Elizabeth A Stuebing1, Thomas J Miner. 1. DeWitt Daughtry Family Department of Surgery, Miller School of Medicine, University of Miami, Miami, Florida 33136, USA. bstuebing@gmail.com
Abstract
OBJECTIVE: To determine whether simply being made continually aware of the hospital costs of daily phlebotomy would reduce the amount of phlebotomy ordered for nonintensive care unit surgical patients. DESIGN: Prospective observational study. SETTING: Tertiary care hospital in an urban setting. PARTICIPANTS: All nonintensive care unit patients on 3 general surgical services. INTERVENTION: A weekly announcement to surgical house staff and attending physicians of the dollar amount charged to nonintensive care unit patients for laboratory services during the previous week. MAIN OUTCOME MEASURE: Dollars charged per patient per day for routine blood work. RESULTS: At baseline, the charges for daily phlebotomy were $147.73/patient/d. After 11 weeks of residents being made aware of the daily charges for phlebotomy, the charges dropped as low as $108.11/patient/d. This had a correlation coefficient of -0.76 and significance of P = .002. Over 11 weeks of intervention, the dollar amount saved was $54,967. CONCLUSION: Health care providers being made aware of the cost of phlebotomy can decrease the amount of these tests ordered and result in significant savings for the hospital.
OBJECTIVE: To determine whether simply being made continually aware of the hospital costs of daily phlebotomy would reduce the amount of phlebotomy ordered for nonintensive care unit surgical patients. DESIGN: Prospective observational study. SETTING: Tertiary care hospital in an urban setting. PARTICIPANTS: All nonintensive care unit patients on 3 general surgical services. INTERVENTION: A weekly announcement to surgical house staff and attending physicians of the dollar amount charged to nonintensive care unit patients for laboratory services during the previous week. MAIN OUTCOME MEASURE: Dollars charged per patient per day for routine blood work. RESULTS: At baseline, the charges for daily phlebotomy were $147.73/patient/d. After 11 weeks of residents being made aware of the daily charges for phlebotomy, the charges dropped as low as $108.11/patient/d. This had a correlation coefficient of -0.76 and significance of P = .002. Over 11 weeks of intervention, the dollar amount saved was $54,967. CONCLUSION: Health care providers being made aware of the cost of phlebotomy can decrease the amount of these tests ordered and result in significant savings for the hospital.
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