Put fears about perioperative surgical home care models aside — ABC's Tony Mira tells you why

Perioperative surgical home care models continue to gain positive momentum in the anesthesia space. Anesthesia Business Consultants President and CEO Tony Mira wrote a blog post on the patient-centered care models.

Here's what you should know.

1. Although more evidence is emerging on the success of the models, Mr. Mira said many anesthesiologists are hesitant about pursuing a PSH at their practice.

2. Mr. Mira recapped a presentation on the PSH model from the Advanced Institute for Anesthesia Practice Management, April 28 to April 30 in Las Vegas.

3. Concerning reimbursement, anesthesiologists should considering implementing a PSH through a co-management agreement. The agreements are structured between a hospital and a management company. Such a company could be wholly owned by the physicians or co-owned by the physicians and hospital itself.

4. The agreements provide both fixed and variable compensation. A disinterested third party creates a value to compensate physicians at.

5. Wilmington, N.C.-based New Hanover Regional Medical Center anesthesiologist Rob Shakar, MD, offered insights into the PSH models implemented at his institution. In its first year, the PSH model saved the hospital $4.2 million. The model lowered several factors including:

  • Case cancellations
  • Average operating room time
  • Length of stay
  • Discharges to skilled nursing facilities

6. The model also increased on-time case starts and number of total joint procedures performed monthly.

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