Bellin Health Partners is a clinically integrated accountable care system focused on population health to deliver high-quality, affordable care to the people of Northeastern Wisconsin and the Upper Peninsula of Michigan. Our system includes three hospitals, two surgery centers, and approximately 500 employed, independent, primary, and specialty care physicians.

In a system driven by value creation, perioperative medicine at Bellin suffered from poor coordination, high utilization of low-value, protocol-driven, preoperative testing and consultations. There was an over-reliance on “clearance” as opposed to optimization of patients for best surgical outcomes.

Several years ago primary care physicians deployed the concepts of population health at Bellin Health, successfully designing a patient-centered medical home to achieve the quadruple aim of better patient care, lower cost, increased patient satisfaction, and increased provider well-being.

Would the deployment of the patient-centered medical home concepts be equally applicable in perioperative medicine? Would the application of population health strategies,...

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