Thomas R. Vetter, MD, MPHVetter is a nationally recognized expert on perioperative medicine and value-based healthcare. While at UAB, Vetter lead the development of a pioneering Perioperative Surgical Home. Vetter is currently Deputy Editor-in-Chief of the preeminent journal, Anesthesia & Analgesia. He has published extensively in outcomes research and topics such as comparative effectiveness.
Steven Schulman, MD, MHASteven Schulman is an authority and a national speaker on value based protocols including Enhanced Recovery After Surgery (ERAS) and the Perioperative Surgical Home (PSH). Under his leadership, his team has demonstrated the ability of these initiatives to significantly lower length of stay, readmissions, post-operative ventilation as well as blood and skilled nursing facility utilization.
Zeev N. Kain, MD, MBAKain is a thought leader in Orthopedic Value based care and an international expert on Perioperative Surgical Home and enhanced recovery. He is also a national leader in perioperative digital health. He previously served as Chair of Anesthesiology and Associate Dean of Clinical Operations Officer in UC Irvine Health.
Erin Hennessey, MDDr. Hennessey’s Clinical areas of study include early mobility and delirium management of critically ill patients as well as patient-family interaction in the ICU. She currently serves as the Program Director of the Anesthesia Critical Care Medicine Fellowship and as the Rotation Director for the Critical Care Core Clerkship at Stanford School of Medicine. Her medical education interests include simulation, flipped-classroom models, quality-improvement training for trainees, methods of assessment, and patient-doctor communication skills.
Paul Grant, MDDr. Grant received his medical degree from Ross University School of Medicine and proceeded to obtain his Residency from Norwalk Hospital in Connecticut. Dr. Grant is an international expert in hospital medicine, perioperative medicine, venous thrombolytic diseases.
William Peruzzi, MDPrior to joining the Henry Ford Health System, Dr. Peruzzi served as Chief Medical Officer for the Alameda Health System in Oakland California; Vice Chief Medical Officer for the University of Miami Hospital; Executive Medical Director & Service Line Executive for Critical Care Services at the University of Miami , Health System; and Professor & Chief of Critical Care Medicine at the University of Miami Miller School of Medicine.
Chris Steel, MDDr. Chris Steel is a Board Certified anesthesiologist practicing medicine in Arkansas. Dr. Steel received his medical degree from American University of the Caribbean School of Medicine. He completed his Residency at Penn State University. Dr. Steel is the Director of Anesthesiology at White River Health System in Arkansas.
Michael Englesbe, MDDr. Englesbe obtained his medical degree in 1997 from the RWJ Medical School and completed his general surgery residency at the University of Michigan Health System. Dr. Englesbe completed a two year fellowship in multi-organ transplant surgery. His research and policy interests include peri-operative optimization of patients for major surgery. He has funding from several sources for this work.
Hugo Quinny Cheng, MDDr. Cheng’s main clinical interest is the medical care of surgical patients, including preoperative medical evaluation and the prevention and management of postoperative medical complications. He directs the Medicine Consultation Service at UCSF Medical Center, which performs these functions in a traditional consultation role. This service also coordinates care with consultants, physician extenders, and ancillary services.
Time
Schedule
Enhanced Recovery – Goal Directed Therapy – Perioperative Surgical Home
Step I: Make the Case for ER-PSH & Create the Vision
Thomas Vetter, MD
Making the case for PSH to anesthesiologists, hospitalists, surgeons and C-Suite
Chris Steel, MD
Creating the right business plan and a positive ROI
Steven Schulman, MD
Staffing and resource needs and investment requirements
QA
Break & Visit Exhibit Hall
Step II: Feasibility Analysis and ROI
Steven Schulman, MD
Choosing the right team and the right initial project
Thomas Vetter, MD
Running a meeting and exploring process improvement
Zeev N. Kain, MD
Gaining access to data and fundamentals of Information Technology
QA
Lunch & Visit Exhibit Hall
Step III: Execution
Thomas Vetter, MD
Building a PSH project management plan
Chris Steel, MD
Choosing the right metrics and building dashboards
Zeev N. Kain, MD
Identifying barriers between best practice and possible: SIPOC, Process Maps
QA
Break & Visit Exhibit Hall
Steps III & IV: Execution, Hard Wiring and Scaling Up
Thomas Vetter, MD
Building clinical pathways and order sets
Zeev N. Kain, MD
Putting it all together and launching your PSH pilot
Zeev N. Kain, MD
Incorporating disruptive technology and digital health to PSH
QA
Time
Schedule
Enhanced Recovery – Goal Directed Therapy – Perioperative Surgical Home
Step I: Preoperative Clearance vs. Preoperative Optimization
Paul Grant, MD
Fundamentals of risk stratification
Michael Englesbe, MD
What is prehabilitation?
Erin Hennessey, MD
Basics of preoperative optimization (DM, OSA, delirium/POCD, anemia)
QA
Break & Visit Exhibit Hall
Step II: Intraoperative Management
William Peruzzi, MD
ERAS and goal-directed therapy
Erin Hennessey, MD
Perioperative CAD and arrhythmias, perioperative pacemaker/ICD clinic/service
Paul Grant, MD
Perioperative Management of Anticoagulants
QA
Lunch & Visit Exhibit Hall
Steps III: Postoperative Management
William Peruzzi, MD
DVT/PTE: Prevention, diagnosis and treatment
Hugo Q. Cheng, MD
Acute postoperative neurologic deterioration
William Peruzzi, MD
Fall prevention, PT/OT strategies, safe early ambulation
Hugo Q. Cheng, MD
Postoperative AKI and post-op Hypoxemia resp distress
Paul Grant, MD
Postoperative fever, hospital acquired infections and sepsis (VAP, CLABSI, CAUTI)
QA
Break & Visit Exhibit Hall
Step IV: Transition of Care
Erin Hennessey, MD
Early nutrition and early mobilization: why they’re important
Michael Englesbe, MD
Failure to rescue and optimal discharge disposition
