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

  • Quality and Cost Control in TJA (B Waddell, section editor)
  • Published:
Current Reviews in Musculoskeletal Medicine Aims and scope Submit manuscript

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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Papers of particular interest, published recently, have been highlighted as: •Of importance •• Of major importance

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Authors and Affiliations

  1. Department of Orthopaedic Surgery, Ochsner Medical Center, 1514 Jefferson Highway, New Orleans, LA, 70121, USA

    George F. Chimento

  2. Ochsner Clinical School, University of Queensland School of Medicine, New Orleans, LA, USA

    George F. Chimento & Leslie C. Thomas

  3. Department of Anesthesiology, Ochsner Medical Center, Jefferson, LA, 70121, USA

    Leslie C. Thomas

Authors
  1. George F. Chimento
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  2. Leslie C. Thomas
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Correspondence to George F. Chimento.

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Both authors declare that they have no conflict of interest.

Human and Animal Rights and Informed Consent

This article does not contain any studies with human or animal subjects performed by any of the authors.

Additional information

This article is part of the Topical Collection on Quality and Cost Control in TJA

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Chimento, G.F., Thomas, L.C. The Perioperative Surgical Home: Improving the Value and Quality of Care in Total Joint Replacement. Curr Rev Musculoskelet Med 10, 365–369 (2017). https://doi.org/10.1007/s12178-017-9418-3

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  • DOI: https://doi.org/10.1007/s12178-017-9418-3

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