What Surgical Readiness Means for ASCs in an AI-Driven Era

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Becker’s Healthcare -- Spine and Orthopedic Podcast 13 min 2 speakers 3 chapters transcribed
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Lucas Voss 0:00
Hi, everyone. This is Lucas Voss with Becker's Healthcare. Thanks so much for tuning in to the Becker's Healthcare podcast series. It's fantastic to have you. Today, we're talking about what surgical readiness means for ASCs in an AI-driven era. And I'm so excited to welcome Dr. Christian Payon, CEO and co-founder of Revel AI Health. Dr. Payon, thanks so much for being here today.

What is surgical readiness in an AI-driven era?

Lucas Voss 0:19
It's great to have you.
Dr. Christian Péan 0:21
Great to be here and to be talking about this. Definitely an AI-forward world, as you said.
Lucas Voss 0:27
Absolutely. And I love that I have you on, and I do want to give you a chance to introduce yourself to our audience because you have a position as an innovator, but also as a surgeon yourself. So if you could just introduce yourself and tell us a little bit about your background and your work in healthcare.
Dr. Christian Péan 0:43
Absolutely. So Christian Payon, I'm a CEO, co-founder of Rebel AI Health. The other hat I wear is I am a practicing orthopedic trauma surgeon at Duke University School of Medicine, where I'm on faculty. I'm also on faculty at the Margolis Institute for Health Policy. A lot of my focus is care transformation, value-based care, and trying to understand how tech-enabled services are going to change the way that we deliver healthcare. So I do a lot of things, but at the cross section of everything I do is this idea of delivering better care that's value-based and seeing where technology plays a role.
Lucas Voss 1:19
Yeah, absolutely. And you know this yourself, right? We see a lot more higher acuity cases for organizations, but we're also seeing them operate with a lot leaner teams, which doesn't necessarily correlate. When you look ahead five years, how do you define surgical readiness right now? And where does clinical AI meaningfully change that equation for you?
Dr. Christian Péan 1:42
I think that today we're defining surgical readiness mostly at the point of care. We're saying, is the patient medically cleared? Is the OR set up? Have we got our vendors in place? That's great. All of those aspects of care are necessary, but in my opinion, it's insufficient, right? The patient expectations are changing. Five years from now, surgical readiness should really mean the entire perioperative arc of That entire experience is orchestrated from the time that a patient is scheduled through the recovery milestones after they leave the hospital or the ambulatory surgery center. And where I think AI is really going to help improve this arc of surgical readiness is at any point in that journey that you need good communication and context around your patient.
Dr. Christian Péan 2:28
There's so much administrative work and labor that goes into the process of getting a patient ready for surgery. And really with technology that is placed smartly in a way to engage with patients and offload staff from having to make those touch points, but they can also surface those issues to the clinical team ahead of time, we can make a big difference. I think what's really going to change five years from now for ambulatory surgery centers is, yeah, we're going to be doing more of these high acuity cases in the outpatient setting. And that means we're going to need more contextual information to make sure that we're doing it safely. And AI is going to play a big role in extracting that information from the chart and making sure that the information gets communicated to the clinical team in a way that's simple for them to understand.
Dr. Christian Péan 3:16
And most importantly, to the patient. so that they understand their expectations and that so nothing falls through the gaps the way it might today in what is a more fragmented system.
Lucas Voss 3:25
I do want to follow up on this really quickly because it feels like it's a very personal issue for you, I feel like, because you know both sides. Is that correct? And why is that so important to you personally from your position where you're at?
Dr. Christian Péan 3:37
Absolutely. I am, like you said, kind of working on both sides of the coin here. I'm thinking about how we as a health system at Duke can strategically shift a lot of our cases to the outpatient setting, including some of our fracture cases that we've traditionally thought of as needing to be done in the hospital.

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