Quality Improvement in Anesthesiology — Leveraging Data and Analytics to Optimize Outcomes
Publication date: March 2018Source: Anesthesiology Clinics, Volume 36, Issue 1Author(s): Elizabeth A. Valentine, Scott A. Falk (Source: Anesthesiology Clinics)
Source: Anesthesiology Clinics - July 5, 2018 Category: Anesthesiology Source Type: research

Emergency Manuals: How Quality Improvement and Implementation Science Can Enable Better Perioperative Management During Crises
Publication date: March 2018Source: Anesthesiology Clinics, Volume 36, Issue 1Author(s): Sara N. Goldhaber-Fiebert, Carl Macrae (Source: Anesthesiology Clinics)
Source: Anesthesiology Clinics - July 5, 2018 Category: Anesthesiology Source Type: research

Use of Simulation in Performance Improvement
Publication date: March 2018Source: Anesthesiology Clinics, Volume 36, Issue 1Author(s): Amanda Burden, Erin White Pukenas (Source: Anesthesiology Clinics)
Source: Anesthesiology Clinics - July 5, 2018 Category: Anesthesiology Source Type: research

Developing Multicenter Registries to Advance Quality Science
Publication date: March 2018Source: Anesthesiology Clinics, Volume 36, Issue 1Author(s): Laura E. Schleelein, Kathleen A. Harris, Elizabeth M. Elliott (Source: Anesthesiology Clinics)
Source: Anesthesiology Clinics - July 5, 2018 Category: Anesthesiology Source Type: research

Handovers in Perioperative Care
Publication date: March 2018Source: Anesthesiology Clinics, Volume 36, Issue 1Author(s): Atilio Barbeito, Aalok V. Agarwala, Amanda Lorinc (Source: Anesthesiology Clinics)
Source: Anesthesiology Clinics - July 5, 2018 Category: Anesthesiology Source Type: research

Developing Capacity to Do Improvement Science Work
Publication date: March 2018Source: Anesthesiology Clinics, Volume 36, Issue 1Author(s): Irene McGhee, Yehoshua Gleicher (Source: Anesthesiology Clinics)
Source: Anesthesiology Clinics - July 5, 2018 Category: Anesthesiology Source Type: research

Practice Management: Successfully Guiding Your Group into the Future
Publication date: June 2018Source: Anesthesiology Clinics, Volume 36, Issue 2Author(s): Amr E. Abouleish, Stanley W. Stead (Source: Anesthesiology Clinics)
Source: Anesthesiology Clinics - July 5, 2018 Category: Anesthesiology Source Type: research

Integrating Academic and Private Practices: Challenges and Opportunities
Publication date: June 2018Source: Anesthesiology Clinics, Volume 36, Issue 2Author(s): Aviva Regev, Aman Mahajan (Source: Anesthesiology Clinics)
Source: Anesthesiology Clinics - July 5, 2018 Category: Anesthesiology Source Type: research

Anesthesiology’s Future with Specialists in Population Health
Publication date: June 2018Source: Anesthesiology Clinics, Volume 36, Issue 2Author(s): Mike Schweitzer (Source: Anesthesiology Clinics)
Source: Anesthesiology Clinics - July 5, 2018 Category: Anesthesiology Source Type: research

Copyright
Publication date: June 2018Source: Anesthesiology Clinics, Volume 36, Issue 2Author(s): (Source: Anesthesiology Clinics)
Source: Anesthesiology Clinics - July 5, 2018 Category: Anesthesiology Source Type: research

Contributors
Publication date: June 2018Source: Anesthesiology Clinics, Volume 36, Issue 2Author(s): (Source: Anesthesiology Clinics)
Source: Anesthesiology Clinics - July 5, 2018 Category: Anesthesiology Source Type: research

Contents
Publication date: June 2018Source: Anesthesiology Clinics, Volume 36, Issue 2Author(s): (Source: Anesthesiology Clinics)
Source: Anesthesiology Clinics - July 5, 2018 Category: Anesthesiology Source Type: research

Forthcoming Issues
Publication date: June 2018Source: Anesthesiology Clinics, Volume 36, Issue 2Author(s): (Source: Anesthesiology Clinics)
Source: Anesthesiology Clinics - July 5, 2018 Category: Anesthesiology Source Type: research

Practice Management: Successfully Guiding Your Group into the Future
Publication date: June 2018Source: Anesthesiology Clinics, Volume 36, Issue 2Author(s): Lee A. Fleisher (Source: Anesthesiology Clinics)
Source: Anesthesiology Clinics - July 5, 2018 Category: Anesthesiology Source Type: research

Managing Your Anesthesiology Practice for the Future
Publication date: June 2018Source: Anesthesiology Clinics, Volume 36, Issue 2Author(s): Amr E. Abouleish, Stanley W. Stead (Source: Anesthesiology Clinics)
Source: Anesthesiology Clinics - July 5, 2018 Category: Anesthesiology Source Type: research

Measuring Clinical Productivity
Publication date: June 2018Source: Anesthesiology Clinics, Volume 36, Issue 2Author(s): Mark E. Hudson, Evan E. Lebovitz (Source: Anesthesiology Clinics)
Source: Anesthesiology Clinics - July 5, 2018 Category: Anesthesiology Source Type: research

Overlapping Surgery: A Case Study in Operating Room Throughput and Efficiency
Publication date: June 2018Source: Anesthesiology Clinics, Volume 36, Issue 2Author(s): Amanda J. Morris, Joseph A. Sanford, Edward J. Damrose, Samuel H. Wald, Bassam Kadry, Alex Macario (Source: Anesthesiology Clinics)
Source: Anesthesiology Clinics - July 5, 2018 Category: Anesthesiology Source Type: research

Measuring Quality for Individual Anesthesia Clinicians
Publication date: June 2018Source: Anesthesiology Clinics, Volume 36, Issue 2Author(s): John Allyn, Craig Curry (Source: Anesthesiology Clinics)
Source: Anesthesiology Clinics - July 5, 2018 Category: Anesthesiology Source Type: research

Challenges in Outcome Reporting
Publication date: June 2018Source: Anesthesiology Clinics, Volume 36, Issue 2Author(s): Avery Tung (Source: Anesthesiology Clinics)
Source: Anesthesiology Clinics - July 5, 2018 Category: Anesthesiology Source Type: research

Quality Reporting: Understanding National Priorities, Identifying Local Applicability
Publication date: June 2018Source: Anesthesiology Clinics, Volume 36, Issue 2Author(s): DeLaine Schmitz, Matthew T. Popovich (Source: Anesthesiology Clinics)
Source: Anesthesiology Clinics - July 5, 2018 Category: Anesthesiology Source Type: research

Quality and the Health System: Becoming a High Reliability Organization
Publication date: June 2018Source: Anesthesiology Clinics, Volume 36, Issue 2Author(s): Monaliza Gaw, Frank Rosinia, Thomas Diller (Source: Anesthesiology Clinics)
Source: Anesthesiology Clinics - July 5, 2018 Category: Anesthesiology Source Type: research

Value Proposition and Anesthesiology
Publication date: June 2018Source: Anesthesiology Clinics, Volume 36, Issue 2Author(s): Joseph W. Szokol, Keith J. Chamberlin (Source: Anesthesiology Clinics)
Source: Anesthesiology Clinics - July 5, 2018 Category: Anesthesiology Source Type: research

Bundled Payments and Hidden Costs
Publication date: June 2018Source: Anesthesiology Clinics, Volume 36, Issue 2Author(s): Stanley W. Stead, Sharon K. Merrick (Source: Anesthesiology Clinics)
Source: Anesthesiology Clinics - July 5, 2018 Category: Anesthesiology Source Type: research

Comprehensive Preoperative Assessment and Global Optimization
Publication date: June 2018Source: Anesthesiology Clinics, Volume 36, Issue 2Author(s): Neil N. Shah, Thomas R. Vetter (Source: Anesthesiology Clinics)
Source: Anesthesiology Clinics - July 5, 2018 Category: Anesthesiology Source Type: research

Perioperative Surgical Home for the Patient with Chronic Pain
Publication date: June 2018Source: Anesthesiology Clinics, Volume 36, Issue 2Author(s): Talal W. Khan, Smith Manion (Source: Anesthesiology Clinics)
Source: Anesthesiology Clinics - July 5, 2018 Category: Anesthesiology Source Type: research

Comprehensive Acute Pain Management in the Perioperative Surgical Home
Publication date: June 2018Source: Anesthesiology Clinics, Volume 36, Issue 2Author(s): John-Paul J. Pozek, Martin De Ruyter, Talal W. Khan (Source: Anesthesiology Clinics)
Source: Anesthesiology Clinics - July 5, 2018 Category: Anesthesiology Source Type: research

Regional Anesthesia: What We Need to Know in the Era of Enhanced Recovery After Surgery Protocols and the Opioid Epidemic
Publication date: Available online 15 June 2018Source: Anesthesiology ClinicsAuthor(s): Lee A. Fleisher (Source: Anesthesiology Clinics)
Source: Anesthesiology Clinics - July 5, 2018 Category: Anesthesiology Source Type: research

Regional Anesthesiology and Acute Pain Medicine in the Era of Value-Based Health Care
Publication date: Available online 27 June 2018Source: Anesthesiology ClinicsAuthor(s): Edward R. Mariano, Nabil M. Elkassabany (Source: Anesthesiology Clinics)
Source: Anesthesiology Clinics - July 5, 2018 Category: Anesthesiology Source Type: research

Regional Anesthesiology and Acute Pain Medicine in the Era of  Value-Based Health Care
Publication date: Available online 27 June 2018 Source:Anesthesiology Clinics Author(s): Edward R. Mariano, Nabil M. Elkassabany (Source: Anesthesiology Clinics)
Source: Anesthesiology Clinics - June 27, 2018 Category: Anesthesiology Source Type: research

Regional Anesthesia: What We Need to Know in the Era of Enhanced Recovery After Surgery Protocols and the Opioid Epidemic
Publication date: Available online 15 June 2018 Source:Anesthesiology Clinics Author(s): Lee A. Fleisher (Source: Anesthesiology Clinics)
Source: Anesthesiology Clinics - June 15, 2018 Category: Anesthesiology Source Type: research

Comprehensive Preoperative Assessment and Global Optimization
This article focuses on the opportunities and mechanisms for delivering value-based, comprehensive preoperative assessment and global optimization of the surgical patient. (Source: Anesthesiology Clinics)
Source: Anesthesiology Clinics - May 13, 2018 Category: Anesthesiology Source Type: research

Quality Reporting
Publication date: June 2018 Source:Anesthesiology Clinics, Volume 36, Issue 2 Author(s): DeLaine Schmitz, Matthew T. PopovichTeaser Since the 1990s, the use of quality measures in healthcare has grown exponentially. Practices must maintain current knowledge of measures that affect their clinicians locally and understand how assessment of these medical professionals affects the priorities and quality activities of practices and facilities. Because quality measures are increasingly used by hospital administrators, health plans, and payers, practices are being asked to shoulder the additional burdens of collecting and report...
Source: Anesthesiology Clinics - May 13, 2018 Category: Anesthesiology Source Type: research

Overlapping Surgery
This article introduces a system to monitor overlapping surgery, providing a surgeon-specific Key Performance Indicator, and discusses overlapping surgery as an approach toward OR management goals of efficiency and throughput. (Source: Anesthesiology Clinics)
Source: Anesthesiology Clinics - May 13, 2018 Category: Anesthesiology Source Type: research

Value Proposition and Anesthesiology
Publication date: Available online 9 April 2018 Source:Anesthesiology Clinics Author(s): Joseph W. Szokol, Keith J. ChamberlinTeaser Health care in general and anesthesia in particular have seen dramatic changes in the economic landscape. It is vital if anesthesia groups wish to survive and prosper in this new environment to understand the changes occurring in health care and be flexible and proactive in taking on these challenges. More than ever anesthesia groups must be good corporate citizens and seek ways in which to enhance their value to the organization, whether in the operating room or out of operating room locati...
Source: Anesthesiology Clinics - April 10, 2018 Category: Anesthesiology Source Type: research

Measuring Quality for Individual Anesthesia Clinicians
Publication date: Available online 9 April 2018 Source:Anesthesiology Clinics Author(s): John Allyn, Craig CurryTeaser A robust quality management system (QMS) will provide value to patients, providers, and hospitals or systems by focusing on system performance. The QMS must remain independent of provider-specific measures used for privileging. Some outcome measures may be used to assess system performance; they must not be used to assess individual provider performance. All anesthesia providers, especially leaders, must be guardians of an organization’s safety culture. (Source: Anesthesiology Clinics)
Source: Anesthesiology Clinics - April 10, 2018 Category: Anesthesiology Source Type: research

Measuring Clinical Productivity
This article uses data from the multicenter University of Pittsburgh Physicians Department of Anesthesiology to demonstrate factors influencing productivity opportunity by surgical facility, between department divisions and subspecialties within multispecialty divisions, and by individuals within divisions. The complexities of benchmarking anesthesiology productivity are demonstrated, and the potential value of creating a productivity profile for facilities and groups is illustrated. (Source: Anesthesiology Clinics)
Source: Anesthesiology Clinics - April 10, 2018 Category: Anesthesiology Source Type: research

Bundled Payments and Hidden Costs
Publication date: Available online 9 April 2018 Source:Anesthesiology Clinics Author(s): Stanley W. Stead, Sharon K. MerrickTeaser In a fee-for-service environment, anesthesiologists are paid for the volume of services billed, with little relation to the cost of delivering the services. In bundled payments, anesthesiologists are paid a set fee for an episode of care inclusive of all the anesthesia, pain medicine, and related services for the surgical episode and a period of time after the initial procedure to cover complications and redo procedures. When calculating a bundled payment, all the services typically used by a ...
Source: Anesthesiology Clinics - April 10, 2018 Category: Anesthesiology Source Type: research

Challenges in Outcome Reporting
Publication date: Available online 9 April 2018 Source:Anesthesiology Clinics Author(s): Avery TungTeaser Although measuring outcomes is an integral part of medical quality improvement, large-scale outcome reporting efforts face several challenges. Among these are difficulties in establishing consensus definitions for outcome measurement; classifying gray outcomes, such as postoperative respiratory failure; and adequately adjusting for patient comorbidities and severity of illness. Unintended consequences of outcome reporting can also distort care in undesirable ways, and clinician reluctance to care for high-risk patient...
Source: Anesthesiology Clinics - April 10, 2018 Category: Anesthesiology Source Type: research

Perioperative Surgical Home for the Patient with Chronic Pain
Publication date: Available online 9 April 2018 Source:Anesthesiology Clinics Author(s): Talal W. Khan, Smith ManionTeaser The management of acute pain for the phenotypically different patient who suffers from chronic pain is challenging. The care of these patients is expensive and siloed. The physician-led, multidisciplinary, patient-centric, care coordination framework of the perioperative surgical home is an optimal vehicle for the management of these patients. The engagement of physician anesthesiologists in the optimization, in-hospital management, and postdischarge care of the patient with chronic pain will lead to ...
Source: Anesthesiology Clinics - April 10, 2018 Category: Anesthesiology Source Type: research

Anesthesiology ’s Future with Specialists in Population Health
Publication date: Available online 9 April 2018 Source:Anesthesiology Clinics Author(s): Mike SchweitzerTeaser In population health medicine, often it is not primary care, but rather the specialists’ care teams that are responsible for the most overall spending for health care. Engaging specialists in population health medicine is a prerequisite to be successful in improving the quality of care by reducing complications, unnecessary utilization, avoidable Emergency Department visits/readmissions, and total cost of care. Creating patient-centric, physician-lead, interdisciplinary care teams to redesign the delivery o...
Source: Anesthesiology Clinics - April 10, 2018 Category: Anesthesiology Source Type: research

Integrating Academic and Private Practices
Publication date: Available online 9 April 2018 Source:Anesthesiology Clinics Author(s): Aviva Regev, Aman MahajanTeaser As health care reform shifts toward value over volume, academic medical centers, known for highly specialized, high-cost care, will suffer from erosion of their traditional funding sources. Academic medical centers have undertaken mergers and partnerships with community medical centers, to maintain a more diversified, cost-effective, and competitive presence in their markets. These consolidations have seen varying results. Cultural factors are frequently cited as a cause of dysfunction and disintegratio...
Source: Anesthesiology Clinics - April 10, 2018 Category: Anesthesiology Source Type: research

Practice Management: Successfully Guiding Your Group into the Future
Publication date: Available online 7 April 2018 Source:Anesthesiology Clinics Author(s): Lee A. Fleisher (Source: Anesthesiology Clinics)
Source: Anesthesiology Clinics - April 8, 2018 Category: Anesthesiology Source Type: research

Comprehensive Acute Pain Management in the Perioperative Surgical Home
Publication date: Available online 7 April 2018 Source:Anesthesiology Clinics Author(s): John-Paul J. Pozek, Martin De Ruyter, Talal W. KhanTeaser The careful coordination of care throughout the perioperative continuum offered by the perioperative surgical home (PSH) is important in the treatment of postoperative pain. Physician anesthesiologists have expertise in acute pain management, pharmacology, and regional and neuraxial anesthetic techniques, making them ideal leaders for managing perioperative analgesia within the PSH. Severe postoperative pain is one of many patient- and surgery-specific factors in the developmen...
Source: Anesthesiology Clinics - April 7, 2018 Category: Anesthesiology Source Type: research

Quality and the Health System
Publication date: Available online 7 April 2018 Source:Anesthesiology Clinics Author(s): Monaliza Gaw, Frank Rosina, Thomas DillerTeaser Since the publication of “To Err is Human” in 1999, substantial efforts have been made within the health care industry to improve quality and patient safety. Although improvements have been made, recent estimates continue to indicate the need for a marked change in approach. In this article, the authors discuss the concepts and characteristics of high reliability organizations, safety culture, and clinical microsystems. The health care delivery system must move beyond current...
Source: Anesthesiology Clinics - April 7, 2018 Category: Anesthesiology Source Type: research

Managing Your Anesthesiology Practice for the Future
Publication date: Available online 9 March 2018 Source:Anesthesiology Clinics Author(s): Amr E. Abouleish, Stanley W. Stead (Source: Anesthesiology Clinics)
Source: Anesthesiology Clinics - March 10, 2018 Category: Anesthesiology Source Type: research

Diffusing Innovation and Best Practice in Health Care
Publication date: March 2018 Source:Anesthesiology Clinics, Volume 36, Issue 1 Author(s): Philip E. Greilich, Mary Eleanor Phelps, William DanielTeaser Diffusing innovation and best practices in healthcare are among the most challenging aspects of advancing patient safety and quality improvement. Recommendations from the Baldrige Foundation, Institute for Healthcare Improvement, and The Joint Commission provide guidance on the principles for successful diffusion. Perioperative leaders are encouraged to applying these principles to high priority areas such as handovers, enhanced recovery and patient blood management. Compl...
Source: Anesthesiology Clinics - March 2, 2018 Category: Anesthesiology Source Type: research

Developing Capacity to Do Improvement Science Work
Publication date: March 2018 Source:Anesthesiology Clinics, Volume 36, Issue 1 Author(s): Irene McGhee, Yehoshua GleicherTeaser Developing capacity to do improvement science starts with prioritizing quality improvement training in all health professions curricula so that a common knowledge base and understanding are created. Educational programs should include opportunities for colearning with patients, health professionals, and leaders. In this way, knowledge translation (also called implementation) is more effective and better coordinated when applied across organizations. Key factors that enable and drive behavior chan...
Source: Anesthesiology Clinics - March 2, 2018 Category: Anesthesiology Source Type: research

Rethinking Clinical Workflow
Publication date: March 2018 Source:Anesthesiology Clinics, Volume 36, Issue 1 Author(s): Joseph J. Schlesinger, Kendall Burdick, Sarah Baum, Melissa Bellomy, Dorothee Mueller, Alistair MacDonald, Alex Chern, Kristin Chrouser, Christie BurgerTeaser The concept of clinical workflow borrows from management and leadership principles outside of medicine. The only way to rethink clinical workflow is to understand the neuroscience principles that underlie attention and vigilance. With any implementation to improve practice, there are human factors that can promote or impede progress. Modulating the environment and working as a ...
Source: Anesthesiology Clinics - March 2, 2018 Category: Anesthesiology Source Type: research

Handovers in Perioperative Care
Publication date: March 2018 Source:Anesthesiology Clinics, Volume 36, Issue 1 Author(s): Atilio Barbeito, Aalok V. Agarwala, Amanda LorincTeaser Handovers around the time of surgery are common, yet complex and error prone. Interventions aimed at improving handovers have shown increased provider satisfaction and teamwork, improved efficiency, and improved communication and have been shown to reduce errors and improve clinical outcomes in some studies. Common recommendations in the literature include a standardized institutional process that allows flexibility among different units and settings, the completion of urgent ta...
Source: Anesthesiology Clinics - March 2, 2018 Category: Anesthesiology Source Type: research

Developing Multicenter Registries to Advance Quality Science
Publication date: March 2018 Source:Anesthesiology Clinics, Volume 36, Issue 1 Author(s): Laura E. Schleelein, Kathleen A. Harris, Elizabeth M. ElliottTeaser There are several benefits to clinical registries as an information repository tool, ultimately lending itself to the acquisition of new knowledge. Registries have the unique advantage of garnering much data quickly and are, therefore, especially helpful for niche populations or low-prevalence diseases. They can be used to inform on the ideal structure, process, or outcome involving an identified population. The data can be used in many ways, for example, as an obser...
Source: Anesthesiology Clinics - March 2, 2018 Category: Anesthesiology Source Type: research