Podcast 3: Live from Boston ASA 2017 – Perioperative Medicine and the Perioperative Surgical Home – are we talking the same language?

Discussion about the challenge of delivering patient-centred, value-driven healthcare. Value based care is discussed, value for the patient is emphasised and discussion is had about how much people trust hospitals and doctors. The difference between the perception of healthcare institutions and practitioners in UK and the US is debated.  Perioperative medicine, perioperative surgical home, enhanced recovery after surgery (ERAS); the terms differ but are they all really the same thing? Does value based care mean we have to ask our patients what they value? Shared decision making and an awareness of where an individual's priorities lie is becoming an essential part of the picture now. How does this dovetail into the questions regarding multiple morbidities and pathological health concerns? Prehabilitation may mean modifiable risk factors brought on by lifestyle need to be addressed as part of patient optimisation. How does this work in a fee for service environment? The answers vary but if there's a significant saving for a hospital can it be funded by the institution itself? Professor Monty Mythen, Professor Mike Grocott and Dr Joff Lacey presenting with their guest Prof Zeev Kain, Chancellor's Professor of Anaesthesia at University of California at Irvine and President of the American College of Perioperative Medicine.