Effect of PSH elements on total joint outcomes

Editor's Note

In this study, the use of preoperative and postoperative elements of a Perioperative Surgical Home model in total knee and hip patients was associated with improvements in operational outcomes.

The study included 1,225 patients in a preintervention PSH group and 1,363 in a postintervention PSH group.

Compared with the pre-PSH group, the post-PSH group had a:

• 7.2% increase in on-time surgery starts
• 5.8% reduction in day of surgery anesthesia-related delays
• 2.2% decrease in ICU admission rates
• 0.6% reduction in number of ICU days
• $432 and $601 decrease in direct nonsurgery costs for total hip and total knee patients, respectively.

There were no significant differences in length of stay or readmissions in the two groups.

BACKGROUND: The Perioperative Surgical Home (PSH) seeks to remedy the currently highly fragmented and expensive perioperative care in the United States. The 2 specific aims of this health services research study were to assess the association between the preoperative and postoperative elements of...