Multidisciplinary teams in pediatric otolaryngology have increasingly become a way to deliver quality care that is family-focused while also cutting costs. A panel of experts shared their experiences with integrated craniofacial, aerodigestive, voice, and cochlear implantation teams.
Explore this issue:March 2019
Panelists discussed results that were sometimes stunning in terms of cost reduction and the increase in number of patients treated, but said that it’s a process involving improvement over time and emphasized the need for placing the right people in the right roles.
Dana Thompson, MD, head of otorhinolaryngology–head and neck surgery at Lurie Children’s Hospital of Chicago, traced the history of multidisciplinary teams, which began with the first cleft palate team in Lancaster, Pa., in 1938, and really took off after the recognition, in an Institute of Medicine report in the 2000s, that children with special healthcare needs comprised only 18% of cases but 80% of the cost.