As health care reform continues to gain momentum nationwide, providers across the continuum of care are facing increasing pressure to demonstrate that they deliver value-based care – namely cost-effective, high quality care and exceptional patient experiences. With this in mind, in 2014 the American Society of Anesthesiologists (ASA) partnered with Premier, Inc., a leading health care improvement company, to establish a national learning collaborative to develop, pilot and evaluate the Perioperative Surgical Home (PSH) model – a patient-centric, team-based system of coordinated care that guides patients through the entire surgical experience, from the decision to undergo surgery to discharge and beyond.
Participants of the PSH Learning Collaborative have saved up to $10,000 per patient and have shown a return on investment (ROI) by reducing length of stay (LOS), improving quality metrics and patient satisfaction, reducing hospital acquired conditions (HACs) and episode of care costs, and improving MIPS performance, all while fostering deeper collaboration between specialists and hospitals.
Plus, CMS has included both ASA’s PSH Improvement Activities (IA) under the 2018 Merit-based Incentive Payment Systems (MIPS). Acceptance of the model by CMS in the 2018 MIPS Improvement Activities will automatically allow physicians participating in a PSH pilot the ability to earn credit in the Improvement Activity category, one of four categories physicians can show they provided high quality, efficient care.
ASA’s PSH initiative is supported by:
The PSH Learning Collaborative 2020 launched May 1, 2018 and will run until 2020. The collaborative brings together subject matter experts and leading organizations from across the country to learn from each other about how to achieve the quadruple aim; gratify providers, improve population health, reduce care costs and satisfy patients. The collaborative assists facilities in PSH pilot implementation, optimization and expansion into new service lines or system-wide conversion.
Participants are provided PSH implementation toolkits, pathways, protocols, and templates that have been successfully implemented by other PSH participants, along with educational sessions and strategies on how to monetize the PSH model. Participants also gain access to dedicated staff to assist their institution in creating focused SMART & stretch goals, and coaching to achieve their goals.
Here is what current PSH Learning Collaborative 2020 participants are saying
“PSH and reimbursement based on quality are the future of medicine, and anesthesiology. The PSH Learning Collaborative will help our specialty stay engaged and relevant in the coming years.”
“The PSH Learning Collaborative is an essential kickoff to our PSH initiative at our hospital. It is helpful to hear successes and failures, trails and benefits from all corners. It is worth every minute.”
“You can’t find this information anywhere else.”
The PSH Learning Collaborative 2.0, which ran from 2016–2018, included 57 participating organizations and provided insight about PSH strategies that are compatible with alternative payment models such as the Bundled Payments for Care Improvement (BPCI), Comprehensive Care for Joint Replacement (CJR), the Medicare Shared Savings Program (MSSP) and Accountable Care Organizations (ACOs). The second collaborative will complete its work in March 2018. Some sample outcomes from the PSH Learning Collaborative 2.0 include:
The first PSH Learning Collaborative, which ran 2014–2016, brought together 44 leading health care organizations from across the country to define the model, pilot the model, institute iterative improvement, collect data and assess whether the model proves superior to conventional perioperative care. Through active collaboration and shared learning, the founding members of the collaborative demonstrated that the PSH is an innovative model of care with the potential to drive meaningful and lasting change in perioperative costs, outcomes and experience for patients nationwide. The first learning collaborative completed its work in November 2015.
