Complex cancer surgery in the outpatient setting: The Josie Robertson Surgery Center Review


Authors: Tokita, H.; Twersky, R.; Laudone, V.; Levine, M.; Stein, D.; Scardino, P.; Simon, B. A.
Review Title: Complex cancer surgery in the outpatient setting: The Josie Robertson Surgery Center
Abstract: Minimally invasive operative techniques and enhanced recovery after surgery (ERAS) protocols have transformed clinical practice and made it possible to perform increasingly complex oncologic procedures in the ambulatory setting, with recovery at home after a single overnight stay. Capitalizing on these changes, Memorial Sloan Kettering Cancer Center's Josie Robertson Surgery Center (JRSC), a freestanding ambulatory surgery facility, was established to provide both outpatient procedures and several surgeries that had previously been performed in the inpatient setting, newly transitioned to this ambulatory extended recovery (AXR) model. However, the JRSC core mission goes beyond rapid recovery, aiming to be an innovation center with a focus on superlative patient experience and engagement, efficiency, and data-driven continuous improvement. Here, we describe the JRSC genesis, design, care model, and outcome tracking and quality improvement efforts to provide an example of successful, patient-centered surgical care for select patients undergoing relatively complex procedures in an ambulatory setting.
Keywords: care
Journal Title: Anesthesia and Analgesia
Volume: 131
Issue: 3
ISSN: 0003-2999
Publisher: Lippincott Williams & Wilkins  
Date Published: 2020-09-01
Start Page: 699
End Page: 707
Language: English
ACCESSION: WOS:000562499800019
DOI: 10.1213/ane.0000000000004754
PROVIDER: wos
PUBMED: 32224721
PMCID: PMC8285049
Notes: Article -- Source: Wos
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MSK Authors
  1. Vincent Laudone
    136 Laudone
  2. Peter T Scardino
    671 Scardino
  3. Rebecca Shoshana Twersky
    26 Twersky
  4. Marcia R Levine
    20 Levine
  5. Hanae Tokita
    27 Tokita
  6. Brett Andrew Simon
    50 Simon
  7. Daniel Mark Stein
    8 Stein