Cost−Benefit Analysis Simulation of a Hospital-Based Violence Intervention Program

Who Shot Ya? How Emergency Departments Can Collect Reliable Police Shooting Data

“…Several studies have found that HVIPs are effective in collecting violent injury data and that they can reduce repeat violent injury and the costs associated with injury. [21][22][23] These programs collect data on the mode of injury (i.e., gunshot wound or GSW) as well as data on the context and circumstances surrounding the violent injury. HVIPs collect data on the circumstances of the injury in ways similar to data collected by the FBI and NLEOMF on officers' shot in the line of duty.…”

Shift in U.S. payer responsibility for the acute care of violent injuries after the Affordable Care Act: Implications for prevention

“…Policy measures and programs that prevent violent injury would provide considerable financial relief to patients, hospitals, and taxpayers [13, 15, 17, 25-29]. Violence intervention programs such as the Wrap-around Program (WAP) based out of San-Francisco General Hospital have been shown to be cost-effective in reducing violence [30].…”

The Affordable Care Act's Medicaid expansion creates incentive for state Medicaid agencies to provide reimbursement for hospital-based violence intervention programmes

“…A cost-benefit analysis simulation of the HVIP model synthesised data from a variety of sources in an attempt to account for the multiple pathways through which HVIPs may affect costs from different payers’ perspectives 25. Assuming that a HIVP costs US$350 000 to serve 90 patients annually, and reduces violent reinjury by 25%, an effect estimate that is conservative given the evaluation results presented above, a HVIP was projected to produce net savings of US$82 759 in healthcare costs over 5 years when only violent reinjury was included in the model.…”

“…Cost of violent injury requiring hospitalisation: US$37 260. Corso et al 30 adjusted for 2011 healthcare dollars by Purtle et al 25 …”