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Curr Opin Anaesthesiol · Apr 2021
ReviewEnhanced Recovery After Surgery, Lean, and claims-based quality databases: how does it all make sense?
- Pranav R Shah, Stefan Leichtle, and Paula Spencer.
- Department of Anesthesiology, Virginia Commonwealth University.
- Curr Opin Anaesthesiol. 2021 Apr 1; 34 (2): 161167161-167.
Purpose Of ReviewHealthcare 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 FindingsLean 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.SummaryUnderstanding 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.Copyright © 2021 Wolters Kluwer Health, Inc. All rights reserved.
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