Objectives

Upon completion of this continuing medical education activity, participants should be able to:

  1. Identify ways to enhance anesthesiology practice sustainability, efficiency, and professional satisfaction while improving delivery of care
  2. Outline mechanisms to shift anesthesia practice upstream from reactive care to proactive management including screening, early treatment and prevention
  3. Discuss the impact of recent regulatory and legislative changes in anesthesiology practices
  4. Describe how the Perioperative Surgical Home model improves the patient experience, makes surgical care safer, and lowers institutional costs
  5. Provide a multimodal approach to optimal pain management and perioperative anesthetic care that is aimed at accelerated functional recovery
  6. Establish an agenda for individualizing care in the surgical patient by refining treatment selection to enhance therapeutic responsiveness
  7. Construct a culture of patient safety with an emphasis on cost reduction, value-based care, and outcomes measurement and reporting

Anesthesiology at the Helm
Presenter: Asa Lockhart, M.D., M.B.A.

  1. Discuss the impact of recent regulatory and legislative changes in anesthesiology practices 
  2. Recognize the weaknesses and deficiencies of the traditional model of surgical care
  3. Define the full scope and major operational elements of a prototypic comprehensive Perioperative Surgical Home model
  4. Explain how a PSH model of care may improve quality of patient care while reducing costs and increasing patient and provider satisfaction
  5. Summarize how anesthesiologist-led perioperative care coordination can expand the scope of anesthesiologist

Keeping Afloat in the Alphabet Soup
Presenter: Jerry Stonemetz, M.D.

  1. Understand the impact of SGR repeal and QCDR requirements
  2. Define benchmarking and identify specific benchmarking strategies related to operations, productivity and quality
  3. Use of metrics for ensuring quality perioperative care: NACOR, QCDR and PQRS reporting

Sustainability in Medicine and Anesthesia
Presenter: Lauren Berkow, M.D.

  1. Discuss how sustainability and medicine are connected
  2. Describe how sustainability impacts physicians and patients
  3. Identify barriers to physician engagement in sustainable healthcare
  4. Implement innovative strategies to “green” the OR
  5. Recognize the economic sense in sustainability

Clinical Practice and Medical Malpractice: Strategies to Reduce Liability
Presenter: Karen Domino, M.D., M.P.H.

  1. Describe the impact of commuication on patrient safety and liability risk
  2. List the elements of informed consent and compare with shared decision making
  3. Describe the impact of documentation including electronic health records and liability risk
  4. Identify standard responses after an unexpected adverse patient outcome to reduce liability risk, such as apology and early settlements
  5. Explain the impact of clinical practice guidelines and pathways on liability risk

Anesthesia Practice Relationships . . . What You Don’t Know Can Hurt You!
Presenter: Judith Semo, J.D., Esq.

  1. Identify strategies to address common challenges in contracting with health care organizations 
  2. Review documentation essentials & discuss additional risk mitigation tactics 
  3. Examine legal issues & risks with new care models 
  4. Including health care reform and new risk areas 
  5. Assess practice relationships and risk areas 

Eras, Updates and Research 
Presenter: Christopher L. Wu, M.D.

  1. Apply the basic principles of procedure-specific prehabilitation and nutritional supplementation
  2. Identify the procedure-specific components of functional recovery from surgery and other invasive procedures
  3. Provide intraoperative anesthetic management that is aimed at accelerated functional recovery
  4. Continuously assess and modify clinical practice through the use of clinical patient registries
  5. Evaluate an evidenced based approach to management
  6. Provide a multimodal approach to optimal pain management
  7. Review the process for developing and implementing an enhanced recovery protocol and discuss the challenges and methods by which protocols are updated for new, emerging clinical data

Precision Medicine for the Perioperative and Critically Ill Patient
Presenter: Robert Stevens, M.D.

  1. Identify biological heterogeneity as a central paradigm to support disease classification, accurately predict and track recovery, and refine treatment selection to enhance therapeutic responsiveness
  2. Use methods derived from systems biology and network science to understand perioperative and critical illness phenotypes and outcomes
  3. Establish an agenda for stratifying and individualizing care in the surgical and critically ill patient
  4. Understand which changes in the healthcare infrastructure are required for the adoption of personalized medicine
  5. Outline mechanisms to shift anesthesia practice upstream from reactive care to proactive management including screening, early treatment and prevention

Monetizing the Perioperative Surgical Home
Presenter: Marc Leib, MD, J.D.

  1. Identify methods to monetize a Perioperative Surgical Home
  2. Choose appropriate metrics to measure success at adopting monetization processes
  3. Discuss the potential limitations of hospital protocols during an emergency situation
  4. Working with state entities
  5. Describe future models of payment

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