Obstetric Anesthesia and Perioperative Care: The Perioperative Surgical Home

Abstract

The Perioperative Surgical Home (PSH) model is a patient-centered, physician-led, team-based model of care that guides the patient throughout all phases of the surgical journey, from the decision to operate through the preoperative, intraoperative, postoperative, and transitional care phases, ending 90 days after hospital discharge. The PSH model provides a framework that better aligns a complex microsystem of providers and processes, including clinicians, administrators, ancillary services, health information technology (HIT), and the patient, with the goal of reducing care fragmentation that often contributes to adverse outcomes and higher costs. The PSH model has the goal of achieving the Quadruple Aim: better patient outcomes, decreased cost, improved patient satisfaction, and enhanced provider satisfaction (ASA PSH Implementation Guide, PSH learning collaborative: roadmap to success, 2021).