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Current Reviews in Musculoskeletal Medicine
Published in: Current Reviews in Musculoskeletal Medicine 3/2017

01-09-2017 | Quality and Cost Control in TJA (B Waddell, section editor)

The Perioperative Surgical Home: Improving the Value and Quality of Care in Total Joint Replacement

Authors: George F. Chimento, Leslie C. Thomas

Published in: Current Reviews in Musculoskeletal Medicine | Issue 3/2017

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Abstract

Purpose of Review

The perioperative surgical home (PSH) is a patient-centered, physician-led, multidisciplinary care pathway developed to deliver value-based care based on shared decision-making. Physician and hospital reimbursement will be tied to providing quality care at lower cost, and the PSH model has been used in providing care to patients undergoing lower extremity arthroplasty. The purpose of this review is to discuss the rationale, definition, development, current state, and future direction of the PSH.

Recent Findings

The PSH model guides the patient throughout the pre and perioperative process and into the postoperative phase. It has been shown in multiple studies to decrease length of stay, improve functional outcomes, allow more home discharges, and lower costs. There is no increase in complications or readmission rates.

Summary

The PSH pathway is a safe and effective method of providing value-based care to patients undergoing hip and knee arthroplasty.
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Metadata
Title
The Perioperative Surgical Home: Improving the Value and Quality of Care in Total Joint Replacement
Authors
George F. Chimento
Leslie C. Thomas
Publication date
01-09-2017
Publisher
Springer US
Published in
Current Reviews in Musculoskeletal Medicine / Issue 3/2017
Electronic ISSN: 1935-9748
DOI
https://doi.org/10.1007/s12178-017-9418-3

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