The PTE™ Perioperative Optimization Framework
Modular, evidence-aligned optimization for safer, smoother surgery
Implemented across facility workflows, digital platforms, and telehealth evaluations—without replacing clinical judgment.
What We Mean by Modular Perioperative Optimization
The PTE™ Perioperative Optimization Framework approaches surgical readiness as a modular, condition-specific process rather than a one-size-fits-all clearance. Each patient is assessed across key perioperative domains—such as cardiopulmonary readiness, medication risk, metabolic stability, anemia, pain management, and recovery risk—allowing targeted optimization where it matters most. This modular structure supports consistent, evidence-aligned evaluations while remaining flexible to individual patient needs, surgical context, and clinician judgment.
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Implementation Pathways
Clinical Implementation
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Used by clinicians to structure perioperative assessment and optimization workflows
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Supports consistency without dictating care decisions
Operational / Facility Implementation
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Adopted by facilities to standardize readiness workflows and communication
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Works inside existing EHR and operational processes
Telehealth Implementation
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Virtual evaluations are one implementation of the framework
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Not the framework itself
AI-Assisted, Clinician-Directed Workflows
The PTE™ Perioperative Optimization Framework incorporates AI-assisted, clinician-directed workflows to support structured data synthesis, documentation, and communication—while keeping clinical decision-making firmly in the hands of licensed providers. Artificial intelligence is used as an assistive tool to help organize information, align documentation with perioperative standards, and generate consistent patient and care-team outputs. All workflows are designed to be transparent, auditable, and human-supervised, supporting efficiency without replacing professional judgment.
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Structured Intake: Standardized capture of relevant perioperative history and risk factors.
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Clinical Synthesis: Evidence-aligned organization of information into clear perioperative narratives.
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Actionable Outputs: Patient instructions and care-team communication designed for clarity and consistency.
Integrated Patient and Provider Experience
The PTE™ Perioperative Optimization Framework is designed to support both patients and clinicians within a unified, coordinated experience. Patients receive clear, structured education and preparation resources aligned to their specific perioperative needs, while clinicians are supported with standardized workflows, documentation tools, and communication outputs. This integrated approach promotes alignment across patients, surgeons, anesthesia teams, and perioperative providers—supporting consistency, preparedness, and shared expectations throughout the surgical journey.
Evidence-Aligned and Standards-Informed
The PTE™ Perioperative Optimization Framework is informed by established perioperative guidelines, recovery principles, and quality initiatives, including contemporary standards related to cardiovascular risk assessment, metabolic optimization, anesthesia considerations, enhanced recovery pathways, and patient safety. These sources help guide the structure and scope of optimization domains while allowing flexibility for individualized care, clinical judgment, and evolving evidence.
Representative areas of alignment include perioperative cardiovascular risk evaluation, enhanced recovery after surgery (ERAS) principles, obstructive sleep apnea screening, postoperative nausea and vomiting (PONV) risk reduction, anemia management, and multimodal pain strategies
Framework Use & Intellectual Property Notice
The PTE™ Perioperative Optimization Framework is a proprietary framework developed by Perioperative Telehealth Evaluations. This page provides a high-level overview of the framework’s concepts and scope and does not disclose internal logic, decision thresholds, prompt architecture, or implementation methods.
All content on this page is protected by U.S. copyright law.
© 2025 Perioperative Telehealth Evaluations. All rights reserved.
PTE™, PTE Marketplace™, and the PTE™ Perioperative Optimization Framework are trademarks or trademarks pending. Unauthorized reproduction, redistribution, or derivative use is prohibited.
This framework is described and publicly referenced at:
https://www.perioperativetelehealthevaluations.com/pte-perioperative-optimization-framework
Clinicians — Please visit our Provider Marketplace to access PTE™ Toolkits and AI-Guided Perioperative Optimization Workflows, designed to support structured, evidence-aligned preoperative evaluations.
Patients and Clinicians — Please visit our Patient and Provider Marketplace for curated perioperative education resources, optimization tools, and care bundles supporting safe surgical preparation.
PTE™ Clinical Optimization Pathways coming soon
🫀 PTE™ Cardiometabolic Optimization Pathway
🩸 PTE™ Anticoagulation Management Pathway
🩺 PTE™ Preoperative Anemia Optimization Pathway
🤢 PTE™ PONV Risk Reduction Pathway
🧠 PTE™ Non-Opioid Pain Optimization Pathway
🌿 PTE™ THC-Aware Perioperative Optimization Pathway
🚽 PTE™ Constipation & Urinary Retention Prevention Pathway
Important Notice:
PTE™ Clinical Optimization Pathways are educational and clinical support frameworks delivered through individualized telehealth evaluations. They do not constitute pre-packaged medical treatments. All diagnostic testing, medication prescribing, and therapeutic decisions occur only after patient-specific clinical assessment.