How to build a great preoperative clinic

Not too long ago, hospitals got paid much more for bad outcomes than good, but those days are long gone. Just surgical complications alone can add $25,000 on average to a hospital’s direct costs. Of those complications, only 10 percent are procedure-related (technical) and 90 percent are due to medical conditions. This is just one reason for health care organizations to have a robust preoperative program. On this episode, you’ll hear about all the benefits of developing a great preoperative clinic.


Guest speaker:
Rick May, MD
Senior Principal, Clinical Quality Improvement
Orthopedic Surgeon


Tomas Villanueva, DO, MBA, FACPE, SFHM
Principal, Clinical Operations and Quality


Show Notes:

[00:49] The drive to surgical quality and rise of perioperative medicine

[01:11] Defining perioperative medicine

[01:55] What drives better surgical outcomes

[02:24] Technical and medical complications – the need for pre-operative evaluation

[04:39] The pre-operative clinic process

[05:50] The need for perioperative training

[06:17] Turf wars

[07:04] Staffing

[08:11] Three characteristics of a great pre-operative clinic

[09:11] Benefits of creating a pre-operative program


Links | Resources:

To contact Modern Practice:

Dr. May’s contact email:

Preoperative evaluation clinics proving their worth (Becker’s) Click here

Preoperative Evaluation Before Noncardiac Surgery (Mayo) Click here


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