Enhanced Recovery After Surgery, Lean, and claims-based quality databases: how does it all make sense?

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.
Source: Current Opinion in Anaesthesiology - Category: Anesthesiology Tags: ETHICS, ECONOMICS AND OUTCOME: Edited by Alice A. Tolbert Coombs Source Type: research