Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Concept Videos

Health Information Technology and Healthcare Information System01:30

Health Information Technology and Healthcare Information System

3.7K
Health Information Technology (HIT)
Health Information Technology, commonly called HIT, integrates advanced information systems and technology in healthcare settings. Its primary functions include:
3.7K
Inflammatory Bowel Disease V: Surgical Management01:21

Inflammatory Bowel Disease V: Surgical Management

897
Surgical interventions for inflammatory bowel disease (IBD), which includes ulcerative colitis and Crohn's disease, are essential in managing symptoms and addressing complications. The selection of surgical procedures is contingent upon the specific conditions and complications that stem from these illnesses.
Here are some common surgical interventions for IBD:
897
Urinary Tract Calculi VI: Surgical Management01:25

Urinary Tract Calculi VI: Surgical Management

941
Procedures for Kidney StonesMedical intervention is necessary when kidney stones or renal calculi are too large to pass spontaneously (typically greater than 5 millimeters) when stones are accompanied by symptomatic infection (such as fever or pyelonephritis), when they impair kidney function, or when they cause persistent symptoms like severe pain, nausea, or urinary retention. Additionally, patients with only one kidney or those who cannot be treated with medical management also require...
941
Issues And Trends In Healthcare Delivery System01:29

Issues And Trends In Healthcare Delivery System

6.5K
The issues and trends in healthcare delivery are constantly changing. The COVID-19 pandemic is one recent issue that wreaked havoc on healthcare systems, causing a shortage of healthcare workers, high demand for medicines and supplies, and increased medical expenditure due to a lack of insurance. Other issues include rising healthcare costs and care fragmentation.
Cost Containment
Payment for healthcare services has historically promoted adoption of costly and often unnecessary or inefficient...
6.5K
SBAR II: Application of SBAR01:14

SBAR II: Application of SBAR

6.9K
SBAR is an effective communication tool used by healthcare professionals to communicate patient information accurately. SBAR stands for Situation, Background, Assessment, and Recommendation. For a better understanding, an example is given below.
SBAR Report from a Nurse to a Health Care Provider
S: "Hello, Dr. Smith. This is Jane, RN, from the Med Surg unit. I am calling to tell you about Ms. White in Room 210, who is experiencing increased pain and redness at her incision site. Her recent...
6.9K
Types of Biopharmaceutical Studies: Controlled and Non-Controlled Approaches01:23

Types of Biopharmaceutical Studies: Controlled and Non-Controlled Approaches

579
Biopharmaceutical studies constitute a vital field aiming to enhance drug delivery methods and refine therapeutic approaches, drawing upon diverse interdisciplinary knowledge. In research methodologies, the choice between controlled and non-controlled studies significantly influences the study's reliability and accuracy.
Non-controlled studies, commonly employed for initial exploration, lack a control group, rendering them susceptible to biases and external influences. In contrast,...
579

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by
Same author

Arginine deprivation enhances ASS1-negative glioblastoma radiosensitivity via epigenetic silencing of DNA repair genes.

Cell death & disease·2026
Same author

Determining an optimal central cannulation strategy for ambulatory veno-venous extracorporeal life support.

The Journal of heart and lung transplantation : the official publication of the International Society for Heart Transplantation·2026
Same author

Comparison of Cellular and Acellular Perfusate in the Dynamic Organ Storage System Using a Porcine Donation After Circulatory Death Model.

ASAIO journal (American Society for Artificial Internal Organs : 1992)·2025
Same author

Radiomic Profiling of Orthotopic Mouse Models of Glioblastoma Reveals Histopathological Correlations Associated with Tumour Response to Ionising Radiation.

Cancers·2025
Same author

Open-access smart blood pump platform for controlling extracorporeal membrane oxygenation.

HardwareX·2025
Same author

10 degree C static storage of porcine donation after circulatory death livers improves biliary viability and mitigates ischemia-reperfusion injury.

American journal of transplantation : official journal of the American Society of Transplantation and the American Society of Transplant Surgeons·2025

Related Experiment Video

Updated: Apr 16, 2026

Author Spotlight: Segmentation and VR for Advanced Neurovascular Interventions
06:18

Author Spotlight: Segmentation and VR for Advanced Neurovascular Interventions

Published on: April 5, 2024

1.8K

Using value-based analysis to influence outcomes in complex surgical systems.

John R Kirkpatrick1, Stanley Marks2, Michele Slane2

  • 1Georgetown University School of Medicine, Washington, DC.

Journal of the American College of Surgeons
|March 2, 2015
PubMed
Summary
This summary is machine-generated.

Value-based analysis (VBA) improved cardiac surgery outcomes by implementing best practices, significantly reducing complications and mortality while also lowering costs. This management strategy enhanced overall value in a complex healthcare system.

More Related Videos

Intraoperative Strategy under Complex Vascular Adhesion for Laparoscopic Radical Resection of Bismuth-Corlette Type IIIb Perihilar Cholangiocarcinoma
05:22

Intraoperative Strategy under Complex Vascular Adhesion for Laparoscopic Radical Resection of Bismuth-Corlette Type IIIb Perihilar Cholangiocarcinoma

Published on: February 13, 2026

199
A Teleoperated Robotic System-Assisted Percutaneous Transiliac-Transsacral Screw Fixation Technique
05:57

A Teleoperated Robotic System-Assisted Percutaneous Transiliac-Transsacral Screw Fixation Technique

Published on: January 6, 2023

3.9K

Related Experiment Videos

Last Updated: Apr 16, 2026

Author Spotlight: Segmentation and VR for Advanced Neurovascular Interventions
06:18

Author Spotlight: Segmentation and VR for Advanced Neurovascular Interventions

Published on: April 5, 2024

1.8K
Intraoperative Strategy under Complex Vascular Adhesion for Laparoscopic Radical Resection of Bismuth-Corlette Type IIIb Perihilar Cholangiocarcinoma
05:22

Intraoperative Strategy under Complex Vascular Adhesion for Laparoscopic Radical Resection of Bismuth-Corlette Type IIIb Perihilar Cholangiocarcinoma

Published on: February 13, 2026

199
A Teleoperated Robotic System-Assisted Percutaneous Transiliac-Transsacral Screw Fixation Technique
05:57

A Teleoperated Robotic System-Assisted Percutaneous Transiliac-Transsacral Screw Fixation Technique

Published on: January 6, 2023

3.9K

Area of Science:

  • Healthcare Management
  • Surgical Quality Improvement
  • Health Economics

Background:

  • Value-based analysis (VBA) is a management strategy to assess quality/cost changes when replacing usual practice (UP) with best practice (BP).
  • Its utility in complex systems like cardiac surgery was previously unestablished.
  • VBA was applied to address deficiencies in cardiac surgery at Memorial Healthcare System.

Purpose of the Study:

  • To evaluate the effectiveness of Value-based analysis (VBA) in improving quality and reducing costs within a complex cardiac surgery system.
  • To determine if VBA can successfully identify and rectify deficiencies in a high-risk surgical setting.

Main Methods:

  • Cardiac surgery was identified as a suitable complex system for VBA due to available quality metrics (Society of Thoracic Surgeons) and cost data (CMS).
  • Deficiencies in patient selection, surgical procedures, post-operative care, follow-up, and cost control were analyzed.
  • Usual practices (UP) were systematically replaced with best practices (BP), involving significant operational and staffing changes.

Main Results:

  • Implementation of best practices led to significant reductions in readmissions, complications, and mortality (p < 0.01) between 2009 and 2013.
  • Memorial Healthcare System achieved a Society of Thoracic Surgeons 3-star rating in all measured categories, outperforming 98.3% of database participants.
  • Despite quality improvements, cost per case and length of stay decreased, resulting in $10.4 million in actual savings.

Conclusions:

  • Value-based analysis (VBA) proved effective in enhancing value (quality/cost) within a complex cardiac surgery system.
  • The study demonstrates VBA's potential as a powerful tool for quality improvement and cost containment in healthcare.
  • Successful implementation of VBA led to superior clinical outcomes and significant financial savings.