title: Electronic Care Coordination From the Preoperative Clinic.
abstract: Fragmented and variable perioperative care exposes patients to unnecessary risks and handoff errors. The perioperative surgical home aims to optimize quality, value-based care. We performed a retrospective evaluation of how a preoperative assessment center could coordinate care through e-mails sent to a patient's healthcare team that initiate discussion on critical clinical information. During 100 clinic days on which 8122 patients were evaluated, 606 triggered e-mails, with a potential impact on 19 elements across the perioperative care spectrum. Four cases were canceled, and 42 cases were rescheduled. By fostering information exchange, these communications could advance patient-centered, value-enhanced quality and safety outcomes.
authors.affiliation: From the Department of Anesthesiology, Perioperative, and Pain Medicine, Brigham and Women's Hospital, Boston, Massachusetts.
authors.forename: Vinca W
authors.initials: VW
authors.lastname: Chow
authors.forename: David L
authors.initials: DL
authors.lastname: Hepner
authors.forename: Angela M
authors.initials: AM
authors.lastname: Bader
mesh_terms: D000368:Aged; D000758:Anesthesia / Q000009:adverse effects; D003299:Cooperative Behavior; D019033:Delivery of Health Care, Integrated / Q000458:organization & administration*; D034742:Electronic Mail / Q000458:organization & administration*; D005260:Female; D006801:Humans; D033183:Interdisciplinary Communication; D008297:Male; D010044:Outpatient Clinics, Hospital / Q000458:organization & administration*; D010348:Patient Care Team / Q000458:organization & administration*; D018802:Patient-Centered Care / Q000458:organization & administration*; D011300:Preoperative Care; D012189:Retrospective Studies; D018570:Risk Assessment; D012307:Risk Factors; D000068436:Surgical Clearance; D013514:Surgical Procedures, Operative / Q000009:adverse effects