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    ICJR Interviews: How Optimizing Patients Affects Outcomes

    The Perioperative Surgical Home (PSH) initiative launched by the American Society of Anesthesiologists (ASA) has been enthusiastically embraced by institutions across the country in an effort to improve patient outcomes and reduce costs.

    The ASA defines the PSH as “a patient-centric, team-based model of care” designed to “help meet the demands of a rapidly approaching health care paradigm that will emphasize value, patient satisfaction, and reduced costs.”

    The PSH model can be applied in any specialty, but joint replacement surgeons like Ran Schwarzkopf, MD, who is now at NYU Langone Medical Center, have found it to be particularly valuable in decreasing variability in care and outcomes in total hip and total knee arthroplasty patients through the adoption of patient optimization and evidence-based clinical pathways.

    At Dr. Schwarzkopf’s previous institution, the University of California Irvine, the PSH was a collaboration of anesthesiology and orthopaedics. A study he and his colleagues presented at the 2016 Annual Meeting of the American Academy of Orthopaedic Surgeons in Orlando provides insights into how the PSH model – especially efforts to optimize patients before surgery – can affect outcomes such as length of stay, postoperative stay in the PACU, complications, discharge disposition, and 30-day readmissions.

    Click the image above to hear Dr. Schwarzkopf discuss the study, “Joint Replacement Surgical Home: Impact of Patient Characteristics and Comorbidities on Length of Stay” (Paper 338).

    Producer: Susan Doan-Johnson; Director: Michael Bugera; Post Production: Charles J. Maynard