Pharmaceutical Cost Savings in the Intensive Care Unit

2017 ◽  
Vol 40 (4) ◽  
pp. 414-423
Author(s):  
Benjamin T. Pennell ◽  
Claire V. Murphy ◽  
Cindy Byrd ◽  
Crystal Tubbs
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Cost Savings ◽  
Pharmaceutical Cost

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 Intensive care unit procedures: cost savings and patient safety

Critical Care ◽  
10.1186/cc377 ◽  
1999 ◽  
Vol 3 (Suppl 1) ◽  
pp. P002
Author(s):  
NW Knudsen ◽  
MW Sebastian ◽  
RA Perez-Tamayo ◽  
WL Johanson ◽  
SN Vaslef
Keyword(s):  
Intensive Care Unit ◽  
Patient Safety ◽  
Intensive Care ◽  
Cost Savings

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 PRM41 - ESTIMATION OF HOSPITAL COST SAVINGS ASSOCIATED WITH HYPOTENSION REDUCTION IN SEPTIC INTENSIVE CARE UNIT PATIENTS IN FRANCE

2018 ◽  
Vol 21 ◽  
pp. S362
Author(s):  
E Keuffel ◽  
C Gunnarsson ◽  
M Stevens ◽  
T Davis ◽  
K Maheshwari
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Hospital Cost ◽  
Cost Savings

IMPLEMENTATION AND COST SAVINGS OF SEDATION GUIDELINES IN A MEDICAL INTENSIVE CARE UNIT

1998 ◽  
Vol 26 (Supplement) ◽  
pp. 99A ◽  
Author(s):  
Mary Beth Bobek ◽  
Lori Hoffman-Hogg ◽  
Nancy Bair ◽  
Alejandro Arroliga ◽  
Herbert Wiedemann
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Medical Intensive Care Unit ◽  
Cost Savings ◽  
Medical Intensive Care

scholarly journals Bedside Pulse Oximeters with a Clinical Algorithm Make Economic Sense in the Intensive Care Unit

1996 ◽  
Vol 3 (1) ◽  
pp. 47-51
Author(s):  
David J Leasa ◽  
Jacqueline M Walker
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Pulse Oximeter ◽  
Cost Savings ◽  
Clinical Algorithm ◽  
Arterial Blood Gas ◽  
Arterial Blood ◽  
Before And After ◽  
The Mean ◽  
Pulse Oximeters

OBJECTIVE:To determine the effect on arterial blood gas (ABG) and hospital resource use by introducing a strategy of using bedside oximeters with a clinical algorithm, based on the argument that bedside pulse oximeters make economic sense in the intensive care unit (ICU) if safe patient oxygenation can be ensured at a lower cost than that of existing monitoring options.DESIGN:A before and after design was used to examine the consequences of a pulse oximeter at each bedside in the ICU along with a pulse oximeter clinical algorithm (POCA) describing use for titrating oxygen therapy and for performing ABG analysis.SETTING:A 19-bed multidisciplinary ICU with a six-bed extended ICU (EICU) available to function as a 'step-down' facility.PATIENTS:All patients admitted to the ICU/EICU over two 12-month periods were included.RESULTS:The strategy yielded a 31% reduction in the mean number of ABGs per patient after POCA (20.0±26.1 versus 13.8±16.7, mean ± SD; P<0.001) as well as a potential annual cost savings of $32,831.CONCLUSIONS:Bedside oximeters within the ICU, when used with explicit guidelines, reduce ABG use and result in hospital cost savings.

Cost savings from having a clinical pharmacist work part-time in a medical intensive care unit

1997 ◽  
Vol 54 (24) ◽  
pp. 2811-2814 ◽  
Author(s):  
Sandra L. Baldinger ◽  
Moses S. S. Chow ◽  
Richard H. Gannon ◽  
Edward T. Kelly
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Clinical Pharmacist ◽  
Medical Intensive Care Unit ◽  
Cost Savings ◽  
Part Time ◽  
Medical Intensive Care

scholarly journals Safe Transitions Pathway for Postcraniotomy Neurological Surgery Patients: High-Value Care That Bypasses the Intensive Care Unit

Neurosurgery ◽  
2019 ◽  
Vol 66 (Supplement_1) ◽  
Author(s):  
Jacob S Young ◽  
Andrew Kai-Hong Chan ◽  
Jennifer Viner ◽  
Sujatha Sankaran ◽  
Alvin Y Chan ◽  
...  
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Transitional Care ◽  
Cost Savings ◽  
Clinical Information ◽  
Fiscal Year ◽  
Net Revenue ◽  
The Mean ◽  
Neuroscience Intensive Care Unit ◽  
Neurological Surgery

Abstract INTRODUCTION High-value medical care is described as excellent outcomes, high patient satisfaction, and efficient costs. Neurosurgical care can be expensive for the hospital, as substantial costs are accrued during the operation and throughout the postoperative stay. At our institution, we implemented a “safe transitions pathway” where select patients would go to the transitional care unit (TCU) rather than the neuroscience intensive care unit (ICU) following a craniotomy. METHODS Patients who were enrolled during the fiscal year (FY) 2018 were included in the study. The electronic medical record was reviewed for clinical information and the hospital bill was reviewed for financial information. Nurses and patients were given a satisfaction survey to assess their respective impression of the hospital stay and recovery pathway RESULTS No patients who proceeded to the TCU post operatively were upgraded to ICU level of care overnight. There were no deaths in the STP patients and no patient required a return to the operating room during their hospitalization. There was a trend towards less 30-day readmissions in the STP patients than the standard pathway patients (1.2% vs 5.1%, P = .058). The mean number of ICU days saved per case was 1.20. The average post-procedure LOS was reduced by 0.25 d for STP patients. Actual FY18 direct cost savings from 94 patients who went through the Safe Transitions Pathway was $422 128. CONCLUSION Length of stay, direct charges, total costs, and ICU days were significantly decreased while net revenue was significantly increased by the adoption of a STP. There were no substantial complications or adverse patient outcomes.

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