Cost Savings Associated with Palliative Care (DRAFT)

2018 ◽  
Author(s):  
Breffni Hannon
Keyword(s):  
Intensive Care Unit ◽  
Palliative Care ◽  
Intensive Care ◽  
Diagnostic Imaging ◽  
Hospital Costs ◽  
Cost Savings ◽  
Direct Costs ◽  
Economic Benefits ◽  
Propensity Scoring ◽  
Clinical Benefits

Although the clinical benefits associated with hospital-based palliative care (PC) consultation teams are well established, few studies address the potential economic impact of these services. This study aimed to examine the effect of hospital-based PC teams on hospital costs for patients who died in the hospital, as well as for those discharged alive. Eight diverse hospital settings with established PC teams were chosen, and administrative data relating to direct costs (including laboratory, diagnostic imaging, pharmacy, and intensive care unit [ICU] costs) were analyzed. Propensity scoring was used to match PC patients with usual care (UC) patients. Of 2,630 PC patients who were discharged alive, net savings of $2,642 per admission were calculated, compared with 18,427 UC patients. For the 2,278 PC patients who died in the hospital, savings of $4,908 per admission were seen, when compared with 2,124 UC patients, confirming the additional economic benefits associated with hospital-based PC teams.

scholarly journals Patterns of Cost for Patients Dying in the Intensive Care Unit and Implications for Cost Savings of Palliative Care Interventions

2016 ◽  
Vol 19 (11) ◽  
pp. 1171-1178 ◽  
Author(s):  
Nita Khandelwal ◽  
David Benkeser ◽  
Norma B. Coe ◽  
Ruth A. Engelberg ◽  
Joan M. Teno ◽  
...  
Keyword(s):  
Intensive Care Unit ◽  
Palliative Care ◽  
Intensive Care ◽  
Cost Savings

scholarly journals REDUCTIONS IN MEDICATION WASTAGE AND COSTS IN A PEDIATRIC INTENSIVE CARE UNIT BY CHANGING THE ORDER ENTRY SYSTEM

2021 ◽  
pp. 107-110
Author(s):  
IMAN KHORSHIDI-MALAHMADI ◽  
SETAREH SIMA ◽  
ZAHRA ALLAMEH
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Tertiary Care ◽  
Hospital Pharmacist ◽  
Hospital Costs ◽  
Cost Savings ◽  
Pediatric Intensive Care ◽  
Medication Cost ◽  
Hospital Nurses ◽  
Pediatric Hospital

Objective: The intensive care unit (ICU) drug therapies have a significant impact on hospital costs, and reducing these costs has become a critical concern for hospitals. In this study, the researchers tested the theory on whether changing the ordering system of medications in the pediatric ICU (PICU)1, reduces drug wastage so that the nurse can request a fraction of one vial or ampule. More precisely, the study aimed to reduce the medication cost and wastage in our pediatric center. Methods: This study was conducted in the 16-bed PICU of Imam Hossein Hospital, which is a referral tertiary care teaching pediatric hospital with 185 beds in ten wards. A fractional ordering alternative was added to the hospital information system of the PICU of the pediatric hospital. Nurses were taught by the hospital pharmacist to understand the new way of ordering the drugs. Several highly used drugs were chosen for the intervention. The data were analyzed by an independent sample t-test using SPSS software. Results: Based on the results, changing the method of requesting medications for PICU patients and the random checking of floor stocks and the expired drugs in PICU reduced the number and cost of all medications. Conclusion: Overall, the collaboration of nurses and pharmacists can lead to cost savings in hospitals.

scholarly journals Incremental costs of high intensive care utilisation in patients hospitalised with heart failure

2019 ◽  
Vol 8 (7) ◽  
pp. 660-666 ◽  
Author(s):  
Sean van Diepen ◽  
Dat T Tran ◽  
Justin A Ezekowitz ◽  
Gregory Schnell ◽  
Brandon M Wiley ◽  
...  
Keyword(s):  
Heart Failure ◽  
Intensive Care Unit ◽  
Intensive Care ◽  
Intensive Care Unit Admission ◽  
Hospital Costs ◽  
Cost Savings ◽  
Intensive Care Unit Care ◽  
Inhospital Mortality ◽  
Potential Cost ◽  
Patients With Heart Failure

Aims: Registries have reported large inter-hospital differences in intensive care unit admission rates for patients with acute heart failure, but little is known about the potential economic impact of over-admission of low-risk patients with heart failure to higher cost intensive care units. We described the variability in intensive care unit admission practices, the provision of critical care therapies, and estimated the potential national cost savings if all hospitals adopted low intensive care unit admission practices for patients admitted with heart failure. Methods: Using a national population health dataset, we identified 349,693 heart failure admission hospitalisations with a primary diagnosis of heart failure between 2007 and 2016. Hospitals were categorised as low (first quartile), medium (second and third quartile) and high (fourth quartiles) intensive care unit utilisation. Results: The mean intensive care unit admission rate was 16.4% (inter-hospital range 0.3–51%) including 5.4% in low, 14.5% in medium and 30% in high utilisation hospitals. Intensive care unit therapies in low, medium and high intensive care unit utilisation hospitals were 54.5%, 45.1% and 24.1% ( P<0.001), respectively and the inhospital mortality rate was not significantly different. The proportion of hospital costs incurred by intensive care unit care was 7.8% in low, 19.8% in medium and 28.2% in high ( P<0.001) admission hospitals. The potential cost savings of altering intensive care unit utilisation practices for patients with heart failure was CAN$234.8m over the study period. Conclusions: In a national cohort of patients hospitalised with heart failure, we observed that low intensive care unit utilisation centres had lower hospital costs with no differences in mortality rates. The development of standardised admission criteria for high-cost and high acuity intensive care unit beds could reduce costs to the healthcare system.

scholarly journals Clinical and economic benefits of de-escalating stress ulcer prophylaxis therapy in the intensive care unit: A quality improvement study

2019 ◽  
Vol 47 (6) ◽  
pp. 503-509 ◽  
Author(s):  
Matthew H Anstey ◽  
Edward Litton ◽  
Robert N Palmer ◽  
Sneha Neppalli ◽  
Benedict J Tan ◽  
...  
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Quality Improvement ◽  
Intensive Care Units ◽  
Stress Ulcer ◽  
Cost Savings ◽  
Economic Benefits ◽  
Stress Ulcer Prophylaxis ◽  
Prescribing Patterns ◽  
Ulcer Prophylaxis

Stress ulcer prophylaxis is commonly prescribed in the intensive care unit but can be inappropriately commenced or continued on discharge, exposing patients to potential harm. We aimed to evaluate whether a prescribing guideline, education program and pharmacist oversight would reduce inappropriate continuation of stress ulcer prophylaxis. This was a multicentre pre- (2014) and post- (2016) quality improvement study across five Australian intensive care units. Cost data were estimated using local information about prescribing patterns, and the relationship between long-term use and adverse events. A total of 531 patients were included in the pre- and 393 in the post-implementation periods. The proportion of hospital survivors inappropriately continued on stress ulcer prophylaxis reduced from 78/184 (42.4%) to 11/143 (7.7%) in the post-implementation period (odds ratio = 8.83; 95% confidence interval 4.47–17.45; P < 0.0001). Clostridium difficile–associated disease reduced from 10 patients to one in the pre- to post-implementation groups. The extrapolated direct savings to all Australian intensive care units from reduced proton pump inhibitor prescribing are relatively small (AUD$2.08 million/year), but the reduction in complications has both benefits for patients and indirect savings of AUD$16.59 million/year nationally. In patients admitted to the intensive care unit, the introduction of a simple, bundled intervention resulted in a significant decrease in inappropriate continuation of stress ulcer prophylaxis at hospital discharge and a reduction in recognised complications, and substantial cost savings.

scholarly journals What do I do? Developing a taxonomy of chaplaincy activities and interventions for spiritual care in intensive care unit palliative care

2015 ◽  
Vol 14 (1) ◽  
Author(s):  
Kevin Massey ◽  
Marilyn JD Barnes ◽  
Dana Villines ◽  
Julie D Goldstein ◽  
Anna Lee Hisey Pierson ◽  
...  
Keyword(s):  
Intensive Care Unit ◽  
Palliative Care ◽  
Intensive Care ◽  
Spiritual Care

Quality of palliative care in intensive care unit “X” Hospital Indonesia

2020 ◽  
Vol 30 ◽  
pp. 16-19
Author(s):  
Ifa Hafifah ◽  
Syamsul Arifin ◽  
Dhemes Alin ◽  
Isnawati
Keyword(s):  
Intensive Care Unit ◽  
Palliative Care ◽  
Intensive Care
Sign in / Sign up

Export Citation Format

Share Document