Change Management and the Perioperative Surgical Home

The Perioperative Surgical Home (PSH) model – to reiterate what has been the defining lexicon in the anesthesia world for the past two years – is a patient-centered, physician-led multidisciplinary and team-based system of coordinated care for the surgical patient. This is a model of care that provides for the patient a perioperative experience that is continuous, seamless, without silos, efficient and intuitive. By intuitive, we mean from the patients’ perspective. As patients, it would seem only natural that everybody on the team would know what the other individuals are doing. It would be obvious that information about the patient gathered in the preoperative phase would be communicated to the intraoperative team and postoperative team. Those events occurring during surgery would be appropriately communicated to the team managing the patient postoperatively. And, of course, once the patient left the hospital, all the information and events of the hospital course would...