Enhanced Recovery After Surgery, Lean, and claims-based quality databases: how does it all make sense?. Issue 2 (23rd April 2021)

• Record Type: Journal Article
• Authors: Shah, Pranav R.; Leichtle, Stefan; Spencer, Paula
• Is Part Of: Current opinion in anaesthesiology. Volume 34:Issue 2(2021)
• Page Start: 161
• Page End: 167
• Publication Date: 2021-04-23
• Subjects: claims-based risk-adjusted databases -- Enhanced Recovery After Surgery -- Lean; Anesthesiology -- Periodicals; Anesthesiology -- Indexes; Anesthesiology -- Periodicals; Review Literature -- Indexes; Review Literature -- Periodicals; Anesthesiology; Periodicals; 617.9605
• DOI: 10.1097/ACO.0000000000000971
• Languages: English
• ISSNs: 0952-7907

Abstract

Abstract : Purpose of review: Healthcare is rapidly evolving toward value-focused objectives, integrating outcomes and cost instead of simply volume. Concepts pertaining to Enhanced Recovery After Surgery (ERAS), Lean, and claims-based risk-adjusted databases can be used to optimize value, but the application of Lean principles and risk-adjusted outcomes is poorly described in perioperative medicine in perioperative medicine. Recent findings: Lean management and process optimization tools allow the consistent application of a perioperative medical framework of ERAS to improve outcomes. Vizient risk-stratified outcomes are often used by hospitals to measure and compare quality. Summary: Understanding administrative databases and Lean concepts for change management will allow the perioperative physician to better align medical concepts with health system tools for improving quality and reducing cost.