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Demonstrating the benefits of a multidisciplinary aerodigestive program

Amanda G Ruiz1, Jay M Bhatt1, Emily M DeBoer2

  • 1Department of Pediatric Otolaryngology, University of Colorado School of Medicine and Children's Hospital Colorado, Aurora, Colorado, U.S.A.

The Laryngoscope
|March 29, 2019
PubMed

Insights

The Aerodigestive Program (Aero Program) offers cost-effective, coordinated care for complex pediatric airway, digestive, and lung disorders. This multidisciplinary approach significantly reduces procedure times and costs while improving parent satisfaction.

Area of Science:

  • Pediatric gastroenterology
  • Pediatric pulmonology
  • Healthcare administration

Background:

  • Multidisciplinary aerodigestive programs are increasing to improve care coordination and family satisfaction for children with complex conditions.
  • Data on the cost-effectiveness and patient satisfaction of these resource-intensive programs are limited.

Purpose of the Study:

  • To evaluate the value of combined triple endoscopy within the Aerodigestive Program (Aero Program).
  • To analyze institutional charges, direct costs, operating room efficiency, and parent satisfaction for the Aero Program's approach.

Main Methods:

  • Retrospective analysis of electronic health records and administrative databases.
  • Evaluation of financial metrics (charges, direct costs) and operating room efficiency.
  • Assessment of parent satisfaction through surveys.

Main Results:

  • Combined triple endoscopy in the Aero Program had a mean anesthesia time of 54 minutes, significantly less than separate procedures (89 minutes).
  • Average charges and direct costs were 38.8% and 41.9% lower, respectively, for combined procedures.
  • High levels of parent satisfaction were reported for care received through the Aero Program.

Conclusions:

  • Multidisciplinary aerodigestive programs can demonstrate value by delivering cost-effective and satisfying care.
  • These programs align with the trend toward coordinated care for complex pediatric patients.
  • Aerodigestive programs represent a move towards higher value care and value-based payment models.
Abstract

Keywords:
Pediatricaerodigestive programcare coordinationcost-effectivenessinterdisciplinary care

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