The Perioperative Surgical Home (PSH) is an innovative practice model that has been proposed by ASA as a potential solution to the disjointed and costly perioperative system currently found in the United States. This practice model is defined by ASA as “a patient-centered and physician-led multidisciplinary and team-based system of coordinated care that guides the patient throughout the entire surgical experience.”

The current perioperative system consists of discrete episodes of preoperative, intraoperative, postoperative and post-discharge care. This system is disjointed and characterized by significant variability of care, driven by volume and individual surgeon and physician anesthesiologist preference. One way to reduce variability is to treat the entire perioperative episode of care as one continuum of care. This continuum can be achieved by having one perioperative team, headed by the physician anesthesiologist, who coordinates and manages all aspects of care...

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