What Hospital Inpatient Services Contributed the Most to the 2001–2006 Growth in the Cost per Case?

Maeda, Jared Lane K.; Raetzman, Susan; Friedman, Bernard

doi:10.1111/j.1475-6773.2012.01460.x

Cited by 40 publications

(26 citation statements)

References 11 publications

(12 reference statements)

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“…Nursing practice changes can result in a cost savings if the change reduces nursing labor. The United States spends more money on healthcare than any other country in the world, with an average per capita expense of $8233 compared with an average of $3268 in other industrialized countries 13 . The cost of nursing labor grew 58% in 2002–2009, and this trend is expected to continue 14 .…”

Section: Introductionmentioning

confidence: 99%

Enteral Feeding Set Handling Techniques

et al. 2016

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Section: Introductionmentioning

confidence: 99%

Enteral Feeding Set Handling Techniques

et al. 2016

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“…While the authors did not consider hospital and staffing costs, nor the consequence of possible complications or retreatment rates in a decision analysis, it is important to consider these costs. In the USa, supplies and devices have been implicated as the leading contributor toward rising inpatient costs [39]. While cost of disposables will be highly dependent on world region, industry factors, and logistical conditions, providers should continue to use devices with care and diligence in order to maximize utility.…”

Section: Future Needsmentioning

confidence: 99%

Disposable devices for RIRS: Where do we stand in 2013? What do we need in the future?

2014

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While rapid advances in technology and knowledge continue, continual improvements are necessary. Disposable equipment needs persistent refinement and possible miniaturization. More efficient fragment retrieval devices are needed. Durability of laser fibers and safety within ureteroscopes needs to be improved. Reducing stent morbidity remains an ongoing challenge. Lastly, costs need to be reduced by the further development of disposable flexible ureteroscopes and in the recyclability of disposable devices to improve availability worldwide.

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“…Different procedure use, such as percutaneous coronary intervention (PCI) versus coronary artery bypass grafting (CABG), entails different levels of resource intensity, which has been shown to contribute importantly to cross-country differences in cost of AMI hospitalizations (9). Other studies also found that the proportion of patients receiving PCI influences hospitalization costs more than other treatment strategies (10), while changes in the costs of intensive care unit (ICU) contributed substantially to the growth of hospitalization costs in the U.S. (11). Therefore, practices related to PCI, CABG, and ICU use may be important indicators of care patterns and may present opportunities to optimize utilization.…”

Section: Introductionmentioning

confidence: 99%

Hospital Phenotypes in the Management of Patients Admitted for Acute Myocardial Infarction

Lin

et al. 2016

Medical Care

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Objectives To characterize hospital phenotypes by their combined utilization pattern of percutaneous coronary interventions (PCI), coronary artery bypass grafting (CABG) procedures, and intensive care unit (ICU) admissions for patients hospitalized for acute myocardial infarction (AMI). Research Design Using the Premier Analytical Database, we identified 129,138 hospitalizations for AMI from 246 hospitals with the capacity for performing open-heart surgery during 2010-2013. We calculated year-specific, risk-standardized estimates of PCI procedure rates, CABG procedure rates, and ICU admission rates for each hospital, adjusting for patient clinical characteristics and within-hospital correlation of patients. We used a mixture modeling approach to identify groups of hospitals (i.e., hospital phenotypes) that exhibit distinct longitudinal patterns of risk-standardized PCI, CABG, and ICU admission rates. Results We identified 3 distinct phenotypes among the 246 hospitals: 1) high PCI - low CABG - high ICU admission (39.2% of the hospitals), 2) high PCI - low CABG - low ICU admission (30.5%), and 3) low PCI - high CABG - moderate ICU admission (30.4%). Hospitals in the high PCI - low CABG - high ICU admission phenotype had significantly higher risk-standardized in-hospital costs and 30-day risk-standardized payment yet similar risk-standardized mortality and readmission rates compared with hospitals in the low PCI - high CABG - moderate ICU admission phenotype. Hospitals in these phenotypes differed by geographic region. Conclusions Hospitals differ in how they manage patients hospitalized for AMI. Their distinctive practice patterns suggest that some hospital phenotypes may be more successful in producing good outcomes at lower cost.

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What Hospital Inpatient Services Contributed the Most to the 2001–2006 Growth in the Cost per Case?

Abstract: Payers and policy makers may want to explore hospital stay costs that are rapidly rising to better understand their increases and effectiveness.

Cited by 40 publications

References 11 publications

Enteral Feeding Set Handling Techniques

Enteral Feeding Set Handling Techniques

Disposable devices for RIRS: Where do we stand in 2013? What do we need in the future?

Hospital Phenotypes in the Management of Patients Admitted for Acute Myocardial Infarction

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