29H—How Scaling a Perioperative Surgical Home Improved Surgeon Engagement and Saved One Hospital up to $12 Million in Just One Year

Monday, March 28th

About the Session

At New Hanover Regional Medical Center (NHRMC), a not-for-profit, 850-bed teaching hospital, regional referral center and Level 2 Trauma Center serving southeastern North Carolina and northeastern South Carolina, a new Perioperative Surgical Home (PSH) program piloted in orthopedics saved the hospital $4 million in its first year, while enhanced efficiencies and improved outcomes during the pilot period provided 2,588 additional patient bed days.

The ability to monetize the PSH efforts through a fair market valuation, which benefited all the hospital’s stakeholders, enabled scaling the PSH to encompass 16 service lines, producing an ROI of up to $12 million. In this presentation, Dr. Shakar and Mr. Boyd will share in case-study format how to effectively create change management to develop and scale PSH.

This program, presented in case study format will: review the clinical value and fiscal success achieved by developing standard methodologies in the PSH model; discuss PSH strategies for net cost reduction that enhance OR efficiencies and patient and surgeon satisfaction; and demonstrate how PSH standard protocols reduced length of stay and readmissions, improved clinical outcomes, and enhanced patient experience). Attendees will also discuss how to identify the roles, processes, and benefits at preoperative, intraoperative, postoperative and long-term Recovery stages within a coordinated system of perioperative care; demonstrate how the PSH aligns with the patient-centered medical home to contribute to population health metrics; discuss how standardization and coordinated perioperative care improves the cost of each encounter, enabling organizations to optimize bundled payment models and maximize the value-based care environment; describe the co-management structure and associated benefits for surgeons, anesthesia and hospital alignment; how third-party fair market valuation metrics support a successful Hospital Quality Efficiency Program (HQEP); and illustrate how to effectively scale PSH methodology to multiple service lines.

Learning Objectives:

  • Explore the inherent value and process associated with the PSH model, evidence-based protocols to improve surgical outcomes, and methods to scale a successful program.
  • Identify areas of cost savings in a surgical episode, how a PSH monetizes better clinical and operational outcomes and how the PSH model enhances relationships.


Presented By

Rob Shakar, MD, FASA

Corporate Medical Director
North American Partners in Anesthesia

Grant Rush

Vice President, Cardiovascular and Surgical Services, Novant Health Costal Market
New Hanover Regional Medical Center