For health systems
Case cancellations, readmission exposure, length of stay, margin. Every one of them runs through the weeks before surgery, and those weeks currently have no operational owner.
The clinical case for preparing patients is decades old. What is new is accountability: CMS TEAM has been mandatory since January 2026, and the same 30-day exposure is shaping commercial bundles and ACO contracts alongside it. The physiology that determines how that episode goes is set in the weeks before it starts.
Request a pilot discussionThe clinical gap
Post-operative complications, recovery variability and extended PACU stays are not random. They are downstream of physiologic conditions that were addressable before the patient reached the operating room.
Most ERAS protocols define the day of surgery well. The seven days before it, when metabolic, hydration and micronutrient preparation are still possible, remain largely patient-dependent across most surgical programs.
What the window costs
Whatever the contract, the cost of a surgical episode tracks with the one variable no institution has systematically prepared: the physiology a patient carries into the operating room.
Cognitive recovery
Patients over 65 experience postoperative cognitive dysfunction in the first week after major non-cardiac surgery, and about one in ten at three months. Cognitive changes after anesthesia affect discharge readiness and family confidence.
Throughput
Recovery variability extends PACU time, delays discharge and raises nursing burden, in a setting where throughput directly affects program economics.
Coverage
ERAS begins at admission. The preparation window that precedes it is where physiology can still be changed, and it is the part no protocol currently owns.
Post-operative cognitive dysfunction figures: ISPOCD and Monk et al. PERIOME does not claim to prevent, treat or reduce any of these conditions.
Deployment
PERIOME is recommended at the pre-anesthesia evaluation and requires no prescription, no portal integration and no new operational layer for basic use.
From there, readiness becomes measurable and recovery becomes visible, against the patient's own preoperative baseline rather than a population average.
See the platformStart the conversation
Understand and improve each patient's readiness for surgery, support more informed perioperative care, and measure the recovery that follows.
Partner with PERIOMEA new standard for the oldest promise in medicine: that the patient comes first.