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Research ArticleSpecial Article

Determining the Value-Efficiency of Respiratory Care

Robert L Chatburn, Richard M Ford and Garry W Kauffman
Respiratory Care December 2021, 66 (12) 1892-1897; DOI: https://doi.org/10.4187/respcare.09100
Robert L Chatburn
Enterprise Research for Respiratory Care, Cleveland Clinic, Cleveland, Ohio.
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  • For correspondence: [email protected]
Richard M Ford
Respiratory Care and Pulmonary Services, University of California, San Diego, Health System, San Diego, California.
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Garry W Kauffman
Kauffman Consulting, Winston-Salem, North Carolina.
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Abstract

In order to determine, document, and communicate the value of respiratory therapists performing respiratory care procedures, the respiratory care profession needs to position itself to capture and report both time and value standards that can be applied in allocating respiratory care resources. To do this, we propose a new metric called value-efficiency. If we wish to use value-efficiency as a metric to justify respiratory care activities and support labor budgets, there are three key considerations: (1) What value does respiratory care add to the health care organization? (2) Are the interventions provided necessary and of clinical value? (3) What is the value of the respiratory therapist in the delivery of these services? Significant challenges are facing the respiratory care profession and a focus on value-efficiency is a direction the profession must pursue. This approach is a practical response to the increasing demands of payers, administrators, consultants, and patients.

  • value
  • efficiency
  • productivity
  • Uniform Reporting Manual
  • respiratory care managers
  • cost

Footnotes

  • Correspondence: Robert L Chatburn MHHS RRT RRT-NPS FAARC, Cleveland Clinic, 9500 Euclid Ave, M-56, Cleveland, Ohio 44195. E-mail: CHATBUR{at}ccf.org
  • See the Related Editorial on Page 1932

  • A version of this paper was approved by the American Association for Respiratory Care as an Issue Paper in February 2021.

  • A version of this paper was presented by Mr Chatburn at AARC Congress 2017, held in Indianapolis, Indiana; and at AARC Congress 2018, held in Las Vegas, Nevada.

  • Mr Chatburn discloses relationships with the IngMar, Inovytech, Vyaire, Timple, Aires, Ventis, and ProMedic. Mr Kauffman discloses relationship with Monaghan and Vapotherm. The other author has no conflicts to disclose.

  • Copyright © 2021 by Daedalus Enterprises
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In this issue

Respiratory Care: 66 (12)
Respiratory Care
Vol. 66, Issue 12
1 Dec 2021
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Determining the Value-Efficiency of Respiratory Care
Robert L Chatburn, Richard M Ford, Garry W Kauffman
Respiratory Care Dec 2021, 66 (12) 1892-1897; DOI: 10.4187/respcare.09100

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Determining the Value-Efficiency of Respiratory Care
Robert L Chatburn, Richard M Ford, Garry W Kauffman
Respiratory Care Dec 2021, 66 (12) 1892-1897; DOI: 10.4187/respcare.09100
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  • Article
    • Abstract
    • Introduction
    • Determining the Value-Efficiency of Respiratory Care
    • Could the United States Health System Survive Without Respiratory Therapists?
    • The Legacy of Productivity Tracking in Respiratory Care
    • Flaws in the Paradigm
    • A New Paradigm: Value-Efficiency
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Keywords

  • value
  • efficiency
  • productivity
  • Uniform Reporting Manual
  • respiratory care managers
  • cost

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