A Piece of the Pie in Perioperative Medicine-Session Recording

Video Transcription

Video Summary

The lecture focuses on the role of physical medicine and rehabilitation (PM&R) in perioperative medicine, highlighting how physiatrists can optimize patient outcomes during the surgical process. Dr. John Aum, Chairman at West Virginia University, emphasizes the potential for PM&R to impact national healthcare systems by improving surgical throughput and bundled care from a reimbursement standpoint. He explains perioperative medicine as comprehensive care encompassing preoperative, intraoperative, and postoperative phases, geared towards maximizing patient outcomes through a collaborative, multidisciplinary approach. Dr. Aum stresses the importance of preoperative care, which involves evaluating and optimizing patients' health, acknowledging functional limitations, and planning post-acute needs well in advance.<br /><br />Additionally, anesthesiologist Dr. Christopher Steele elaborates on the evolving landscape of perioperative care, including the increasing significance of bundled payment models like the CMS Teams initiative. He discusses different types of preoperative evaluations—ranging from day-of-surgery checks to more comprehensive perioperative health clinics—and encourages physiatric involvement to enhance care coordination. Stressing a multidisciplinary approach, both speakers argue for the necessity of breaking down silos in patient management to reduce complications and hospital readmittance, ultimately leading to enhanced patient recovery and satisfaction.<br /><br />They highlight barriers to implementing these methods, such as financial constraints and cultural resistance, while advocating for physiatric leadership in perioperative clinic governance. The lecture underscores the promising role of perioperative medicine in improving healthcare delivery and patient quality of life, urging physiatrists to collaborate with healthcare teams to fulfill this potential.

Keywords

physical medicine

rehabilitation

perioperative medicine

patient outcomes

surgical process

healthcare systems

bundled care

preoperative care

multidisciplinary approach

care coordination

patient recovery