Preoperative optimisation and prehabilitation are key areas where your institution can increase value for patients. How do you negotiate the different pitfalls presented by the various core stakeholders?

Smoking cessation, nutrition, exercise; all are proven to help produce better outcomes for a patient. How do we express this in such a way that we get buy-in from everyone concerned?

When it comes to a deeper dive into preoperative optimisation, what's in it for the hospital, the practitioner and the fee payer?

This piece is moderated by Sol Aronson, tenured Professor at Duke University, it features a talk from Michael Englesbe, Professor of Surgery, Michigan followed by a panel discussion which also features Dan Engleman, President of the enhanced Recovery after Cardiac surgery society, Baystate Health in Massachusetts, Medical Director, Heart, Vascular & Critical Care Services, Baystate Medical Center and Associate Professor of Surgery University of Massachusetts Medical School-Baystate and Tim Miller, Duke University; further discussion is provided with questions from online listeners and conference delegates posed by Vicki Morton, Doctor of Nursing Practice and Director of Clinical and Quality Outcomes at Providence Anesthesiology Associates.