Assignment: Heart Bypass Surgery

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Assignment: Heart Bypass Surgery

Assignment: Heart Bypass Surgery

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Herzer, Niessen, Constenla, Ward, and Pronovost (2014) listed the cost of education as $3,579 of total pro- gram ($192,292) on central line-associated bloodstream infections prevention. The total initiative was a multiface- ted quality improvement program in ICUs reporting employee education as only a small part of efforts. The ba- sis of the initiative was to examine the cost-effectiveness of the Keystone ICU project (Waters et al., 2011) using hospi- tal data and nationally representative data sources. We excluded this study because the NPD economic impact was difficult to sort out from the impact of the other inter- ventions. The estimate of costs for education of clinicians was very low, creating questions about how itwas calculated.

Cancer treatment

CAN$2,776 for 3 months Family assistance: Admission bag: $100 Gas & food cards: provided Adopt a family: toys, supplies, essential household items Beds: provided Wigs: provided Ronald McDonald House: efficiency/apt Scholarships to survivors/immediate family members Partners with pediatric oncology teams $3,247 annual mean cost of outpatient visits $21,329 annual mean cost of in-patient visits $2,204 annual mean medication cost

Tsimicalis et al. (2013) Children’s Cancer Network (2018)

AHRQ (2018)

Cataract surgery $8.786 (IP) CDC VFC Publications: Supplement (2014)

Catheter-associated urinary tract infections

Estimated cost per case in 2015: $13,793 AHRQ (2017)

Clostridium difficile infection Estimated cost per care in 2015: $17,260 AHRQ (2017)

Central line-associated bloodstream infections

Estimated cost per case in 2015: $48,108 AHRQ (2017)


306 November/December 2018

Copyright © 2018 Wolters Kluwer Health, Inc. All rights reserved.

TABLE 2 Updated Known Costs of Outcomes Table 2018, Continued Conditions Recent Cost Estimate References Employee Injury

Musculoskeletal injuries

Needle stick

Multiple physical injuries per incidence: Direct cost $73,749 Indirect cost $81,123 Total cost $154,872 Strain: Direct $33,140 Indirect $36,454 Total $69,594 Sprain: Direct $29,989 Indirect $32,987 Total $62,976 Needle stick and sharps injury management among healthcare personnel Median of the means for aggregate (direct + indirect) costs Int$747 (range Int$199YInt$1,691)

OSHA Safety Pays Program Estimator (2017)

OSHA Safety Pays Program Estimator (2017)

Mannocci et al. (2016)

Falls Estimated extra cost per case in 2015 dollars: $6,694

Cost in 2015: Noninjurious patient falls: $1,139Y$2,033 Injurious patient falls: $7,136Y$15,444 Serious patient injury cost: $17,567Y$30,931 Mean cost of hospitalization related to a fall is $17,483 per event

AHRQ (2017)

Spetz, Brown, & Aydin (2015)

Trepanier & Hilsenbeck (2014)

Hospital-acquired pressure ulcer (HAPU)

Stage IV pressure ulcers

Stage IV pressure ulcers

Estimated extra cost per case in 2015: $14,506

Avg. hospital treatment cost for Stage IV pressure ulcers and complications was $129,248 for HAPU for one admission and $124,327 for community-acquired ulcers over an average of 4 admissions. Estimated cost per case for Stage IV pressure ulcers: $18,731.47Y$21,410

AHRQ (2017)

Brem et al. (2010)

Spetz et al. (2013)

Heart disease

Heart surgery

Acute myocardial infarction

$1,377 annual mean cost of outpatient visits $19,378 annual mean cost of inpatient visits $571 annual mean medication cost $1,807 annual mean ED visits cost Heart bypass surgery: $70,000Y$200,000 or more Heart valve replacement: $80,000Y$200,000 or more According to the United Network for Organ Sharing, the total cost of a heart transplant can reach almost $800,000 or more $23,000 average hospital cost for discharges/ case in 2014

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