BACKGROUND: Although the impact of a neurointensivist (NI) on patient outcomes has been examined in the past, the financial impact has not been estimated before. METHODS: We extracted the financial data from the Neuro-Intensive Care Unit (NICU) at Henry Ford Hospital during two 3-year periods, one before and one after the appointment of a NI. Net revenue (NR), total direct expenses (TDE), and contribution margin (CM) were compared between these two periods both for Henry Ford Hospital and the Henry Ford Medical Group. RESULTS: The average number of admissions increased by 24% during the period when the NI was present, the number of patient-days by 25% and the average length of stay by 2%. In the second period, when the NI was billing for critical care time spent in the NICU, as well as for procedures he performed, the mean yearly NR was $402,000, the TDE $317,000 and the NR/TDE 1.24 (>1.0 represents profitability). The combined mean NR (Henry Ford Hospital + Medical Group) increased by 54.6%, the combined TDE by 42.2% and the combined CM by 91.2% in the period when the NI was present. This is reflected in the combined mean CM per admission, which also increased by 56.4% in the after period. CONCLUSION: This study shows a significant financial benefit for the Henry Ford Health System during the period when a NI was present in the NICU.
BACKGROUND: Although the impact of a neurointensivist (NI) on patient outcomes has been examined in the past, the financial impact has not been estimated before. METHODS: We extracted the financial data from the Neuro-Intensive Care Unit (NICU) at Henry Ford Hospital during two 3-year periods, one before and one after the appointment of a NI. Net revenue (NR), total direct expenses (TDE), and contribution margin (CM) were compared between these two periods both for Henry Ford Hospital and the Henry Ford Medical Group. RESULTS: The average number of admissions increased by 24% during the period when the NI was present, the number of patient-days by 25% and the average length of stay by 2%. In the second period, when the NI was billing for critical care time spent in the NICU, as well as for procedures he performed, the mean yearly NR was $402,000, the TDE $317,000 and the NR/TDE 1.24 (>1.0 represents profitability). The combined mean NR (Henry Ford Hospital + Medical Group) increased by 54.6%, the combined TDE by 42.2% and the combined CM by 91.2% in the period when the NI was present. This is reflected in the combined mean CM per admission, which also increased by 56.4% in the after period. CONCLUSION: This study shows a significant financial benefit for the Henry Ford Health System during the period when a NI was present in the NICU.
Authors: Peter J Pronovost; Christine G Holzmueller; Lia Clattenburg; Sean Berenholtz; Elizabeth A Martinez; Jose Rodriguez Paz; Dale M Needham Journal: Curr Opin Crit Care Date: 2006-12 Impact factor: 3.687
Authors: Peter J Pronovost; Dale M Needham; Hugh Waters; Christian M Birkmeyer; Jonah R Calinawan; John D Birkmeyer; Todd Dorman Journal: Crit Care Med Date: 2004-06 Impact factor: 7.598
Authors: Peter J Pronovost; Dale M Needham; Hugh Waters; Christian M Birkmeyer; Jonah R Calinawan; John D Birkmeyer; Todd Dorman Journal: Crit Care Med Date: 2006-03 Impact factor: 7.598
Authors: Josef M Lang; Jürgen Meixensberger; Andreas W Unterberg; Andreas Tecklenburg; Joachim K Krauss Journal: Langenbecks Arch Surg Date: 2011-03-08 Impact factor: 3.445
Authors: Santosh B Murthy; Ajay Gupta; Alexander E Merkler; Babak B Navi; Pitchaiah Mandava; Costantino Iadecola; Kevin N Sheth; Daniel F Hanley; Wendy C Ziai; Hooman Kamel Journal: Stroke Date: 2017-04-17 Impact factor: 7.914