HFMA Publication Highlights Benefits of a Perioperative Surgical Home

Case Study Focuses on Pilot Program at a West Texas Hospital

HARRISON, NY – According to a recently published case study, geriatric hip fractures are a major cost driver not only for the nation’s healthcare system, but for hospitals as well. Optimistic the precepts of evidence-based perioperative medicine could do more than reduce the cost of care, an interdisciplinary team of academic orthopedic surgeons and anesthesiologists at a West Texas hospital successfully piloted a perioperative surgical home (PSH) that proved out.

The project’s objectives were to streamline/standardize protocols, enhance patient care outcomes (clinical and experiential) and conserve resources—goals based on the Institute for Healthcare Improvement’s Triple Aim principles. With buy-in from the hospital’s executive leadership, affiliated surgeons and a contracted group of anesthesiologists/nurse anesthetists launched a PSH for geriatric patients suffering from hip fractures.

“Collaboration between specialties and access to essential data were critical to enabling us to monitor patients from the time they arrived at the ER to the time they underwent surgery and, ultimately, were discharged,” said Jasper Mesarch DO, MBA, FASA and the pilot’s lead anesthesiologist.

The pilotre-engineered the perioperative care process. Having met the imperatives of a PSH in that it improved patient health outcomes, experiences and access, and coordinated and standardized care with lower costs, many consider it a model for rollout in other specialties.

“In addition to building a collaborative and coordinated culture that promotes a multidisciplinary approach to patient services, perioperative medicine and PSH offer other benefits, including supporting clinician recruitment and retention and helping to attract patients,” said Marc Koch, MD, MBA, FASA, president & CEO of Somnia Anesthesia.

Read the entire case study as published in HFMA’s Financial Sustainability Report, November 2020.


About Health Care Financial Management Association (HFMA)
The Healthcare Financial Management Association is a professional membership organization that helps healthcare finance management executives and professionals navigate the complexities of the healthcare industry. It is based in Westchester, Cook County, Illinois.

About Somnia Anesthesia
Somnia Anesthesia is a national privately held anesthesia-only practice management and perioperative medicine company established in 1996 and headquartered in Harrison, NY. Our singular focus is on building and managing local anesthesia teams that consistently deliver the highest quality patient care, improve operating room performance, achieve stakeholder satisfaction, enhance patient experiences, use population health and social determinants data, and provide value.

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