Costs & Cost Controls

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January 1970
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Trends in mortality, length of stay, hospital charges associated with HAIs

Editor's Note In this study of patients discharged from two tertiary-quaternary hospitals and one community hospital, researchers found no appreciable or consistent improvement in hospital-acquired infections (HAIs), mortality, or length of stay from 2006 and 2012. During this time, total charges declined by 11% for bloodstream infection and 13% for…

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By: Judy Mathias
August 31, 2016
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Hospital cost of surgery-related pressure ulcers

Editor's Note This study found that hospital-acquired pressure ulcers add 44% to the cost of major surgical hospital stays, but the amount varies depending on length of stay. Using data from the Healthcare Cost and Utilization Project (HCUP) State Inpatient Databases and the Medicare Patient Safety Monitoring System for 2011…

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By: Judy Mathias
August 16, 2016
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Cost-effectiveness of appendectomy for abscessed appendicitis

Editor's Note Appendectomy is cost-effective for abscessed appendicitis in patients less than 34 years old, this study finds. For an 18-year-old patient, appendectomy costs $9,417.22 with a gain of 16.59 quality-adjusted life years (QALYs), compared with no appendectomy, which costs $11,613.57 with a gain of 16.52 QALYs. For a 35-year-old…

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By: Judy Mathias
August 15, 2016
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Physician-owned surgical hospitals performed better in VBP program

Editor's Note Medicare’s value-based purchasing (VBP) program revealed superior performance associated with physician owned surgical hospitals in this study. Researchers analyzed 3,089 hospitals that included physician-owned surgical, University HealthSystem Consortium, US News & World Report Honor Roll, Kaiser Permanente, and Accountable Care Organization hospitals. Estimated mean total performance scores were…

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By: Judy Mathias
August 9, 2016
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National healthcare spending projected through 2025

Editor's Note The growth in US healthcare spending from 2015 to 2025 is projected to average 5.8%--1.3% faster than growth in the gross domestic product, finds this study. Healthcare will represent 20.1% of the total economy by 2025. With the initial impact of the Affordable Care Act fading, growth in…

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By: Judy Mathias
July 26, 2016
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Study: Blood management guidelines reduce blood use, costs

Editor's Note Improving processes for ordering, transporting, and storing blood at Vanderbilt University Medical Center, Nashville, Tennessee, resulted in $2 million in savings and a 30% reduction in blood utilization in a study presented as a poster presentation at the 2016 American College of Surgeons National Surgical Quality Improvement Program…

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By: Judy Mathias
July 18, 2016
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Surgical comanagement by hospitalists improves outcomes

Editor's Note A surgical comanagement hospitalist program reduced complications, length of stay, 30-day readmissions, number of consultants, and cost of care in this study. There was no significant changed in patient satisfaction and the average savings was $2,642 to $4,303 per patient. This retrospective study by researchers from Stanford University…

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By: Judy Mathias
July 18, 2016
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Hospital readmission app could save billions

Editor's Note Hospital readmission app could save billions An award-winning app developed by graduate students at Binghamton University, State University of New York, could help reduce readmission rates and save the healthcare industry billions. The Android-based mobile app called “Post Discharge Treatment and Readmission Predictor,” creates a special messaging service…

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By: Judy Mathias
June 20, 2016
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Nursing work environments linked to value

Editor's Note Hospitals with better nursing work environments and above-average staffing levels were associated with better value (ie, lower mortality with similar costs), especially for higher risk patients, this study finds. The study included 25,752 elderly Medicare general surgery patients treated at 35 focal hospitals (mean nurse-to-bed ratio, 1.51) and…

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By: Judy Mathias
June 16, 2016
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Top 20 most expensive inpatient conditions

Editor's Note Septicemia was the most expensive condition treated in US hospitals in 2013, according to the Agency for Healthcare Research and Quality. Others in the top 20 most expensive were: osteoarthritis, 2nd complications of device, implant, or graft, 4th complications of surgical procedures or medical care, 13th hip fracture,…

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By: Judy Mathias
June 15, 2016
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