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Children's surgery verification and value-based care in pediatric surgery

Anne K Mackow1, Charles G Macias2, Shawn J Rangel3

  • 1Dayton Children's Hospital, Dayton, OH, USA.

Seminars in Pediatric Surgery
|May 10, 2023
PubMed

Insights

The Children's Surgery Verification (CSV) program helps pediatric surgeons improve patient care value. It adapts integrated practice unit (IPU) concepts for pediatric care, enhancing hospital function and outcomes.

Area of Science:

  • Healthcare Management
  • Pediatric Surgery
  • Quality Improvement

Background:

  • The focus on healthcare value necessitates understanding its components.
  • Integrated Practice Units (IPUs) are effective for adult care but challenging in pediatric surgery due to smaller populations and rare conditions.
  • Existing quality improvement programs like ACS verification show potential but require integration for optimal outcomes.

Purpose of the Study:

  • To demonstrate how the Children's Surgery Verification (CSV) program can be used by pediatric surgeons to engage with the value agenda.
  • To evaluate and improve the pediatric care continuum.
  • To enhance the function of children's hospitals as integrated units.

Main Methods:

  • Leveraging the framework of Michael E. Porter's value agenda.
  • Adapting the integrated practice unit (IPU) concept for pediatric surgical populations.
  • Utilizing the Children's Surgery Verification (CSV) program as a vehicle for quality improvement.

Main Results:

  • Participation in quality collaboratives alongside ACS programs shows favorable returns on investment.
  • The CSV program offers a structured approach to evaluating and improving pediatric surgical care.
  • The study aims to demonstrate the effectiveness of CSV in improving the overall function of children's hospitals.

Conclusions:

  • The Children's Surgery Verification (CSV) program provides a viable model for pediatric surgery to address the value agenda.
  • Integrating quality improvement initiatives is crucial for enhancing patient outcomes and hospital efficiency.
  • The CSV program facilitates a continuum of care approach, optimizing pediatric healthcare delivery.

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