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J Neurol Surg B Skull Base 2022; 83(06): 559-560
DOI: 10.1055/a-1942-6632
Editorial

Editorial: Value-Based Healthcare in Skull Base Surgery

Varun R. Kshettry 
1   Department of Neurological Surgery and Rose Ella Burkhardt Brain Tumor & Neuro-Oncology Center, Cleveland Clinic, Cleveland, Ohio, United States
,
Corinna G. Levine
2   Rhinology and Skull Base Surgery, Department of Otolaryngology, University of Miami Miller School of Medicine, Miami, Florida, United States
,
Donato R. Pacione
3   Department of Neurosurgery, New York University Langone Medical Center, New York, New York, United States
,
Erin L. McKean
4   Department of Otolaryngology-Head and Neck Surgery, University of Michigan, Ann Arbor, Michigan, United States
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Value in Healthcare

Over the past two decades, providers, payers, and healthcare systems have placed an increasing emphasis on value-based healthcare (VBHC). Value in healthcare is defined as quality of service divided by cost. As healthcare costs continue to rise and payments models continue to primarily be fee-for-service, there is an increasing emphasis on maximizing quality, as determined by patient satisfaction and objective outcomes, as well as decreasing costs. Large-scale initiatives were developed to improve quality in acute coronary syndromes and central line-associated infection, among other more common hospital conditions. The Institute of Medicine outlined that care should be safe, effective, timely, efficient, equitable, and patient-centered.[1] Skull base pathologies, although generally less common, can result in significant morbidity and disability, translating into long-term effects on patient quality of life and healthcare-associated costs. Providers of all subspecialties are increasingly recognizing the importance of assessing how the value equation can be optimized in their respective practice.



Publication History

Received: 27 August 2022

Accepted: 09 September 2022

Accepted Manuscript online:
14 September 2022

Article published online:
12 November 2022

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