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Perm J. 2017;21:17-003. doi: 10.7812/TPP/17-003.

The Kaiser Permanente Northern California Enhanced Recovery After Surgery Program: Design, Development, and Implementation.

Author information

1
Research Scientist in the Division of Research and Regional Director for Hospital Advanced Analytics in Oakland, CA. vincent.x.liu@kp.org.
2
Assistant Physician in Chief for the San Jose Medical Center in CA. efren.rosas@kp.org.
3
Anesthesiologist at the Vallejo Medical Center in CA. judith.c.hwang@kp.org.
4
Orthopedist at the Fremont Medical Center in CA. eric.cain@kp.org.
5
Former Director of Adult Services and Caring Science Integration for Kaiser Permanente Northern California in Oakland. anne.foss-durant@kp.org.
6
Strategic Leader for Kaiser Permanente Northern California Patient Safety in Oakland. molly.p.clopp@kp.org.
7
ERAS Regional Director for Quality and Operations Support for The Permanente Medical Group in Oakland, CA. mengfei.huang@kp.org.
8
Analytic Manager for Quality and Operations Support for The Permanente Medical Group in Oakland, CA. alexander.mustille@kp.org.
9
Regional Director for Hospital Operations for The Permanente Medical Group in Oakland, CA. vivian.m.reyes@kp.org.
10
Regional Director for Adult Patient Care Services for Kaiser Permanente Northern California in Oakland. shirley.s.paulson@kp.org.
11
Associate Executive Director for The Permanente Medical Group in Oakland, CA. michelle.caughey@kp.org.
12
Associate Executive Director for The Permanente Medical Group in Oakland, CA. stephen.m.parodi@kp.org.

Abstract

Complications are common after surgery, highlighting the need for innovations that reduce postsurgical morbidity and mortality. In this report, we describe the design, development, and implementation of an Enhanced Recovery After Surgery program in the Kaiser Permanente Northern California integrated health care delivery system. This program was implemented and disseminated in 2014, targeting patients who underwent elective colorectal resection and those who underwent emergent hip fracture repair across 20 Medical Centers. The program leveraged multidisciplinary and broad-based leadership, high-quality data and analytic infrastructure, patient-centered education, and regional-local mentorship alignment. This program has already had an impact on more than 17,000 patients in Northern California. It is now in its fourth phase of planning and implementation, expanding Enhanced Recovery pathways to all surgical patients across Kaiser Permanente Northern California.

PMID:
28746028
PMCID:
PMC5528846
DOI:
10.7812/TPP/17-003
[Indexed for MEDLINE]
Free PMC Article

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