Author: Erin Sluka

What is the Perioperative Surgical Home?

The perioperative surgical home (PSH) is a patient-centered, physician-led, interdisciplinary, and team-based system of coordinated care. Its focus is on optimizing surgical outcomes and enhancing the patient’s experience from the decision to undergo ACL surgery through the entire recovery period. This innovative model aims to streamline patient care, reduce complications, and ensure more efficient use of healthcare resources.

PSH is not only a framework but a transformative approach that encourages cooperation among healthcare professionals. By anticipating the needs of the patient and providing continuous care through all perioperative phases, this model serves as a blueprint for enhanced surgical care delivery, creating a seamless journey from preoperative preparation to postoperative recovery. This structure supports a comprehensive approach to addressing both surgical and non-surgical concerns, ensuring that patients are mentally and physically prepared for their procedures.

Core Principles of the PSH Model

The PSH model operates on several core principles designed to improve patient care:

• Patient-Centered Care: Tailoring care plans to the individual needs of each patient. This principle acknowledges that no two patients are the same and requires the healthcare team to develop personalized care strategies that cater to specific health conditions, preferences, and recovery goals.
• Coordination: Ensuring continuous and comprehensive care through multidisciplinary team collaboration. Coordination among various healthcare providers—surgeons, anesthesiologists, nurses, and other specialists—ensures that all aspects of a patient’s care are aligned, minimizing the risk of errors or overlaps.
• Efficiency: Eliminating redundant processes and streamlining care pathways. By analyzing and optimizing workflows, the PSH model helps to reduce unnecessary tests, procedures, and administrative tasks, ultimately saving time and resources for both patients and healthcare providers.
• Quality Improvement: Implementing evidence-based practices to enhance care quality continuously. The emphasis on ongoing education and adaptation of new research findings ensures that the care provided under the PSH model remains at the forefront of medical excellence.

Improving Patient Outcomes with PSH

Adopting the PSH model can significantly enhance patient outcomes. Research shows that coordinated care pathways and multidisciplinary interventions reduce surgical complications, lower readmission rates, and shorten hospital stays. By focusing on all stages of the surgical process, the PSH ensures that patients receive the proper care at the right time.

For example, one study revealed that hospitals utilizing the PSH framework saw a 30% reduction in postoperative complications compared to those following traditional models. This success is attributed to comprehensive preoperative assessments, personalized intraoperative management, and focused postoperative care, all integral components of a well-orchestrated PSH. Additionally, patient education plays a crucial role, as informed patients are better equipped to manage their health and recovery, leading to improved satisfaction and outcomes.

Increasing Healthcare Efficiency

The PSH model increases efficiency within healthcare systems by reducing waste and improving resource utilization. This coordinated approach allows for better allocation of medical personnel and equipment, leading to cost savings and more streamlined operations. According to studies from Health Affairs, integrated care models like PSH can lead to significant reductions in unnecessary procedures and improved overall system efficiency.

This efficiency is not just about cost savings but also about delivering quality care more effectively. By eliminating redundancies and streamlining communication among healthcare providers, the PSH model ensures that each step in the patient’s surgical journey is handled with expertise and precision. Furthermore, the reduction in unnecessary tests and procedures not only saves money but also reduces patient burden, lessening their exposure to potential risks and stress.

It is simple. There are 2 things you can focus on for better health starting right now! Movement and better sleep! By movement, you don’t need to ‘t need to start with a heavy routine on certain times of the day that seem unattainable. Moving more simply starts with…moving more. If you do not move much-add a bit more. If you think you sleep OK, do a self-check on how you fall asleep, stay asleep and wake up in the morning. Let’s dive more into these 2 healthy habits.

To move more can be obtained by starting small. If you take the elevator everyday at work or elsewhere, try the stairs. If you drive a few blocks to the corner store, walk the route every other time. If you walk on the treadmill at 2mph, add a .5mph. Get the point? You are moving more each day when you find ways to, well, move more!

Another great way to purposefully move and clear a busy mind is to practice yoga. Give it a try? If you start with 10 minutes today, that is 10 minutes more than you did yesterday! You can find many free Yoga workouts on YouTube. The way to thrive in a yoga workout is to wear light clothing and have a proper floor mat. I use my Avoalre Foldable Yoga Mat because it folds and travels well. Especially when traveling and eating out of the normal routine and walking more, taking a few moments to unroll a yoga mat to stretch is a great way to end a busy day. By the way, this yoga mat I use is on sale right now!

The second health habit is proper sleep. I spent this summer in a struggle, myself. I began to find it hard to stay asleep. I was constantly waking up and would have headaches in the morning. My. blood pressure was rising despite my BP meds and nothing was found to be wrong in bloodwork and checks. Nothing except I was truly not sleeping well and the high blood pressure seems to be a result. So, despite the fact I do not snore, I was ordered a sleep study. I though apnea was for those who snore or have large neck area but it turns out that 25-30% of sleep apnea diagnosis comes from no obvious symptoms other than headaches and being tired. Turns out I get about 2-3 hours only of REM sleep and once I hit REM, my Oxygen dips and I wake up twice as mush as when I am outside of REM. I have moderate apnea-not from snoring but because I have an obstructed airway by my small frame, who knew?

If you feel like you should be more rested or have morning headaches, here is your checklist. Do you fall asleep well? Do you stay asleep? Do you have morning headaches? Do you have uncontrolled hypertension? If so, ask your Doctor to do a sleep study. You may find you are not sleeping well and in that case, your health is very much compromised.

Despite the sleep study talk, also evaluate your bedding. Is your mattress supporting your body and do you have the right pillow for how you sleep. How you sleep means – your comfortable temperature, your sleep position and clothing. Adjust room temperature, change bedding depending on the season and climate and check your pillow. I am a side sleeper and have neck issues, so I do best with a cervical pillow. I love my Elegear Deep Sleep Cooling Neck Pillow. It relieves normal sleep pressure from my neck, stays cool and has a memory foam that holds its shape. You can use a coupon code to save 10% on this pillow on Amazon – IITU7OQ6. Give it a try!

If you take the small effort to move more and give yourself a sleep check, you are in better shape to end the year with healthy habits.