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The BIDMC Perioperative Surgical Home

The Perioperative Surgical Home (PSH) is a multidisciplinary, collaborative, and patient-centered model of care for surgical patients. The PSH assumes care of the patient from the time a surgical diagnosis is recognized through the entire perioperative period until discharge and beyond.

The key elements of the PSH:

1. Patient centered care: The PSH welcomes the patient and caregivers from the very moment the need for surgery is recognized and focuses on positive outcomes and high patient satisfaction.

2. Communication: is continuous and interdisciplinary.

3. Cost effective care: is achieved through cost containment and improved efficiency. This includes using standardized pathways, reducing unnecessary testing, early identification of high-risk patients, and implementing focused coordinated interventions to reduce complications, length of stay, and readmissions.

4. High quality surgical innovation: The PSH provides support to the perioperative team so providers can focus and excel at providing superior care.

5. Multidisciplinary: A holistic, proactive approach ensures coordinated care from physicians, social workers, physical therapists and other medical professionals.

6. Infrastructure support: The surgical home model engages employees at all levels – from the behind-the-scenes administrative staff through to the front line clinical staff in the operating rooms and at the bedside.

Why a Surgical Home?

Surgical care is frequently episodic and siloed; yet it often represents a lengthy and confusing journey for a patient – through diagnosis, surgery and rehabilitation. The PSH provides a patient-centric experience emphasizing continuity of care and communication – two essential features that are frequently lacking in today’s health care environment.


BIDMC – with its high functioning perioperative services and motivated leadership – is uniquely positioned to establish a PSH that can be shared and replicated across the network. The PSH model of care embraces our Human First principles: We never forget that before you’re a patient, you’re a person.”

PSH Flow Chart

Contact Information

Department of Anesthesia, Critical Care and Pain Medicine
Beth Israel Deaconess Medical Center
330 Brookline Avenue
Boston, MA 02215
P: 617-667-3112
F: 617-667-7849