Congenital

Cleft Lip and Palate

A Microcosting Approach for Isolated, Unilateral Cleft Lip Care in the First Year of Life

Abbott MM, Meara JG (Children’s Hosp Boston, MA; Massachusetts Eye and Ear Infirmary, Boston) Plast Reconstr Surg 127:333-339, 2011^§

Abstract

Background

The concept of value-based health care underlies many new improvement initiatives in U.S. health care. To determine value, accurate measures of both outcomes and costs are essential, which may then be compared for the same provider or system over time or between providers, to foster improvement. Although outcomes measurement has received a great deal of attention since the quality movement began in the United States, costing methodologies are lacking.

Methods

A basic microcosting methodology was used to obtain direct medical costs, including physician compensation, for individuals with isolated, unilateral cleft lip deformity receiving their full course of care from one surgeon. The authors analyzed costs associated with the timeline of care during the first year of life.

Results

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