Perioperative Surgical Home

What You Should Know

• The PSH model promotes adoption of the Enhanced Recovery After Surgery (ERAS) protocols.
• The PSH model of care encompasses all aspects of a procedure — from the decision for surgery, during surgery and through recovery.
• All practice sizes and service lines are eligible to implement a PSH.
• The goals of the PSH model are aligned with the goals of value-based models in both the public and private sectors, including the alternative payment models promoted under MACRA.

What ASA Is Doing

• ASA is in continuous communication with the Centers for Medicare and Medicaid Services (CMS) officials to advance the PSH model. Based on these discussions and understanding of regulatory, ASA leaders determined there is more than one pathway for the PSH within MACRA’s Quality Payment Program (QPP): PSH as an Improvement Activity (IA) for MIPS reporting or integrating PSH care improvements into an Alternative Payment Model (APM).
• ASA proposed two sets of PSH activities as Improvement Activities for credit under MIPS, which were accepted by CMS for CY2018 MIPS reporting.
• ASA monitors the Physician-Focused Payment Model Technical Advisory Committee (PTAC) and APM development.
• ASA created a complimentary, online education series, “Cases from the PSH: A Journey to Improve Quality and Patient Safety” to showcase numerous Perioperative Surgical Home implementation case studies.