VA Palo Alto Health Care System
Perioperative Surgical Home, Department of Anesthesiology and Perioperative Care
The VA Palo Alto Health Care System Perioperative Care Service aims to provide "full-circle" preoperative-intraoperative-postoperative care for our surgical patients. We have nine anesthesiologists who are committed to following Veterans throughout their hospital stay to best optimize their care. The symbiosis between our preoperative evaluation clinic, the perioperative care service, the surgical services, our hospitalists, and our intensivists creates a ‘best practices’ environment for the “surgical home” at VA Palo Alto.
Every day a dedicated anesthesiologist visits all inpatients who underwent surgery and/or anesthesia the day prior and continues to follow those patients with unresolved medical issues as needed. We often interface with the patient's ongoing care team that includes surgeons, intensivists, and primary internists/subspecialists. Patients and their families have ample time to ask questions and have any unmet needs addressed. We pay special attention to anesthetic sequelae, the inpatient management of chronic medical conditions, and pain control in our patients.
As the leaders of the perioperative surgical home, our anesthesiologists are invested in the best outcomes for Veterans at every point in their perioperative journey. We are consistently examining our efforts, aiming for greater patient satisfaction, reductions in complications (such as postoperative nausea and vomiting, poor glycemic control, or surgical infections), and improved perioperative pain and anxiety control. Not only does our “surgical home” allow us to monitor outcomes on all patients we anesthetize and refine our practice, but it also strengthens a deeper connection with our Veterans at a critical moment in their lives, and, ultimately, promotes better longitudinal care. Our "concierge" approach to perioperative care hopes to meet the highest level of patient and provider satisfaction, and to continually provide improvements in anesthesia services for our Veterans.