A Patient Centered Approach to Surgical Recovery
In a recent update HCA Healthcare Inc. has announced the official enterprise-wide roll out of their Enhanced Surgical Recovery (ESR) digital-health program. This implementation comes off the back of their 20 years of clinical research, a multitude of peer reviewed publications and an intensive review of internal data to make a multidisciplinary approach to pre and post operative care.
ESR utilizes specific pre-, intra-, and post-operative care interventions which are designed to improve the patient experience and more importantly outcomes. The program consists of six key-areas inspired by the Enhanced Recovery after Surgery (ERAS) program which has been standard practice in Europe for many years. HCA Healthcare’s ESR program is focused on the below areas which will have the greatest impact on patient outcomes.
Goal-directed fluid therapy: active patient monitoring of fluid balance to ensure optimal hydration level throughout surgery
Patient education: ensuring patients are actively taking in a role in their care by providing a personal recovery checklist that they can follow
Multimodal pain management: taking an individualized approach to pain by instructing opioids to only be used as needed, and instead replacing them with non-opioid pain relievers and other pain management techniques
Permissive pre-op hydration/carb loading: making sure that the patient has consumed enough fluids and a carbohydrate-rich drink prior to surgery with the goal of improving hydration and insulin resistance while curbing nausea symptoms.
DREAM = drink, eating and mobilization within 24 hours post-operation: as described, encouraging patients to eat, drink and move shortly after their surgery
Multidisciplinary team: consists of creating a group of team members, such as a surgeon, anesthesiologist, nursing lead and pharmacy which will work together to guide the facility’s program and each patient’s unique care journey.
HCA’s ESR program draws from 35 million annual patient encounters to inform best practices and continuously improve provided care. Based on data collected from 141,482 joint replacement, gynecologic oncology, colorectal and bariatric surgeries in 2021, the ESR program has statistically proven to improve patient outcomes by the below mentioned amounts:
A 2.1 day reduction in length of stay;
A 54% decrease in 30-day readmissions for joint replacements;
A 45% decrease in 90-day readmissions for gynecological surgery;
Up to a 44% decrease in opiod usage; and
2.4 million few morphine medications dispensed
Mozzaz is proud to power unique solutions similar to HCA Healthcare’s ESR program, with digital technology to help address any points of friction with the continuum of care. We accomplish this by better connecting patients and their care teams and empowering them with digital tools to better manage their treatment through our Mozzaz Care Application and Clinician Portal.
By digitizing Enhanced Surgical Recovery (ESR) plans you are better able to reach patients conveniently regardless of where they are in their care-journey and make it simple for them to follow their treatment plans. By empowering your patients and giving visibility to your care teams, you can alert the patient when they are outside of the recommended care and better address potential issues before they become severe. Additionally, you can gain additional touch points such as pushing patient surveys to get a good idea as to how treatment and recovery is going – documenting each step of the way.
For a more global discussion on how Mozzaz empowers the continuum of care for both patients and care providers in perioperative care, view our webinar: Utilizing Digital Technology to Manage Pre- and Post-Acute Care Programs. In this webinar we feature Dr. Gerard Foti, GFAR Health Services and Rini Gahir, CEO Mozzaz Corporation where they discuss both the patient and clinician perspective to Enhanced Surgical Recovery programs and how Mozzaz can help enhance the continuum of care for better patient outcomes.
