Cost savings from use of a neonatal sepsis calculator in Australia: A modelled economic analysis

Author(s):  
Alexandra Cussen ◽  
Lorna Guinness
Author(s):  
Tanweer Hasan ◽  
Robert W. Stokes

Guidelines for right-turn treatments at unsignalized intersections and driveways on rural two-lane and four-lane highways are presented. Two types of treatments, full-width lane and taper, were considered over the do-nothing radius treatment. The guidelines indicate the design hourly traffic volumes for which the benefits of right-turn treatments exceed their costs. The benefits used in the economic analysis were the operational and accident cost savings provided by right-turn treatments. The costs used in the development of the guidelines were the costs of constructing full-width right-turn lanes and tapers. The operational effects were estimated in terms of delay and excess fuel consumption experienced by through traffic due to right-turning vehicles. To account for the safety effects, the relationship between speed differential and accidents was used to estimate the reduction in right-turn, same-direction, rear-end accidents that would be expected to result from the provision of a right-turn treatment. The guidelines indicate the right-turn design hourly volume required to justify a right-turn treatment as a function of the following factors: ( a) directional design hourly volume, (b) highway operating speed, and ( c) number of lanes on the highway. Comparisons with other guidelines indicate that the range of guidelines developed are reasonable. In addition, they are more definitive than other guidelines because they account for highway operating speed and address taper treatments as well as full-width turn lanes.


Neonatology ◽  
2018 ◽  
Vol 113 (4) ◽  
pp. 379-382 ◽  
Author(s):  
Tobias Strunk ◽  
Ashok Buchiboyina ◽  
Mary Sharp ◽  
Elizabeth Nathan ◽  
Dorota Doherty ◽  
...  

2020 ◽  
Vol 20 (1) ◽  
pp. 25-32 ◽  
Author(s):  
Gangaram Akangire ◽  
Elizabeth Simpson ◽  
Julie Weiner ◽  
Janelle Noel-MacDonnell ◽  
Joshua Petrikin ◽  
...  

2021 ◽  
Vol 38 (4) ◽  
Author(s):  
Iryna Babich ◽  
Alina Sheludchenkova ◽  
Valentyna Borkovska ◽  
Nina Tsegelnik ◽  
Оlga Grytsay

The article proposes to consider the theoretical and methodological foundations of accounting and analysis of equipment overhaul costs. The study of the literature showed that it is necessary to develop recommendations for improving accounting and analysis in real situations at the enterprise. For equipment that needs repair abroad, the authors suggest not to sell it as non-working (scrap metal), but to export and repair it abroad. The procedure for accounting for equipment repair costs abroad is proposed. To improve the analysis of equipment overhaul costs, the authors proposed an algorithm for equipment overhaul cost analysis, which will provide a balanced and reasonable cost estimate. To obtain relevant information for this analysis, the authors have formed requirements for sources of information for financial and economic analysis of non-current assets. The developed proposals will allow companies to improve accounting and analysis of equipment overhaul costs, which in turn will lead to cost savings and strengthen the company's competitive position.


2016 ◽  
Vol 12 (4) ◽  
pp. e413-e422 ◽  
Author(s):  
Judy C. Boughey ◽  
Gary L. Keeney ◽  
Paul Radensky ◽  
Christine P. Song ◽  
Elizabeth B. Habermann

Purpose: In the current health care environment, cost effectiveness is critically important in policy setting and care of patients. This study performed a health economic analysis to assess the implications to providers and payers of expanding the use of frozen section margin analysis to minimize reoperations for patients undergoing breast cancer lumpectomy. Methods: A health care economic impact model was built to assess annual costs associated with breast lumpectomy procedures with and without frozen section margin analysis to avoid reoperation. Results: If frozen section margin analysis is used in 20% of breast lumpectomies and under a baseline assumption that 35% of initial lumpectomies without frozen section analysis result in reoperations, the potential annual cost savings are $18.2 million to payers and $0.4 million to providers. Under the same baseline assumption, if 100% of all health care facilities adopted the use of frozen section margin analysis for breast lumpectomy procedures, the potential annual cost savings are $90.9 million to payers and $1.8 million to providers. On the basis of 10,000 simulations, use of intraoperative frozen section margin analysis yields cost saving for payers and is cost neutral to slightly cost saving for providers. Conclusion: This economic analysis indicates that widespread use of frozen section margin evaluation intraoperatively to guide surgical resection in breast lumpectomy cases and minimize reoperations would be beneficial to cost savings not only for the patient but also for payers and, in most cases, for providers.


2017 ◽  
Vol 27 (2) ◽  
pp. 240-247
Author(s):  
Zhao Zhang ◽  
Paul H. Heinemann

A low-cost apple (Malus domestica) harvest-assist unit was recently developed to assist employees with fresh apple harvesting. This study reports on the economic analysis of this apple harvest-assist unit. Annual costs of the harvest-assist unit were calculated, including ownership and operational cost. Annual cost savings by increasing apple harvest efficiency, decreasing occupational injuries, improving work productivity in training, pruning, and thinning, and eliminating expenditures on purchasing ladders were calculated. When the annual costs are smaller than annual savings, the unit benefits apple orchard owners positively. Economic analysis results using orchard yields ranging from 25 to 45 Mg·ha−1 demonstrated that when the apple orchard area was larger than 7.6 ha, the unit always benefited orchard owners positively; when the orchard area was smaller than 4.2 ha, the unit always benefited orchard owners negatively. For large orchards, more than one unit was required to satisfy the operational needs. Of the top four U.S. apple production states, Washington, New York, and Michigan, benefitted from purchasing four units, three units, and two units, respectively, per typical farm. However, an average-sized orchard in Pennsylvania, would not benefit, due to small orchard size and low yield. A net present value (NPV) analysis was determined using data from Washington State, which yielded a return on the 8-year investment in the machinery of $888.44.


2019 ◽  
Vol 19 (1) ◽  
Author(s):  
Grace Hampson ◽  
Sarah Louise Elin Roberts ◽  
Alan Lucas ◽  
David Parkin

Abstract Background An exclusive human milk diet (EHMD) using human milk based products (pre-term formula and fortifiers) has been shown to lead to significant clinical benefits for very low birth weight (VLBW) babies (below 1250 g). This is expensive relative to diets that include cow’s milk based products, but preliminary economic analyses have shown that the costs are more than offset by a reduction in the cost of neonatal care. However, these economic analyses have not completely assessed the economic implications of EHMD feeding, as they have not considered the range of outcomes affected by it. Methods We conducted an economic analysis of EHMD compared to usual practice of care amongst VLBW babies in the US, which is to include cow's milk based products when required. Costs were evaluated from the perspective of the health care payer, with societal costs considered in sensitivity analyses. Results An EHMD substantially reduces mortality and improves other health outcomes, as well as generating substantial cost savings of $16,309 per infant by reducing adverse clinical events. Cost savings increase to $117,239 per infant when wider societal costs are included. Conclusions An EHMD is dominant in cost-effectiveness terms, that is it is both cost-saving and clinically beneficial, for VLBW babies in a US-based setting.


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