Trauma Service Cost

Taheri, Paul A.; Wahl, Wendy L.; Butz, David A.; Iteld, Lawrence; Michaels, Andrew J.; Griffes, Louisa C.; Bishop, Gregory S.; Greenfield, Lazar J.

doi:10.1097/00000658-199805000-00012

Cited by 54 publications

(25 citation statements)

References 19 publications

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“…Medical care costs have most often been associated with lengths of hospitalization [6, 23± 26]. Other commonly identified factors include the effectiveness of treatment protocols, illness or injury severity, and cost-containment measures applied by third-party payers [18,27,28].…”

Section: Introductionmentioning

confidence: 99%

Charges and lengths of stay for acute and inpatient rehabilitation treatment of traumatic brain injury 1990–1996

et al. 2001

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This investigation evaluated yearly trends in charges and lengths of stay for patients with brain injury in acute care and rehabilitation settings over a 7 year period. Data was collected from 800 consecutive patients enrolled in four NIDRR Model Systems Traumatic Brain Injury programmes. Acute care daily charges showed almost routine increases, averaging nearly $550 per year. Conversely, lengths of stay generally showed a downward trend, with annual reductions averaging 2.25 days. Admission lengths of stay averaged 22-29 days between 1990-1994. Admissions averaged less than 20 days beginning in 1995, with the 1996 average of 16 days, nearly half that of the 1993 average. Between 1990-1996, average daily rehabilitation charges increased each year, with the rise averaging $83 or 7%. The rise in daily rehabilitation charges was offset by corresponding decreases in lengths of stay averaging 3.65 days or 8% annually. Increases in daily charges for brain injury rehabilitation care were roughly comparable to those for general medical care prices. However, the rate of change in acute care charges was substantially greater, with annual increases averaging 10% more than national medical care prices. The steady downward trend in lengths of stay raises serious concerns about the future availability of health care services to persons with brain injury.

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Section: Introductionmentioning

confidence: 99%

Charges and lengths of stay for acute and inpatient rehabilitation treatment of traumatic brain injury 1990–1996

et al. 2001

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“…[1][2][3][4][5][6] However, the true financial impact of these strategies remains largely unknown. Our group has previously reported a 25% reduction in variable direct cost per patient, 7 but the exact impact of our interventions on total costs and the hospital's bottom line has yet to be ascertained. Our analysis revealed that variable direct costs account for approximately 35% of total patient care costs.…”

Section: Discussionmentioning

confidence: 95%

Physician Impact on the Total Cost of Care

et al. 2000

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“…The influence of the physician regarding cost reduction in a hospital is extremely limited and may lie between 25 and 35% of variable direct costs. The best cost reductions in a 1-year survey were achieved in pharmacy (57%), nursing (24%), and emergency (36%) [41]. Other estimates of a hospital overhead of 84% [14] have been found to be way beyond the physician's immediate control [42].…”

Section: Cost Calculations On the Basis Of A Trauma Registrymentioning

confidence: 98%

Documentation of Blunt Trauma in Europe Survey of the Current Status of Documentation and Appraisal of the Value of Standardization

et al. 2000

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During the last decade, several European communities have begun to perform multicenter approaches to document trauma care and trauma care outcome. So far every country has begun to do this without communicating with each other and no coordination has been performed. The current manuscript compares these modes of documentation, their advantages and evaluates options for future standardization. Even though to date a wide variety of structures is available, the value and the opportunities of a European-wide standardized documentation process is highlighted.

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Trauma Service Cost

Abstract: Identification of the true cost centers and directed attending surgeon involvement are essential to the development and implementation of a successful cost-reduction process.

Cited by 54 publications

References 19 publications

Charges and lengths of stay for acute and inpatient rehabilitation treatment of traumatic brain injury 1990–1996

Charges and lengths of stay for acute and inpatient rehabilitation treatment of traumatic brain injury 1990–1996

Physician Impact on the Total Cost of Care

Documentation of Blunt Trauma in Europe Survey of the Current Status of Documentation and Appraisal of the Value of Standardization

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