Question

Describe one innovative health care delivery model that incorporates an interdisciplinary care delivery team. Explain how this model is advantageous to patient outcomes.

Answer 1

HEALTH CARE DELIVERY MODELS

The health care system is a complex process in the U.S. Healthcare delivery models are conceptual models to desx=cribe how care delivery works. It divides the health care system into small groups and subgroups and highlights the flow of care through them.

TYPES

There are various types of health care delivery models:

• Health manintenance organizations
• Preferred provider organisation
• Point of service
• Exclusive provider
• Private fee for service
• Special needs plan
• Accountable care organisations
• Capitation
• Global budget
• Patient-centered medical home
• Pay for performance
• Perioperative surgical home
• Mobile health clinics

PERIOPERATIVE SURGICAL HOME

The perioperative surgical home is an innovative healthcare delivery system. This model is patient centered and provides care to the patient through the entire phase of patient surgical experience. The comprehensive perioperative surgical home provides coordinated care through the help of the interdisciplinary team of care

PRINCIPLES

The basic principles of perioperative surgical home are:

• Patient centric
• Patient inclusion
• The patient takes part in decision making
• Led by physician
• Interdisciplinary team
• Evidence based care
• Coordinated care
• Safe and secure

ESSENTIAL KEYPOINTS OF PERIOPERATIVE SURGICAL HOME

• Perioperative surgical home was established as an organizing idea for enhanced recovery after surgery and perioperative medicine
• The primary goal of perioperative surgical home is to provide satisfaction to the client, improve the quality of the care provided during surgery and to reduce the cost burden on the clients
• Perioperative surgical home is evidence based that helps to achieve early post operative recovery
• The postoperative surgical homes seeks to integrate well coordinated care in the three main phases of care

1. Preoperative phase
2. Intraoperative phase
3. Postoperative phase

PREOPERATIVE PHASE

• A comprehensive evaluation and in depth study of the patient's health condition
• Identify communication and reduce the potential risk factors for the surgery
• Application of evidence based and a standardized approach for the clinical protocols for the further test and investigation
• Implementations of a comprehensive and individualised perioperative care
• Get informed consent from the client for the proposed surgery

INTRAOPERATIVE PHASE

• Enhancing the role of anaesthesiologist as managers in the operating room
• Application of integrated ambulatory and inpatient electronic health record system for communication
• Enhance patient centered care by calling the patient on time for the surgery and giving regional or neural blocks prior to surgry

POSTOPERATIVE PHASE

• The anesthesiologist and the intensivist function as the primary perioperative physical along with the nurse practitioner
• Provission of integrated post operative care
• Explain all the post operative measures and care thereby educing the anxietyof families
• Communicate and coordinate the post discharge plan for the client

ADVANTAGES

• This health care delivery is patient centric is gives the utmost priority to the client
• The client plays a very vital role in the decision making process for his own perioperative care
• Perioperative surgical home improves the clinical outcome of the surgery
• Perioperative surgical home improves the quality of care and also the quality of life of the patient
• Patient satisfaction
• Reduces the risk of postoperative complications for the patient
• The patient gets an indepth knowledge into post discharge care and can participate in the process
• Perioperative surgical home reduces the health care cost
• Perioperative surgical home model emphasizes the cost effective use of the available resources including the lead physician, interdisciplinary team and patient shared decision making

CONCLUSION

Perioperative surgical home is an innoa=vative model that should be established worldwide as a large number of researches and reviews states that it improves the quality of care provided to the atient and also meets the health demands of the clients