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Video:

In this episode of the ����ֱ�� Podcast, Dr. Joshua Liu, Co-founder & CEO at ����ֱ��, and marketing colleague, Alan Sardana, discuss Enhanced Recovery After Surgery (ERAS); what it is, how we learned about it, and how Digital Patient Engagement supports it. See the full show notes below for details.

Guest(s): Dr. Joshua Liu (), Co-founder & CEO at ����ֱ��

Episode 2 – Show notes

[0:55] Disclosure: We are not experts on ERAS but have experience working with a number of organizations who use ����ֱ�� for Enhanced Recovery After Surgery;

[2:05] Variations in care delivery - how providers taking care of the same population can have different outcomes;

[2:55] Explaining traditional surgery protocols and how protocols change over time based on evidence;

[5:00] Dr. Liu on the history of Enhanced Recovery After Surgery (ERAS), starting in Europe;

[6:00] How Enhanced Recovery After Surgery (ERAS) spread to North America, starting at ;

[7:08] Dr. Liu talks about the ;

[7:20] Discussing various ERAS guidelines available on ERAS Society website;

[8:20] How ERAS Society helps hospitals and physicians to standardize protocols;

[9:10] Dr. Liu’s personal definition of Innovation - and how that’s different from Invention;

[10:06] Why ERAS is a true innovation;

[10:30] The difficulties with getting your multidisciplinary team to work together and implement Enhanced Recovery After Surgery (ERAS);

[12:15] How to implement a standardized pathway;

[13:20] How digital patient engagement platforms, like ����ֱ��, help organizations implement and deliver ERAS - starting with pathway standardization;

[14:15] How ����ֱ�� makes ERAS patient education less overwhelming;

[14:45] How ����ֱ�� is used as a vehicle to implement ERAS;

[15:30] How ����ֱ�� supplements the education taught in a pre-op class;

[16:25] When Dr. Liu and Alan watched Dr. Dionisis Vrochides (), Vice Chair of Quality and Outcomes for Surgery at Atrium Health and President at , present on ERAS and explain “if you’re not tracking patient compliance,  you’re not doing ERAS”

[17:25] Dr. Liu quotes study by Dr. Liane Feldman (), Professor of Surgery and Chief of the Division of General Surgery at McGill University and Chair of the Enhanced Recovery Task Force  at the Society of American Gastrointestinal & Endoscopic Surgeons (SAGES), indicating correlation between patient compliance and length of stay duration;

[18:00] Dr. Liu talks about the ERAS Society’s provider compliance database:

[18:30] How ����ֱ�� tracks patient compliance for Enhanced Recovery After Surgery (ERAS) and leverages dashboards for surgery teams to improve patient compliance;

[21:00] Discussing the leading societies focused on spreading Enhanced Recovery After Surgery (full list below);

[21:45] Dr. Liu mentions clinical-specific ERAS societies and highlights Dr. Daniel Engelman (), President at ERAS Cardiac Society;

[22:22] Dr. Liu mentions ASER, Dr. Julie Thacker (), Medical Director, Clinical Research Unit and Associate Professor of Surgery Surgical Oncology at Duke University, and Dr. T.J. Gan (), Professor and Distinguished Endowed Chair, Department of Anesthesiology at Stony Brook University;

[22:39] Dr. Liu mentions Dr. Liane Feldman (), Dr. Deborah Keller (), and SAGES SMART Task Force dedicated to Enhanced Recovery After Surgery (ERAS) education; 

[25:01] Kudos to the frontline physicians who are the ones designing and launching these initiatives and sharing them;

[25:37] Dr. Liu explains that ERAS Cardiac Society recommends digital patient engagement for a Cardiac ERAS program;

[27:02] Dr. Liu shares how Rush University added ����ֱ�� to their existing ERAS program and reduced LOS by 2.0 days, SSIs by 70%, costs per patient by $2,300 - all with statistical significance;

[28:15] How empowering patients with ����ֱ�� improves outcomes;

[28:26] How UAB used ����ֱ�� to drive better patient compliance and reduced LOS by 1.6 days;

[30:00] How health literacy impacts patient outcomes and ERAS;

[30:28] How Dr. Liu learned about health literacy and accessibility through Denice Koo, Director of Patient Education at ����ֱ��

[30:50] How ����ֱ�� translates patient education  to grade 6 and below reading levels to improve patient comprehension;

[31:00] How Dr. Chu’s team at UAB used ����ֱ�� to compare patient engagement levels with manual effort vs. digital patient engagement;

[33:30] Why Patient Reported Outcomes (PROs) are important for ERAS and how ����ֱ�� tracks PROs;

[34:20] Why Patient Reported Outcomes matter;

[35:40] How Atrium Health is collecting novel patient reported outcomes such as opioid consumption;

[39:20] How Dr. Liu and ����ֱ�� first learned about Enhanced Recovery After Surgery (ERAS) through Dr. Liane Feldman ();

[40:00] McGill’s first study with ����ֱ�� looking at ����ֱ�� collection vs in-person auditor; and

[41:41] How ����ֱ�� reduces LOS AND readmissions;

Enhanced Recovery After Surgery (ERAS) Societies: