Barbara Ripollone, Partner, Health Delivery Supply Chain and Perioperative Practice Director, and Louise Kenney, Senior Consultant, Health Delivery Supply Chain and Perioperative Practice, Computer Science Corporation and Janie Bowman-Hayes, Informatics Nurse Specialists, AORN. Currently, there isn’t a perioperative documentation system that provides adequate data that is easy to access for analysis effectively using the Perioperative Nursing Data Set and integrates all of the regulatory requirements crossing all phases of perioperative care and all elements of the plan of care. To meet this need, it is necessary to prepare perioperative services and develop a standardized model that will work with the operating room information system (ORIS). Barbara, Louise and Janie discuss the deficits in the current state of the perioperative record and plan of care as well as address the need for a standardized perioperative framework.