@article{12fc78e365314ef389f733c71cb1ec9f,
title = "The Denominator in Value-Based Health Care: Porter{\textquoteright}s Hidden Costs",
author = "Tsai, {Mitchell H.} and Porter, {Jeremy C.} and Adams, {David C.}",
note = "Funding Information: The accounting basis for value-based health care rests on Kaplan{\textquoteright}s time-driven activity-based costing.2 The authors highlight an iterative process where a “core group of dedicated providers…with a common interest in advancing the science of perioperative medicine” collaborated in developing various algorithms for optimizing patients for surgery. Using a time-driven activity-based costing framework, the denominator in the value equation for POET potentially increases dramatically. This is not surprising. Previously, Dexter and Wachtel3 argued that the value proposition for a Perioperative Surgical Home rested on 2 operational factors: reducing the number of preoperative tests and optimizing the clinical workflow on the day of surgery. It is possible that both will result from the POET effort, but this remains to be seen. Furthermore, the Perioperative Optimization for Senior Health component of the POET initiative is, at least in part, supported by grants. These revenue streams need to be accounted for in the value argument.",
year = "2018",
month = jul,
doi = "10.1213/ANE.0000000000003401",
language = "English (US)",
volume = "127",
pages = "317",
journal = "Anesthesia and analgesia",
issn = "0003-2999",
publisher = "Lippincott Williams and Wilkins",
number = "1",
}