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EBPOM 2019 | UK Centre for Perioperative Care

TopMedTalk

Release Date: 11/01/2019

Roundtable discussion: Delivering value | EBPOM 2021 Las Vegas show art Roundtable discussion: Delivering value | EBPOM 2021 Las Vegas

TopMedTalk

This roundtable discussion tackles questions from the online audience and is the third part of a longer discussion. It follows on from "The value proposition in perioperative medicine | EBPOM 2021 Las Vegas", if you'd like to hear that go here: How do we as practitioners deliver value? How does 'population health' fit into the picture? How long before and after surgery are we invested in managing? What's the key point to start a perioperative medicine program in a low income country with no incentives at all; how do you approach the hospital financial department? Presented by Desiree...

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The value proposition in perioperative medicine | EBPOM 2021 Las Vegas show art The value proposition in perioperative medicine | EBPOM 2021 Las Vegas

TopMedTalk

"Look at it from where is the patient, and what's best for the patient; I think that the other answers follow and yes, it is higher quality, yes, there can be some opportunities for cost savings; even if it 'breaks even' if the patients are happier, isn't that worth moving into the concept and proving that it does make a difference?" The value proposition is an essential element of advocating perioperative care; we know it provides safer, better quality outcomes but how do we translate that into a language that both patients, fee payers and providers can all understand? This piece follows on...

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The size and scope of the problem with Jim Grant & Mike Englesbe | EBPOM 2021 Las Vegas show art The size and scope of the problem with Jim Grant & Mike Englesbe | EBPOM 2021 Las Vegas

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"When I heard Sol Aronson, speak about perioperative medicine as 'population health', for me, it was like a eureka moment because our platform within Michigan is really an unmatched place to kind of realize that vision." This piece asks the question; "why do we need perioperative medicine"? The answer is illustrated with a real success story where practitioners realise the value proposition it unlocks for their patients every day. Hear how it is achieved and why it is so important. Presented by Desiree Chappell with her guests Jim Grant, Senior Vice President and Chief Medical Officer at Blue...

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Am I safe? Q&A with Lee Fleisher | EBPOM 2020 show art Am I safe? Q&A with Lee Fleisher | EBPOM 2020

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This question and answer session was a highlight of EBPOM London 2020, it works as a standalone piece or as a companion piece to this talk here: The discussion follows themes outlined in the presentation as our online audience asked a series of questions. Some of the questions included in the discussion are "How should leaders deal with anxiety both in themselves and their team? What is the evidence on perceived command gradient in residents and the fear of looking inadequate in front of peers and superiors? Bad for patients, versus bad for me? The people at the top end, the older people...

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Daniel Engelman Q&A | EBPOM Chicago show art Daniel Engelman Q&A | EBPOM Chicago

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"So in all these ERAS programs, you need a physician champion, a nurse champion, a coordinator; then we brought our pharmacist in - I will not start rounds without a pharmacist. I refuse. I won't start because the pharmacist is integral ... it's just you need that multidisciplinary team" This piece is a question and answer session prompted by the address our guest gave during EBPOM Chicago. Both the online audience and the team challenge our speaker to explain more. If you missed the address TopMedTalk has it for you here: Presented by Desiree Chappell and Monty Mythen with Daniel Engelman,...

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Postoperative critical care: How do we help? | EBPOM 2020 show art Postoperative critical care: How do we help? | EBPOM 2020

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This piece is a question and answer session with questions from the online audience. What do we think is the clinical care difference that having an elevated level of monitoring and more people around of all all sorts? Why is it good for our patients? As regards admissions to your campus care area; what criteria do you use? Do we need rapid critical care expansion in countries with very few beds? Could the enhanced care wards, in their approach, be compared with the post anaesthetic care unit? Would you cancel or postpone a cancer patient's operation, if not enhanced care or post operative...

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Perioperative team: a physician’s view | EBPOM 2020 London show art Perioperative team: a physician’s view | EBPOM 2020 London

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This piece considers the need to understand the patient having surgery and the complexity with which they present so we can match our skills to them. Developing these skills requires new approaches; to education and training at undergraduate and postgraduate level; to challenge the old ways of delivering perioperative care. This requires new ways of working, the breaking down of silos, a rethink of the financial support that is required and that we share good practice rather than 'reinventing the wheel'. It also means ensuring that we continue to gain evidence from the real world of clinical...

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Leadership with Jeff Vender: Part 2 - Q&A | EBPOM Chicago show art Leadership with Jeff Vender: Part 2 - Q&A | EBPOM Chicago

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This piece is the second part of a conversation about leadership in medicine, during times of change. It follows on from the first part where our speaker outlines his thoughts in a short talk. Now questions from the audience are considered and the conversation develops. What have we learned after the recent huge changes we've seen in our profession? Presented by Desiree Chappell and Monty Mythen with Jeff Vender, Emeritus, Harris Family Foundation Chairman of the Department of Anesthesiology at NorthShore University Health System, Evanston, Illinois and Clinical Professor at the University Of...

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Leading Health Systems in times of change with Jeff Vender: Part 1 | EBPOM Chicago show art Leading Health Systems in times of change with Jeff Vender: Part 1 | EBPOM Chicago

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"I believe most people can be leaders or better leaders. You can create or participate in change and a better future. You can make a difference in your own lives, the lives of others and the life of your organization. If you believe you can." This piece contains a powerful, inspirational and prescient talk about leadership. Part 1 contains some conversation and the talk, to be followed by questions from the audience in Part 2. Where do leaders come from, what makes them stand out and how do they learn the skills necessary to take what they do to the next level? Presented by Desiree Chappell...

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EBPOM 2020 London | EBPOM 2020 London | "The Business Case: UK" by Kay Mitchell

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This piece presents an invaluable wealth of first hand experience in setting up various business cases in relation to perioperative medicine in the UK. At University College London (UCL) cardiopulmonary exercise testing (CPET) was set up as a research tool "but then clinicians came, became interested in the results of the tests and started to ask for tests to be done on their patients for clinical evaluation". An external contractor model, using a charitable organisation, enabled them to charge the NHS for these tests; as the service expanded they were able to expand to other clinical sites...

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The Centre for Perioperative Care (CPOC) is a cross-specialty centre dedicated to the promotion, advancement and development of perioperative care. Led by the Royal College of Anaesthetists to facilitate cross-organisational working on perioperative care for the benefit of patients. A partnership between patients and the public, other professional stakeholders including Medical Royal Colleges, NHS England and the equivalent bodies responsible for healthcare in the other UK devolved nations. The aim is to improve quality of care, support patients and professionals as well as influence policy, technology, research and innovation.

CPOC launched on 20 May 2019 at the Anaesthesia 2019 event.

Follow them on Twitter at @CPOC_News

There is a page on the Royal College of Anaesthetists' website here: https://www.rcoa.ac.uk/cpoc

Presented by Mike Grocott, Professor of Anaesthesia and critical care at the University of Southampton and frequent TopMedTalk contributor.