Time‐driven activity‐based costing to estimate cost of care at multidisciplinary aerodigestive centers

García, Juan Ruiz; Mistry, Bipin; Hardy, Stephen C.; Fracchia, M. Shannon; Hersh, Cheryl; Wentland, Carissa; Vadakekalam, Joseph; Kaplan, Robert S.; Hartnick, Christopher J.

doi:10.1002/lary.26354

Cited by 21 publications

(8 citation statements)

References 23 publications

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“…In terms of outcomes, multidisciplinary aerodigestive programs offer the opportunity to improve safety by shortening procedural times and consolidating skills. 7,14 In terms of costs, these programs can lower the opportunity costs to patients and families by combining visits and procedures. The charge to payers is also lowered because procedural elements that are associated with time under anesthetic, such as anesthesia medication and service charges as well as facility charges, are reduced when procedures are consolidated.…”

Section: Discussionmentioning

confidence: 99%

Demonstrating the benefits of a multidisciplinary aerodigestive program

et al. 2019

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Objectives/Hypothesis The Aerodigestive Program (the Aero Program) at Children's Hospital Colorado is a multidisciplinary program focused on airway, digestive, and lung disorders in complex children, involving collaboration between gastroenterology, pulmonology, anesthesiology, and otolaryngology in clinic and operating room. These programs have proliferated as institutions focus on providing greater care coordination and family satisfaction. However, few cost, charge, and satisfaction data exist to support these resource‐intensive programs. The goal of this study was to investigate the value of combined triple endoscopy delivered by the Aero Program through analysis of institutional charges, direct costs, operating room efficiency metrics, and parent satisfaction. Study Design Program evaluation. Methods Finance, satisfaction, efficiency, and quality‐of‐care metrics were evaluated within and outside of the Aero Program through retrospective queries of electronic health records, administrative databases, and parent surveys at our institution. Results Mean anesthesia time in the Aero Program was 54 minutes (49–60; 95% confidence interval), which was significantly less (P < .0001) than the estimated 89 minutes of having the three procedures done separately. Average charges and average direct costs for triple endoscopy were 38.8% and 41.9% less than the sum of the averages for separate procedures, respectively. Parent satisfaction was high for the Aero Program care. Conclusions As organizations move toward greater coordination of care for complex patients, multidisciplinary programs must demonstrate their value by delivering cost‐effective care. Aerodigestive programs have the potential to provide satisfying care that is less costly to the organization, insurer, and family. These programs represent a step in the evolution toward higher value care and value‐based payment methodology. Level of Evidence 4 Laryngoscope, 130:521–525, 2020

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Section: Discussionmentioning

confidence: 99%

Demonstrating the benefits of a multidisciplinary aerodigestive program

et al. 2019

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“…The main cost driver in our TD-ABC approach was time (Kaplan & Anderson, 2007). This model has already been successfully applied in the healthcare field (Garcia et al, 2017;Laviana et al, 2016;Stouthuysen, Schierhout, Roodhooft, & Reusen, 2014) and has provided useful results on the cost-efficiency of various policies.…”

Section: Designing the Methodology And Researchmentioning

confidence: 99%

New methodology for calculating cost-efficiency of different ways of voting: is internet voting cheaper?

Krimmer¹,

Dueñas-Cid

Krivonosova³

2020

Public Money & Management

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New ways of voting in elections are being sought by electoral administrations worldwide who want to reverse declining voter turnouts without increasing electoral budgets. This paper presents a novel approach to cost accounting for multi-channel elections based on local elections in Estonia. By doing so, it addresses an important gap in the academic literature in this field. The authors confirm that internet voting was most cost-efficient voting channel offered to Estonian voters. IMPACTThis paper presents a new, proven methodology for calculating the cost-efficiencies of various ways of voting. The authors provide rare data on electoral costs, including costs ranging from stationery to depreciation costs and provide a detailed cost breakdown of activities. The findings will have direct practical implications for electoral management bodies and policymakers around the world.

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“…It is usually performed by physicians as part of multidisciplinary care (aerodigestive team) for a child with recalcitrant CC and dysphagia. Studies 19,20 have shown a 20%–40% cost savings for children who are managed comprehensively in a multidisciplinary setting compared to a single specialty evaluation. Therefore, appropriate referral and evaluation of persistent/recalcitrant cough by aerodigestive team (multidisciplinary team) may lead to earlier accurate diagnosis with likely cost savings.…”

Section: Role Of Triple Endoscopy In CCmentioning

confidence: 99%

A multi‐disciplinary approach to chronic cough in children

Mukerji

Yenduri

Chiou

et al. 2022

Laryngoscope Investig Oto

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Objectives (1) To highlight the important causes of chronic and recurrent cough in children. (2) To discuss multidisciplinary approach to management of chronic/recurrent pediatric cough. Methods Review of scholarly articles, guidelines, expert panels via PubMed and Google Scholar. Conclusion Chronic cough (CC) in children is mainly attributed to persistent bacterial bronchitis, asthma, nonspecific cough, and gastroesophageal reflux disease (GERD) symptoms. A multi‐disciplinary approach is cost‐effective and aids with earlier diagnosis and appropriate treatment. Congenital or acquired narrowing of the subglottis is the leading ENT cause for recurrent croup (RC) in children. Laryngeal cleft‐type 1 is commonly seen in children with recurrent aspiration and CC. Children are usually referred to pulmonologists for wet cough not responding to treatment. Eosinophilic esophagitis (EoE) and GERD should be considered in the differential diagnosis of CC in children with both respiratory symptoms and failure to thrive. Level of Evidence: 2a

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Time‐driven activity‐based costing to estimate cost of care at multidisciplinary aerodigestive centers

Abstract: 2c. Laryngoscope, 127:2152-2158, 2017.

Cited by 21 publications

References 23 publications

Demonstrating the benefits of a multidisciplinary aerodigestive program

Demonstrating the benefits of a multidisciplinary aerodigestive program

New methodology for calculating cost-efficiency of different ways of voting: is internet voting cheaper?

A multi‐disciplinary approach to chronic cough in children

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