.78, 10-13.
With the Patient Protection and Affordable Care Act currently unfolding across the U.S. and health care policy and politics dominating the entire media spectrum, nothing more accurately portrays the current state of U.S. health care than the military acronym VUCA: Volatility, Uncertainty, Complexity and Ambiguity.1 -7  And with U.S. health care expenditures on an unsustainably expansive course and 60 percent of these dollars spent on procedural care, the vulnerabilities of anesthesiologists, surgeons, nurses and others involved in surgical care are obvious. However, we feel that this is the most exciting era to be involved in the delivery of surgical care since World War II, and we are delighted that this issue of the ASA NEWSLETTER is dedicated to explaining this apparent paradox. Literature (most recently exemplified by the May 2014 issue of Anesthesia & Analgesia and the October 2014 issue of the ASA NEWSLETTER) focused on the Perioperative Surgical Home (PSH) concept already identifies processes of care that are better for the patient. Such evidence-based, patient-centric care demands we implement a delivery system that improves the patient experience and quality of care while simultaneously decreasing total costs.8 
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