The concept of the Perioperative Surgical Home (PSH) has been discussed for more than a decade. But very fundamental questions remain. What, specifically, is it? What would it mean for the average anesthesiologist providing intraoperative care or running a pain management clinic? Do we, as anesthesiologists, really have the expertise or interest in providing pre- and postoperative care for chronically ill patients? Who would pay us to do any of this?

Despite the lack of answers to these most basic of questions, ASA and various leaders in our specialty have endorsed the concept of the PSH. In 2012, ASA created the Committee on Future Models of Anesthesia Practice. By 2013, this committee had generated a white paper on the PSH. They characterized the PSH as “a patient-centered and physician-led, inter-disciplinary and team-based system, the PSH coordinates care from...

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