Is perioperative home the future of surgical patient care?

Perioperative home (PH) or perioperative surgical home (PSH) is a patient centered medical service or primary care provider aimed at share decision-making and seamless continuity of care for the surgical patient.The goal is to improve operational efficiency, decrease resource utilization, reduce length of hospital/intensive care unit (ICU) stay and readmission, and to decrease complication and mortality rates.PH is an innovative model of delivering health care during the entire patient surgical/procedural experience.This model is centered around patient from the time of the decision for surgery till the patients have recovered and returned to the care of themselves.It is estimated that the US health care expenses would account for 19.3% of the United States gross domestic product (GDP) by 2019 [1] , perioperative expense accounts for an estimated 52% of hospital admission charges in the United States [2] .Most often the perioperative care is fragmented.So the central elements of current and likely any future health care reform will be value-based purchasing of health care and link medical quality and the payment via "pay forperformance" and "value-based purchasing" models [3] .