Prof. Vijaya GOTTUMUKKALA
Professor, Department of Anaesthesiology and Perioperative Medicine, The University of Texas MD Anderson Cancer Center, United States of America
Professor Gottumukkala is currently the Deputy Chairman of Anesthesiology & Perioperative Medicine at the University of Texas MD Anderson Cancer Center, Houston Texas, USA. He currently serves MDACC as the institutional co-lead for Enhanced Recovery Programs, as the Medical Director for the Program for Advancement of Perioperative Cancer CarE (PACE), and as an Associate Head for the Institute for Cancer Care Innovation (ICCI).
He is actively engaged with the professional societies at the state, national and international level. He is on the Board of the American Society for Enhanced Recovery (ASER), and is currently serving ASER as the Secretary on a two year term.
Prof. Gottumukkala’s main research and academic interests are: Perioperative management strategies to improve postoperative and oncological outcomes, Enhanced Recovery Protocols in major cancer surgery, and to develop Onco-Anesthesiology as a specialty.
With changing payment models in US health care delivery, and an overall increasing emphasis on quality improvement from patients, payers and regulatory and accreditation agencies; it is imperative that perioperative and health care delivery teams demonstrate the value that they bring to the overall patient care experience and improving health outcomes.
This desire to demonstrate value in health outcomes, and in keeping with evolving expectations; providers and health care organizations are moving away from the traditional morbidity and mortality metrics to global patient-centered outcome measures, such as patient satisfaction and experience, long-term functional recovery and minimizing preventable postoperative complications or " hospital acquired conditions".
Enhanced recovery protocols are multi-disciplinary patient care pathways that include care coordination across the continuum of surgical journey, minimizing un-necessary variations in the processes of care, and incorporating best practice recommendations for preoperative optimization, optimal intraoperative care, prevention of postoperative complications, and promotion of early functional recovery. ERAS programs have consistently shown to decrease complications, enhance outcomes and reduce cost of care delivery.
In this new paradigm of health care delivery, ERAS protocols serve as a model for patient-centered, recovery-focused, outcome-based and efficiency-driven value based programs.