How to Run a Cost-Effective Subspecialty Practice

Abstract

Cost-effective hand specialty practice is based in ethical principles and evidence. Visits, tests, and treatments are limited to those with specific, notable improvements in capability and comfort. Critical thinking, culture change, and growth mindset principles manifested in a learning health system can help improve cost-effectiveness. The limited moral distress of providing cost-effective care has the potential to improve joy in practice.

Keywords: Alternative payment models; Cost-effectiveness; Efficiency; Evidence.