In 2012, ASA introduced the Perioperative Surgical Home (PSH) as a response to the shift from volume-based to value-based health care. The society recognized that anesthesiologists would increasingly be measured by the cost-effectiveness and quality of the care they provide. We believed a patient-centric, team-based care model designed to help patients navigate through the entire surgical experience, from the decision for surgery through recovery, would meet the needs of the moment. In the decade since, the PSH has evolved, becoming more nimble, more effective, and even more resolute about improving patient outcomes, decreasing costs, increasing provider satisfaction, and enhancing patient experiences.
Because the model itself is iterative, change has been an integral part of the journey. But through it all, some myths about the PSH model have persisted. Some misconceptions are grounded in where we started while others are built on a genuine misunderstanding of the model's systems, tactics, and...
