PSH Care Coordination

Activity ID

IA_CC_15

Activity Weighting

Medium

Subcategory Name

Care Coordination

Activity Description

Participation in a Perioperative Surgical Home (PSH) that provides a patient-centered, physicianled, interdisciplinary, and team-based system of coordinated patient care, which coordinates care from pre-procedure assessment through the acute care episode, recovery, and post-acute care. This activity allows for reporting of strategies and processes related to care coordination of patients receiving surgical or procedural care within a PSH. The clinician must perform one or more of the following care coordination activities:

• Coordinate with care managers/navigators in preoperative clinic to plan and implementation comprehensive post discharge plan of care;

• Deploy perioperative clinic and care processes to reduce post-operative visits to emergency rooms;

• Implement evidence-informed practices and standardize care across the entire spectrum of surgical patients; or

• Implement processes to ensure effective communications and education of patients’ postdischarge instructions.

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