Now
Building and deploying
The Perioperative Health Protocol in real surgical patients. Morton in pilot. Baseline assessment, early connected physiology, patient guidance, and data collected from the first cohorts.
The platform
Perioperative medicine has always known what matters: functional reserve, physiologic readiness, recovery capacity. PERIOME is building the clinical infrastructure to act on that knowledge systematically, for every patient, across the surgical window.
The system
PERIOME is built around one sequence, repeated for every patient. Establish the physiologic state a person is in before surgery. Improve what can still be changed. Carry what is known into the episode itself. Follow the return toward baseline afterward. Use what that patient's window taught the system on the next one.
It is a loop rather than a pipeline. The last step feeds the first, which is why the value compounds with every patient rather than resetting.
The architecture
Those five steps are built as five layers. Each generates clinical value on its own; together they connect preparation to outcome across the whole window.
A physician-formulated protocol across six physiologic domains: PREPARE™ for the seven days before surgery, READY™ on the day itself, RECOVER™ for the seven days after. It is a perioperative intervention bounded by the operation, not a chronic supplement.
The patient-facing experience. Morton establishes where a patient is starting from, organizes the days around the operation, guides preparation, and follows recovery afterward, so the window is visible to the patient and to the care team. In pilot.
Readiness resolved to a single, clinically actionable score, synthesized from continuous physiologic signal, patient-reported baseline, targeted laboratory data, and inherited biology, including pharmacogenomic risk. In development; illustrative only, and not a diagnostic.
Physiologic signal followed through the post-acute window, so recovery is observed rather than assumed from a single follow-up visit.
The longitudinal record that connects preparation, care, and recovery, so the next patient benefits from what the last one taught the system. The institutional dashboard is a surface of this layer, not a separate one.
Morton™ is named for William T. G. Morton, whose 1846 public demonstration of ether anesthesia helped usher surgery into a new era. The name reflects PERIOME's anesthesiology roots, and our belief that the next era of surgery will be built around a better understood, better prepared, and better connected patient.
Sequencing
The architecture describes where this goes. The order below describes what is actually being built, in what order, and what is deliberately still ahead.
Now
The Perioperative Health Protocol in real surgical patients. Morton in pilot. Baseline assessment, early connected physiology, patient guidance, and data collected from the first cohorts.
Next
Readiness and recovery measurement. Broader device integration. Deeper Morton workflows. Recovery trajectories followed against a patient's own baseline. Intelligence returned to clinicians and institutions.
Later
Deeper personalization. Perioperative genomics where it is clinically validated. Enterprise integration. Longitudinal perioperative intelligence across institutions, at scale.
Everything in Next and Later is in development or planned. None of it is available today, and nothing on this page should be read as a claim that it is.
Connected physiology
Most patients arrive at surgery already carrying months of their own physiologic data, recorded by whatever device they chose long before the operation was scheduled. That data is useful without PERIOME having made the hardware.
The work is understanding what those signals mean across the surgical window, which is a measurement problem rather than a hardware one. PERIOME is built to read what a patient already has, and no proprietary device is required.
How measurement worksThe institutional case
Under episode-based accountability and value-based contracts, the physiologic readiness of the patient entering surgery is a financial variable as well as a clinical one. Preventable complications, extended recovery, and readmissions all trace back to the weeks before the incision, the part of the window no program currently owns.
Every PERIOME deployment generates longitudinal outcomes data that belongs to the health system: structured for quality reporting, payer conversations, and clinical research, and more complete with every case. The deeper it is integrated into existing pre-anesthesia and ERAS workflow, the more value it generates for the program running it.
Read the researchThe standard
The protocol is where perioperative readiness begins. The platform is where it becomes measurable, and where it stays connected across the window.
Partner with PERIOMEA new standard for the oldest promise in medicine: that the patient comes first.