Patient engagement using technology-enabled perioperative care pathways has the potential to improve patient outcomes and increase operational efficiency, thereby creating value in health care. In the current standard of care, preoperative evaluation begins after a patient has been scheduled for surgery. While risk stratification is performed during this time period, time constraints limit active management of comorbid medical conditions and patient optimization for surgical readiness. The Perioperative Optimization of Senior Health initiative at Duke University has shifted the focus to interdisciplinary care to optimize older patients prior to surgery (JAMA Surg 2018;153:454-62). Increasingly, insurers are moving to value-based payment models that pay a predetermined fee for surgery and perioperative care (Health Serv Res 2007;42:1443-63). Hence efficient and effective patient optimization in the perioperative period will become increasingly important.

Technologies on the market today offer a...

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