{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,30]],"date-time":"2026-07-30T17:19:54Z","timestamp":1785431994499,"version":"3.56.0"},"reference-count":23,"publisher":"Global Tracheostomy Collaborative","issue":"2","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"abstract":"<jats:p>Individuals living with tracheostomies represent a medically complex population whose outcomes have measurably improved through innovations driven by academic medicine and publicly funded research. A growing body of high-quality evidence demonstrates that multidisciplinary tracheostomy teams, standardized care protocols, and interprofessional education can reduce complications, shorten hospital stays, enhance communication, and improve quality of life. However, the lifeline for innovation and care in communities is supported by public investment in federal research grants and programs like Medicaid, the principal insurer for many individuals requiring long-term tracheostomy care. Reducing this lifeline amplifies risks for children, adults, individuals with disabilities, particularly those in rural or socioeconomically disadvantaged communities. The prospect of stark reductions in NIH indirect cost funding and sweeping cuts to Medicaid jeopardize both the infrastructure of clinical research and the care pathways it has enabled. This editorial explores the rationale for preventing disinvestment, which not only endangers current standards of care but also undermines decades of investigative research that has tangibly advanced patient outcomes. Sustained progress depends on protecting the ecosystem that links federally funded science to equitable, high-quality care. In the face of growing policy headwinds, a renewed national commitment to evidence-based investment in research and coverage is the best hope for patients for whom innovation is essential.<\/jats:p>","DOI":"10.62905\/001c.140856","type":"journal-article","created":{"date-parts":[[2025,7,7]],"date-time":"2025-07-07T16:53:32Z","timestamp":1751907212000},"source":"Crossref","is-referenced-by-count":1,"title":["Tracheostomy Care in the Crosshairs: Supporting Science and Safety Nets in Tumultuous Times"],"prefix":"10.62905","volume":"2","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-4926-0957","authenticated-orcid":false,"given":"Michael","family":"Brenner","sequence":"first","affiliation":[{"id":[{"id":"https:\/\/ror.org\/00jmfr291","id-type":"ROR","asserted-by":"publisher"}],"name":"University of Michigan","department":["Associate Professor, Department of Otolaryngology-Head and Neck Surgery, University of Michigan Medical School, Ann Arbor, MI"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2260-1080","authenticated-orcid":true,"given":"Vinciya","family":"Pandian","sequence":"additional","affiliation":[{"id":[{"id":"https:\/\/ror.org\/04p491231","id-type":"ROR","asserted-by":"publisher"}],"name":"Pennsylvania State University","department":["Associate Dean of Graduate Education and Professor of Nursing, Ross and Carol Nese College of Nursing; Professor of Otolaryngology-Head and Neck Surgery, College of Medicine, The Pennsylvania State University, University Park, PA"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"49560","published-online":{"date-parts":[[2025,6,30]]},"reference":[{"key":"ref1","doi-asserted-by":"publisher","first-page":"191","DOI":"10.1016\/j.jcrc.2019.08.030","article-title":"Enhancing care of patients requiring a tracheostomy: A sustained quality improvement project","volume":"54","author":"P. Twose","year":"2019","journal-title":"J Crit Care"},{"issue":"2","key":"ref2","first-page":"1","article-title":"Elevating Tracheostomy Care Through Data-Driven Innovation: What Can Education, Evidence-Based Practice, and Quality Improvement Learn from One Another?","volume":"1","author":"M. J. Brenner","year":"2024","journal-title":"Tracheostomy"},{"issue":"9","key":"ref3","doi-asserted-by":"publisher","first-page":"797","DOI":"10.1001\/jamaoto.2021.1383","article-title":"Quantifying Viral Particle Aerosolization Risk During Tracheostomy Surgery and Tracheostomy Care","volume":"147","author":"A. J. Berges","year":"2021","journal-title":"JAMA Otolaryngol Head Neck Surg"},{"issue":"1","key":"ref4","doi-asserted-by":"publisher","first-page":"e001335","DOI":"10.1136\/tsaco-2023-001335","article-title":"Survivorship in ICU patients undergoing tracheostomy for respiratory failure: from triggers to interprofessional team-based care","volume":"9","author":"M. J. Brenner","year":"2024","journal-title":"Trauma Surg Acute Care Open"},{"issue":"2","key":"ref5","doi-asserted-by":"publisher","first-page":"234","DOI":"10.1097\/SLA.0000000000004955","article-title":"Tracheostomy for COVID-19 Respiratory Failure: Multidisciplinary, Multicenter Data on Timing, Technique, and Outcomes","volume":"274","author":"K. Mahmood","year":"2021","journal-title":"Ann Surg"},{"issue":"7","key":"ref6","doi-asserted-by":"publisher","first-page":"717","DOI":"10.1016\/S2213-2600(20)30230-7","article-title":"Tracheostomy in the COVID-19 era: global and multidisciplinary guidance","volume":"8","author":"B. A. McGrath","year":"2020","journal-title":"Lancet Respir Med"},{"key":"ref7","doi-asserted-by":"publisher","first-page":"103720","DOI":"10.1016\/j.iccn.2024.103720","article-title":"Global predictors of tracheostomy-related pressure injury in the COVID-19 era: A study of secondary data","volume":"86","author":"C. H. Moser","year":"2025","journal-title":"Intensive Crit Care Nurs"},{"issue":"6","key":"ref8","doi-asserted-by":"publisher","first-page":"e116","DOI":"10.4037\/ajcc2020561","article-title":"Critical Care Guidance for Tracheostomy Care During the COVID-19 Pandemic: A Global, Multidisciplinary Approach","volume":"29","author":"V. Pandian","year":"2020","journal-title":"Am J Crit Care"},{"issue":"3","key":"ref9","doi-asserted-by":"publisher","first-page":"1320","DOI":"10.1044\/2020_AJSLP-20-00089","article-title":"Speech-Language Pathology Guidance for Tracheostomy During the COVID-19 Pandemic: An International Multidisciplinary Perspective","volume":"29","author":"C. J. Zaga","year":"2020","journal-title":"Am J Speech Lang Pathol"},{"key":"ref10","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMp2501855","article-title":"Medicaid on the Chopping Block","author":"E. Park","year":"2025","journal-title":"N Engl J Med"},{"issue":"1","key":"ref11","doi-asserted-by":"publisher","first-page":"e104","DOI":"10.1016\/j.bja.2020.04.054","article-title":"Global Tracheostomy Collaborative: data-driven improvements in patient safety through multidisciplinary teamwork, standardisation, education, and patient partnership","volume":"125","author":"M. J. Brenner","year":"2020","journal-title":"Br J Anaesth"},{"key":"ref12","doi-asserted-by":"publisher","first-page":"r563","DOI":"10.1136\/bmj.r563","article-title":"Large cuts to Medicaid and other new policies may create untenable choices for clinicians in the US","volume":"389","author":"J. Alker","year":"2025","journal-title":"BMJ"},{"issue":"2","key":"ref13","doi-asserted-by":"publisher","first-page":"104179","DOI":"10.1016\/j.amjoto.2023.104179","article-title":"Tracheostomy-related durable medical equipment: Insurance coverage, gaps, and barriers","volume":"45","author":"P. L. Foran","year":"2024","journal-title":"Am J Otolaryngol"},{"issue":"6","key":"ref14","doi-asserted-by":"publisher","first-page":"914","DOI":"10.1177\/0194599815599525","article-title":"Life after Tracheostomy: Patient and Family Perspectives on Teaching, Transitions, and Multidisciplinary Teams","volume":"153","author":"M. E. McCormick","year":"2015","journal-title":"Otolaryngol Head Neck Surg"},{"issue":"5","key":"ref15","doi-asserted-by":"publisher","first-page":"103525","DOI":"10.1016\/j.amjoto.2022.103525","article-title":"Amplifying patient voices amid pandemic: Perspectives on tracheostomy care, communication, and connection","volume":"43","author":"V. Pandian","year":"2022","journal-title":"Am J Otolaryngol"},{"issue":"1","key":"ref16","doi-asserted-by":"publisher","first-page":"135","DOI":"10.1016\/j.otc.2018.08.006","article-title":"Multidisciplinary Tracheostomy Care: How Collaboratives Drive Quality Improvement","volume":"52","author":"J. R. Bedwell","year":"2019","journal-title":"Otolaryngol Clin North Am"},{"issue":"11","key":"ref17","doi-asserted-by":"publisher","first-page":"1035","DOI":"10.1001\/jamaoto.2019.2500","article-title":"Association of a Multidisciplinary Care Approach With the Quality of Care After Pediatric Tracheostomy","volume":"145","author":"M. McKeon","year":"2019","journal-title":"JAMA Otolaryngol Head Neck Surg"},{"issue":"1","key":"ref18","doi-asserted-by":"publisher","first-page":"e119","DOI":"10.1016\/j.bja.2020.04.064","article-title":"Improving tracheostomy care in the United Kingdom: results of a guided quality improvement programme in 20 diverse hospitals","volume":"125","author":"B. A. McGrath","year":"2020","journal-title":"Br J Anaesth"},{"issue":"2","key":"ref19","first-page":"16","article-title":"A Simulated Tracheostomy Tube Change Educational Intervention to Promote Competency Among Novice Healthcare Professionals: A Repeated Measures Study","volume":"1","author":"J. Peter","year":"2024","journal-title":"Tracheostomy"},{"issue":"19-20","key":"ref20","doi-asserted-by":"publisher","first-page":"6967","DOI":"10.1111\/jocn.16815","article-title":"Effectiveness of interprofessional tracheostomy teams: A systematic review","volume":"32","author":"A. Ninan","year":"2023","journal-title":"J Clin Nurs"},{"issue":"12","key":"ref21","doi-asserted-by":"publisher","first-page":"1039","DOI":"10.1001\/jama.2025.2308","article-title":"The Value of Academic Health Research","volume":"333","author":"S. Galea","year":"2025","journal-title":"JAMA"},{"issue":"2","key":"ref22","doi-asserted-by":"publisher","first-page":"e20150455","DOI":"10.1542\/peds.2015-0455","article-title":"A Multidisciplinary Children's Airway Center: Impact on the Care of Patients With Tracheostomy","volume":"137","author":"K. A. Abode","year":"2016","journal-title":"Pediatrics"},{"issue":"4","key":"ref23","doi-asserted-by":"publisher","first-page":"e282","DOI":"10.1016\/j.bja.2022.01.008","article-title":"Reducing variation in tracheostomy care can improve outcomes","volume":"128","author":"M. J. Brenner","year":"2022","journal-title":"Br J Anaesth"}],"container-title":["Tracheostomy: Official Journal of the Global Tracheostomy Collaborative"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/trachjournal.scholasticahq.com\/article\/140856-tracheostomy-care-in-the-crosshairs-supporting-science-and-safety-nets-in-tumultuous-times","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,12,18]],"date-time":"2025-12-18T16:04:20Z","timestamp":1766073860000},"score":1,"resource":{"primary":{"URL":"https:\/\/trachjournal.scholasticahq.com\/article\/140856-tracheostomy-care-in-the-crosshairs-supporting-science-and-safety-nets-in-tumultuous-times"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,6,30]]},"references-count":23,"journal-issue":{"issue":"2","published-online":{"date-parts":[[2025]]}},"URL":"https:\/\/doi.org\/10.62905\/001c.140856","relation":{},"ISSN":["2997-2531"],"issn-type":[{"value":"2997-2531","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,6,30]]}}}