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Pre-Surgical Care Planning

Surgical Optimization Center

Quality health care means doing the right thing the first time and every time. As part of our commitment to quality, we have created the surgical optimization center (SOC) to prepare you and your surgical care team before your surgery. Our focus is improving patient safety and surgical outcomes. To ensure your safety and recovery, it is vital to have you as physically "fit" as possible prior to your procedure. Your fitness level, preoperatively, will enhance your recovery and get you back to work and your life faster.

Our focus is improving patient safety and surgical outcomes.

What is Optimization?

The goal of “optimizing” your health prior to surgery is to minimize your risk of postoperative complications, decrease length of stay in the hospital, reduce unplanned re-admissions and enhance your overall health and surgical experience. By optimizing your health prior to surgery this may also prevent delays or cancellation of your surgery. It is also to provide a surgical care plan for the patient, surgeon, anesthesiologist, surgical team, and primary care provider. Optimization also includes patient education to help answer questions and reduce anxiety about your upcoming procedure.

Your Personalized Surgical Care Plan

You and the SOC team will work together to create a plan for your surgery. This plan will guide you and everyone who cares for you before and during surgery.

Your personal plan will include:

  • A complete medical assessment, including a review of your surgical, familial, and social histories.
  • Education and resources to let you know what to expect and how to prepare for your surgery.
  • Medication review and instructions given prior to day of your surgery.
  • We work with your surgical team and anesthesiologists to determine if additional testing is needed based on your medical history. This helps to avoid unnecessary tests and visits, and can save you money and time.
  • Care management options if at-home assistance is needed during your recovery.
  • Your completed comprehensive assessment will be sent to your surgeon and primary care physician with any recommendations, testing, and medication management instructions.

Watch the video below with Adam Edlund, MD, to learn more information about how the Spectrum Health Surgical Optimization Center may be right for you and your family.

Meet Our Team

Your care team will also include:

Surgical Optimization Center Locations


No fasting is required for this appointment. If you need to have lab work drawn, you still will not have to fast.
Do I need to fast for this appointment?
A family member or close friend is encouraged to attend with you, but this is not required.
Do I need to have someone accompany me to this appointment?
Approximately 45 minutes to 1 hour.
How long will my surgical assessment appointment take?
The need for additional testing or lab work is determined on an individual basis. This is based on your medical history, the procedure you will be having, and anesthesia guidelines.
Will I need additional testing or lab work prior to my surgery?
All medications can be taken as normal before your optimization visit. Medications to be taken on the day of your surgery will be reviewed at your optimization visit.
Should I take my medications before my optimization visit?
We participate with all major insurance companies. You may have a copay or deductible that would apply.
Is this visit covered by my insurance?
Pre-procedure planning will contact you 1-2 days prior to your surgery date to notify you of your arrival time prior to your procedure.
What time is my surgery scheduled?
We assess and evaluate all your medical conditions including, diabetes, anemia, malnutrition, heart conditions, sleep apnea, smoking status, opioid addiction, high BMI, frailty, blood clotting disorders, and medication review. 
What conditions will the SOC provider be reviewing during my visit?
Medically complicated patients whose medical issues are optimized prior to surgery have fewer complications and a better recovery from surgery. Medical issues, not surgical issues are the most common cause of complications that occur after surgery. For example, if a patient is has uncontrolled diabetes or is smoking prior to surgery, this puts the patient at a higher risk for non-healing wounds , pulmonary problems, and blood clots. Being optimized for surgery can also reduce the overall cost of care. 
Why is this important? What are the risks is the patient is not optimized?
Perioperative medicine is a specialty that covers multiple areas including anesthesia, chronic disease management, medication management, and data organization.  At the SOC we evaluate your specific risk for the procedure you are scheduled for. Often, primary care providers are not familiar with anesthesia guidelines and order tests that are in appropriate, expensive, and follow-up on these evaluations are often inadequate. Each patient assessment is reviewed by our Medical Director, Adam Edlund, MD, who is board certified in Anesthesiology and Internal Medicine. Your optimization assessment will be shared with your surgeon and primary care provider. 
Can my primary care provider perform the optimization visit?
Optimization is best performed for elective procedures and for those patients that are considered moderate to high risk. Some procedures are considered low risk and do not need to be optimized. For example, cataract surgery, EGD’s and colonoscopies. High risk procedures include, hip or knee procedures, vascular procedures, bariatric surgery, and cardiovascular procedures, would be best optimized.
Do all patients need an optimization visit prior to surgery?
At the SOC we are able to offer many services to optimize your health prior to your procedure. Many of these services we can assist you with in our office directly. This includes, smoking cessation, anemia services, medication instructions, and care management issues.  Some services may require a referral to an outside provider. The goal is to ensure that you are optimized prior to your surgery to decrease your risk and enhance your recovery. 
What if I need help with certain conditions prior to surgery?