Related Experiment Video
Updated: Jun 24, 2026
10:42
A Postoperative Evaluation Guideline for Computer-Assisted Reconstruction of the Mandible
Published on: January 28, 2020
Costs and system-wide considerations within head and neck reconstruction: moving toward a value-based care framework
Mitchell Mead1,2,3, Pratyusha Yalamanchi1,2,3
1University of Michigan, Medical School.
Summary
Head and neck reconstruction involves significant costs. Value-based care (VBC) can align costs with outcomes, improving efficiency in head and neck (H&N) reconstruction.
Area of Science:
- Reconstructive Surgery
- Health Economics
- Value-Based Care
Background:
- Head and neck (H&N) reconstruction is resource-intensive, involving complex procedures like free flap surgery and multidisciplinary care.
- Economic and system-wide factors significantly impact H&N reconstruction.
Purpose of the Study:
- To identify current cost and price drivers in H&N reconstruction.
- To review challenges and initiatives addressing these drivers.
- To propose a framework for value-based care (VBC) in H&N reconstruction.
Main Methods:
- Review of cost drivers in H&N reconstruction.
- Analysis of system-wide considerations.
- Evaluation of early VBC interventions.
Main Results:
- Key cost drivers include operative time, postoperative monitoring, and complication management.
- System-wide factors involve OR availability, workforce, ICU use, and care pathways (e.g., enhanced recovery).
- Early VBC shows potential for reducing length of stay and containing costs, but further alignment is needed.
Conclusions:
- Opportunities exist to better align cost-saving measures with improved outcomes in H&N reconstruction.
- A VBC framework can guide interventions to link cost and price drivers with overall value.
Related Concept Videos
01:15Methods of Documentation VI: Case Management Model
The case management model is a multidisciplinary approach that involves healthcare professionals from diverse disciplines, such as physicians, nurses, therapists, social workers, and pharmacists, working collaboratively to address the various needs of patients. Each healthcare professional brings unique expertise and perspectives, contributing to a more comprehensive understanding of the patient's condition and tailoring treatment plans accordingly.
For example, a patient with a chronic illness...
For example, a patient with a chronic illness...
01:19Standards of Care II
Nurses bear specific legal responsibilities under several federal statutes, including:
01:18Introduction To Health Care Delivery System
The healthcare system is constantly changing and complex. Various services are available from different healthcare providers, but gaining access to these services has become challenging for people with limited healthcare insurance. Uninsured people present a challenge to healthcare because they frequently postpone or forego treatment.
The Institute of Medicine (IOM) advocates for a patient-centered, effective, safe, timely, equitable, and effective healthcare system. The National Priorities...
The Institute of Medicine (IOM) advocates for a patient-centered, effective, safe, timely, equitable, and effective healthcare system. The National Priorities...
01:22Standards of Care I
Federal statutes profoundly impact nursing practice, providing critical guidelines to ensure patient care is equitable, accessible, and of the highest quality. The following laws address distinct aspects of healthcare provision and patient rights:
01:30Health Information Technology and Healthcare Information System
Health Information Technology (HIT)
Health Information Technology, commonly called HIT, integrates advanced information systems and technology in healthcare settings. Its primary functions include:
Health Information Technology, commonly called HIT, integrates advanced information systems and technology in healthcare settings. Its primary functions include:
01:29Documentation in Long-Term and Home Healthcare Setting
Documentation in long-term care facilities and home healthcare settings is crucial for ensuring continuous, coordinated, and comprehensive care for patients. Each setting has its specific documentation processes and tools:
Long-Term Care Facilities
Long-Term Care Facilities