Surviving medical payment reform with value: The spinal fusion surgical home

Drs. Oetgen and Thomson discuss the value of pediatric orthopedic surgical, value based payments and enhanced recovery at this Grand Rounds session.

Surviving Medical Payment Reform with Value: The Spinal Fusion Surgical Home

The potential for medical payment reform is serving as a driver for quality improvement work. An innovative care model has developed in surgical care—The Perioperative Surgical Home (PSH). The PSH is a patient-centric, team-based approach to improve surgical care by reducing variation and enhancing recovering with evidence-based practice.

Here at Children’s National, we created the Spinal Fusion Surgical Home for patients with Idiopathic Adolescent Scoliosis undergoing posterior spinal fusion; one of the first pediatric surgical homes. We will present the implementation process and initial clinical and financial results as a pilot for advancing value based surgical care and discuss future development of the model at Children’s National.

Learning Objectives:
Attendees of this session will be able to:

1. Summarize the Surgical Home Model and how it compares to the pediatric medical home
2. Explain how an enhanced recovery pathway can improve patient outcomes and the value of pediatric orthopedic surgical care
3. Discuss the transition to value based payments as a driver for quality improvement work