#83. Reengineering Pediatric Perioperative Care for Optimal Outcomes

Oct 5, 2021

This conversation with Marjorie Gloff, MD and Renee Robinson, DNP, APRN makes me convinced that the expression "Preparation is half the battle won" must have been coined with the idea of perioperative medicine and perioperative surgical home (PSH) in mind!

 They are the co-directors of the Center for Perioperative Medicine and Medicine in the Department of Anesthesiology and Perioperative Medicine at the University of Rochester School of Medicine and Dentistry. In this episode, they share how to desilo the care of pediatric patients especially around the perioperative period, how an informal conversation triggered a grassroots level effort which subsequently resulted in a well-organized multidisciplinary team that provides comprehensive, coordinated and team based care for children in need of surgical procedures, developed a comprehensive screening tool or the PSH.

They also share the steps involved in the development of periop medicine and PSH programs that employs a biopsychosocial model to optimize systems and individualized best practices in the care of a complex child with multiple and/or complex needs.

Takeaways In This Episode

• What perioperative medicine entails and how it fits into their roles
• Healthcare professionals that form their perioperative surgical home-based team
• The minimum elements of perioperative surgical home that can be incorporated by anyone in any setting to provide optimal perioperative outcomes
• Components of a perioperative surgical home
• Objective criteria to determine if a child patient’s optimized health
• Diagnoses and procedures that lend themselves to this kind of care model
• How they determine what role each member of their team plays
• Elements  of their program and the steps they took to develop their program and educate their fellow peers
• Why should a PSH model be considered and the expenses related to such a program
• Standardization vs. individualized care in perioperative medicine
• Distinction between PSH, perioperative medicine and Enhanced Recovery after Surgery (ERAS) models. 

Links

Other Related Episode(s) -

Episode 58. ERAS - Enhanced Recovery (but not just)After Surgery

Clinicians’ Pain Evaluation Toolkit
Proactive Pain Solutions

Proactive Pain Solutions Physicians Academy

About the Guests

Marjorie S. Gloff, M.D.

Dr Gloff is an anesthesiologist currently practicing at the University of Rochester in Rochester, New York. Bearing a passion for pediatric perioperative medicine, she is the Director of the Center for Perioperative Medicine and the Associate Chair of Perioperative Medicine in the Department of Anesthesiology and Perioperative Medicine at the University of Rochester. She is also the Associate Chief Medical Officer for Patient Safety and Loss Prevention at the same university.
In 2004, She graduated with a Bachelor of Science in Cell and Developmental Biology at the University of Rochester and accomplished her Medical Degree in Medicine and Dentistry in 2008. She received her internship in anesthesiology at the University of Rochester Medical Center from 2008-2009 and went on to finish her residency at the same medical center from 2009-2012.

Renee Lynn Robinson, DNP, APRN

She has obtained a Doctorate of Nursing and is an advanced  practice Registered Nurse with a specialty in family health currently practicing at the University of Rochester in, Rochester New York. She is the Associate Director of the Center for Perioperative Medicine. She is the recipient of awards such as the Medical Center Board Excellence Award APP in 2019 from URMC and the Quality Recognition: Perioperative Services COVID Management in 2021.

She graduated from the University of Rochester School of Nursing in 1996 and became a licensed nurse practitioner in 2001. In 2020, she received her Doctorate in Nursing Practice.

She and Dr. Gloff share the same passion for pediatric perioperative medicine and for the past six years, the duo has been spearheading a new program dedicated to improving and optimizing the process of pediatric care.