The PSH is an innovative model of care that considers the entire patient experience—from the decision for surgery until patient recovery. Get the support you need to implement your PSH Pilot by joining the PSH Learning Collaborative 2020.
Don't delay – Applications are due April 15th.
The Perioperative Surgical Home (PSH) is a patient-centric, team-based model of care that helps meet the demands of a rapidly changing health care landscape that will emphasize gratified providers, improved population health, reduced care costs and satisfied patients. The PSH initiative was created by leaders within the American Society of Anesthesiologists® (ASA®) who identified the need to transition health care from an emphasis on volume, to an emphasis on providing value.
A strong core feature of the PSH Model is the team. Team work is required for an effective PSH pilot. As such, the ASA has diligently worked to identify key stakeholders that would contribute to the success of implementing a PSH pilot in an institution. As of October 2017, the American Academy of Physical Medicine and Rehabilitation (AAPMR), the American Academy of Orthopedic Surgeons (AAOS) and the American Urological Association (AUA) have formally supported the PSH initiative.
The PSH Model has also been recognized by the Centers for Medicare &Medicaid Services (CMS). In November 2017, as part of the Medicare Quality Payment Program Final Rule for 2018. In that rule, CMS finalized the inclusion of a PSH Care Coordination Improvement Activity (IA) and a PSH Population Management Improvement Activity under the 2018 Merit-based Incentive Payment System (MIPS). In addition, the PSH Care Coordination Improvement Activity received the rare distinction of being eligible for the Advancing Care Information (ACI) bonus under the 2018 MIPS program.
PSH Learning Collaborative- Consultative Support for an Effective and Efficient PSH Pilot
Implementing the PSH model of care is a massive undertaking. As such, ASA partnered with Premier, Inc., a leading health care improvement company, to establish a national learning collaborative to develop, pilot and evaluate the PSH model. The PSH Learning Collaboratives bring together subject-matter experts and leading organizations from across the country to learn from each other.
The PSH Learning Collaborative 1.0 brought together 44 leading health care organizations to define the model, create a pilot, provide feedback, collect data and compare the outcomes to conventional perioperative care. The PSH Learning Collaborative 2.0 included 57 participating organizations and provided insight about PSH strategies that are compatible with alternative payment models, including 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 nearly 100 institutions and countless health care professionals that have implemented a PSH model, as part of the PSH Learning Collaborative, have enjoyed many successful outcomes including:
- A regional medical center saved $1.5 million in the first year.
- A pediatric institution reduced a 30-day readmission rate from 8.33 percent to 7.5 percent for laryngeal cleft patients and reduced the average cost of these patients by approximately 20 percent.
- An academic center saved an average of $10,000 per cystectomy case compared to pre-PSH cases and reduced length of stay for these cases from 10.5 days to approximately six days, creating space in the organization for open beds and additional new revenue.
- A major health system improved room turnover by approximately eight minutes, reduced length of stay for hip/knee arthroplasty cases from an average of 110 hours to 51 hours and has cut in half the readmission rate for hip/knee arthroplasty cases.
These outcomes are achieved by the myriad number of resources and tools that the PSH Learning Collaborative provides to its members. These resources include national face to face meetings, an online community, access to a clinical protocol repository, newsletters and tools on how to implement best practices. In addition to these resources, members are provided monthly educational webinars and member sharing webinars.
Opportunity to Participate in PSH Learning Collaborative 2020
The recruitment for the PSH Learning Collaborative 2020 will be ending shortly. This collaborative will begin May 1, 2018 and run for two years. The Collaborative will assist facilities in PSH pilot implementation, optimization and expansion into new service lines or system-wide conversion.
The upcoming collaborative will also help facilities overcome the challenges they face with making the change to value-based payment. Organizations will be guided through participating in mandatory and elective bundles and understand the impact the Medicare Access and CHIP Reauthorization Act (MACRA), Merit-based Incentive Payment System (MIPS) and Advanced Alternative Payment Models (APMs) will have on their organization. This effort is important because value-based payment is quickly being adopted by private payers—not only by public payers.
To meet the unique needs of organizations interested in health care redesign, institutions can choose from two participation options. The first, the Core Collaborative, is designed for organizations interested in learning more about the PSH model of care and those in the early stages of implementing a PSH pilot. The other, the Advanced Cohort, is designed for organizations that are looking to optimize or expand their PSH pilot. Advanced Cohort participants also can be part of the Bundled Payment Add-on option which allows them to assess their facility’s benefits and risks in participating in the various bundle payment programs. No matter in which learning track an organization participates, institutions that complete the program will have the confidence, tools and resources to begin the next phase of PSH pilot implementation.
To learn more about the PSH Learning Collaborative 2020 visit www.asahq.org/psh-learn.
On this website, you will find several resources including testimonials from past PSH Learning Collaborative participants, FAQs as well as a C-Suite Toolkit. This toolkit includes:
- Tips on how to talk to your c-suite
- A PSH LC 2020 executive overview ppt presentation that can be presented to your c-suite which includes many of the outcomes from individual members of the PSH LC 1.0 and 2.0
- Talking points on the PSH LC 2020
If you are interested in participating in the PSH Learning Collaborative 2020, do not delay. Applications are due April 15. The PSH Learning Collaborative Application is available here.
For more information on the PSH initiative or the PSH Learning Collaborative, please send an email to [email protected].