Anesthesiologists May Find ACO Opportunity in Surgical Homes
Dr. Johnstone noted that the proposed ACO rules scarcely mention anesthesiologists, who he said "provide patient care throughout hospitals and serve as the lifeline of modern medicine." He said anesthesiologists might take advantage of ACOs by getting involved in medical homes, or care systems where every patient establishes an ongoing relationship with a primary care provider who coordinates patient care to promote good health.
He said anesthesiologists could assist primary care providers, who traditionally work from office settings, in coordinating acute care from preoperative clinics through surgical suites and critical care units to postoperative recovery. In this setting, anesthesiologists could serve as true 'perioperative providers.'
Dr. Johnstone said anesthesiologist-led surgical homes will meet the first and third aims of healthcare reform as defined by Donald Berwick, MD, in a Health Affairs article. The first and third aims involve care and cost, while the second revolves around patient health.
Read the Anesthesiology News editorial by Dr. Robert E. Johnstone.
Related Articles on Anesthesia:
UCSD to Use Nitrous Oxide in Place of More Harmful Gases
Blood Pressure Medication Could Decrease Mortality Rates for Surgical Patients
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