The System
PERIOME is building the operating infrastructure health systems need to build and run connected perioperative programs. One operating model links patient readiness, care pathways, recovery visibility, and institutional learning.
The architecture
Every surgical journey runs through the same five jobs, from the day surgery is scheduled to what is learned afterward. PERIOME's parts are built to work across them as one system. It is a loop, not a pipeline: what Learn teaches returns to Understand for the next patient.
The patient-facing experience across preparation, surgery and recovery.
The first structured clinical intervention.
Readiness and recovery assessment against the patient's own baseline.
The institutional infrastructure connecting patient, care team and institution.
The longitudinal learning layer.
Each band shows where a part works in the journey, not how far it is built. Its stage is named beside it.
Morton and the Protocol give the patient something concrete to do and give the care team a record of what happened. Measurement turns that record into a reading of readiness and recovery against the patient's own baseline. PERIOME OS carries it across the patient, the care team and the institution. Perioperative Intelligence learns from it across journeys, so the next patient starts from more than zero.
The operating layer
From the moment surgery is planned through measured recovery, PERIOME OS connects the people, workflows, and data around the patient.
Active surgical episodes across the health system
| Patient | Procedure | Surgery | Journey | Current attention | Owner | Action |
|---|---|---|---|---|---|---|
| Eleanor ReedMRN 482910 | Total knee · Right | 18 Nov · 14 days | Prepare | Hematologic follow-up | Periop RN | |
| Marcus HillMRN 550217 | Colectomy | 21 Nov · 17 days | Prepare | Home support incomplete | Navigator | |
| Linda EvansMRN 601144 | Lumbar fusion | 24 Nov · 20 days | Understand | Functional trend changed | Physical therapy | |
| Daniel ParkMRN 332817 | Total hip | 25 Nov · 21 days | Prepare | Medication reconciliation | Pharmacy | |
| Sofia RamirezMRN 702449 | Hysterectomy | 09 Nov · 5 days | Care | Readiness review due | Anesthesia |
Orthopedics, colorectal and gynecology.
Function or symptoms outside the planned path.
External laboratory results awaiting reconciliation.
West Campus begins total-joint enrollment Monday.
Current attention
Hematologic follow-up before the readiness review.
Mobility plan needs final confirmation.
| Domain | Current state | Trend | Most recent signal | Source |
|---|---|---|---|---|
| Functional reserveMobility · capacity | On plan | Stable | Sit-to-stand baseline recorded | Functional measures |
| CardiorespiratoryCapacity · symptoms | On plan | Stable | No exertional symptoms reported | Patient-reported · EHR |
| HematologicHemoglobin · iron | Requires review | Improving | Repeat studies due 12 Nov | Laboratory |
| MetabolicGlucose | On plan | Stable | Home readings within plan | EHR · patient-reported |
| NutritionIntake · protein | On plan | Stable | Preparation days completed: 13 of 14 | Morton |
| Patient experienceQuestions · engagement | On plan | Stable | No open questions | Morton |
Perioperative Intelligence summary. Functional reserve is preserved and home support is confirmed. Hematologic follow-up is the current attention: repeat studies are due before the readiness review. The mobility plan remains open.
Results before the readiness review.
Owner: Carla Moore, RN · Due 12 NovAssistive device and home route.
Owner: Leo Brown, PT · Due 13 NovPatient reviews the plan in Morton.
Owner: Patient · Due 15 Nov| Step | Owner | Status |
|---|---|---|
| Multidomain baselineFunction, nutrition, symptoms, support | PERIOME team | Complete · 07 Oct |
| Preparation plan and timingDaily plan timed to the operation | Morton | Complete · 08 Oct |
| Hematologic pathwayRepeat studies and clinician review | Carla Moore, RN | Due 12 Nov |
| Mobility preparationAssistive device and home route | Leo Brown, PT | Due 13 Nov |
| Readiness reviewClose open work; prepare the handoff | Anesthesia | Planned 16 Nov |
What arrives with the patient. What was completed, what changed since the preoperative visit, what remains open, and the baseline that recovery will be measured against.
| Handoff element | Status | Last verified | Responsible |
|---|---|---|---|
| Preparation completion | 2 of 5 steps complete | Today 08:12 | Perioperative RN |
| Hematologic follow-up | Results pending | Yesterday | Perioperative RN |
| Medication plan | Awaiting acknowledgment | Today 07:40 | Pharmacy |
| Patient questions | None open | Yesterday | Morton |
| Recovery destination | Home with spouse | 07 Nov | Navigator |
One continuous record. Baseline, preparation, the day of surgery, recovery and patient experience stay connected, so the episode can inform the next patient’s care and governed program learning.
Total joint program · adoption, workflow and coverage by facility
| Facility | Episodes | Enrolled |
|---|---|---|
| Northstar ASC | 72 | 92% |
| Central Hospital | 58 | 84% |
| Riverside ASC | 22 | 76% |
| West Campus | 34 | 61% |
Governed learning across readiness, preparation, care and recovery
Function, laboratory values and patient-reported data are kept as change over time, not a single snapshot.
Symptoms, function, intake and engagement are read together rather than one at a time.
Each episode closes with its measures, so the next patient’s plan starts from more than zero.
Development stages
PERIOME is built in order, and each part carries one stage.
A physician-formulated nutrition protocol for the days around surgery: PREPARE™ before the operation, READY™, an ERAS-aligned carbohydrate drink, on the day itself, and RECOVER™ afterward. A perioperative intervention bounded by the operation, not a chronic supplement. It launches with its first production run.
See the protocol
The patient's guide through the surgical journey. Morton is designed to record where a patient is starting, organize the days around the operation, guide preparation, and follow recovery afterward, so the journey is visible to the patient and to their care team.
Named for William T. G. Morton, whose 1846 public demonstration of ether anesthesia helped usher surgery into a new era.
Being built
Readiness is a state before it is a score. This work defines what is worth measuring across the journey, from baseline and readiness to recovery, drawing on function, symptoms, what patients report and, where it adds useful context, device data.
How measurement worksThe connected infrastructure linking the patient, the clinical team and the institution around one longitudinal record. Infrastructure is earned through reliance, so PERIOME OS grows out of the work patients and clinicians already rely on PERIOME for.
The longitudinal learning layer: what connected, consented surgical journeys teach about readiness, recovery and what changes them, carried back into the next patient's care.
Longitudinal Intelligence Layer
PERIOME is building the layer that connects data across the full perioperative episode, giving health systems a clearer view of patient readiness, recovery trajectory, and program performance. It starts with the questions PERIOME is building to study.
01
Clearance answers whether a patient can proceed. Readiness asks what state that patient is in, and it has never been described consistently.
02
Some of what a patient brings to the operation is fixed. Some of it is modifiable in the days that remain, and the difference matters.
03
Preparation, operative context and recovery are rarely recorded against the same patient. Connecting them is the precondition for knowing.
04
A recovery can only be called off course against a reference. The aim is to recognize meaningful deviation earlier than a single follow-up visit can.
Everyday devices
Many patients already wear a smartwatch, ring or fitness tracker. With their permission, those readings could help describe a personal baseline, so preparation and recovery are judged against the patient's own normal rather than a population average.
This is not a live integration today, and no new hardware is required. Device data would be one input among several, alongside what the patient reports through Morton.
The standard
PERIOME begins with what is useful now, the Protocol and Morton, and builds the rest of the system as real use earns it.
Partner with PERIOMEA new standard for the oldest promise in medicine: that the patient comes first.