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Enhanced Recovery After Surgery at Beaumont Hospital, Royal Oak and Beaumont Hospital, Troy

The Pre-Surgical Clinics are the preferred entry point for all patients scheduled to undergo several different types of surgery at the Beaumont hospitals in Royal Oak and Troy. This includes colorectal surgery, orthopedic hip and knee replacement, major urology procedures and bariatric surgery.

The clinic offers convenient “one stop shop” appointments that take between 60 and 90 minutes and leverage the expertise of a multidisciplinary team focused on preparing patients and families for a successful recovery.

Clinic services include:

  • vitals taken
  • history and physical performed by a clinic PA
  • labs drawn
  • consults ordered (dietitian, ostomy, cardiology, physical therapy, etc.)
  • pre-surgical education
  • free pre-operative supplies
  • surgical tour offered
  • anesthesiologist consult, if needed
  • patient goal setting

Pre-Surgical Clinic's multidisciplinary team consists of:

  • surgeon
  • anesthesiologist
  • PA
  • CRNA
  • floor nursing
  • nurse educator
  • physical or occupational therapist

  • dietitian
  • pharmacy
  • project management
  • quality
  • infection control
  • pre-op/PACU

Case Study: Colorectal Surgery Results

Improved patient outcomes and best practices from the Pre-Surgical Clinic Enhanced Recovery After Surgery (ERAS) program at both Beaumont, Royal Oak and Beaumont, Troy have been presented and published at the local and national level. For example, a study conducted by the Michigan Surgical Quality Collaborative using elective colectomy data from October 2014 to October 2016 demonstrates how patients at Beaumont Hospital, Troy benefit from participation in the hospital’s ERAS protocol. Patients begin their journey through ERAS at the hospital’s Pre-Surgical clinic. The study showed ERAS patients experienced:

  • shorter length of stay
  • decreased morbidity
  • fewer surgical site infections
  • fewer post-surgical emergency visits
  • fewer readmissions

A separate study by the American College of Surgeons’ National Surgical Quality Improvement Program used data from July 2014 to December 2015 and compared Beaumont, Troy patients to those at other community hospitals in Michigan. Relative to the peer group, patients undergoing elective colectomy experienced the following after their procedure:

  • shorter length of stay
  • less frequent prolonged length of stay
  • higher frequency of multimodal pain management
  • fewer instances of ileus
  • fewer instances of anastomotic leak
  • higher frequency of multimodal antiemetic prophylaxis

Referring Colorectal Surgery Patients

Refer your patients to Beaumont surgeons for care of known or suspected:

  • colorectal cancer
  • diverticulosis and diverticulitis
  • irritable bowel syndrome
  • Crohn’s disease and ulcerative colitis
  • hemorrhoids
  • chronic constipation
  • incontinence
  • rectal prolapse
  • childbirth-related anorectal disorders