“It is not the most intellectual of the species that survives; it is not the strongest that survives; but the species that survives is the one that is able to adapt to and to adjust best to the changing environment in which it finds itself.”

– Leon C. Megginson

Surgery accounts for a disproportionately high expense in health care delivery (roughly a third of all health care spending) and consequently also represents a disproportionately large opportunity for enhancing value. In the United States, surgeries account for less than one-third of admissions and greater than two-thirds of hospital costs.21 Postoperative complication costs range from between $8,338 for a surgical site infection (SSI) to greater than $40,000 for a ventilator-associated pneumonia (VAP).22 

In business, a value proposition is a statement that answers “why” someone should do business with you. In medicine, a value proposition should convince a patient, a colleague,...

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