Courtney M Rowan1, A Ioana Cristea1, Jennifer C Hamilton1, Nicole M Taylor1, Mara E Nitu1, Veda L Ackerman1. 1. Courtney M Rowan, Jennifer C Hamilton, Mara E Nitu, Veda L Ackerman, Department of Pediatrics, Section of Critical Care, Indiana University School of Medicine, Riley Hospital for Children at Indiana University Health, Indianapolis, IN 46202, United States.
Abstract
AIM: To hypothesize a dedicated critical care nurse practitioner (NP) is associated with a decreased length of stay (LOS) from a pediatric chronic ventilator dependent unit (PCVDU). METHODS: We retrospectively reviewed patients requiring care in the PCVDU from May 2001 through May 2011 comparing the 5 years prior to the 5 years post implementation of the critical care NP in 2005. LOS and room charges were obtained. RESULTS: The average LOS decreased from a median of 55 d [interquartile range (IQR): 9.8-108.3] to a median of 12 (IQR: 4.0-41.0) with the implementation of a dedicated critical care NP (P < 1.0001). Post implementation of a dedicated NP, a savings of 25738049 in room charges was noted over 5 years. CONCLUSION: Our data demonstrates a critical care NP coverage model in a PCVDU is associated with a significantly reduced LOS demonstrating that the NP is an efficient and likely cost-effective addition to a medically comprehensive service.
AIM: To hypothesize a dedicated critical care nurse practitioner (NP) is associated with a decreased length of stay (LOS) from a pediatric chronic ventilator dependent unit (PCVDU). METHODS: We retrospectively reviewed patients requiring care in the PCVDU from May 2001 through May 2011 comparing the 5 years prior to the 5 years post implementation of the critical care NP in 2005. LOS and room charges were obtained. RESULTS: The average LOS decreased from a median of 55 d [interquartile range (IQR): 9.8-108.3] to a median of 12 (IQR: 4.0-41.0) with the implementation of a dedicated critical care NP (P < 1.0001). Post implementation of a dedicated NP, a savings of 25738049 in room charges was noted over 5 years. CONCLUSION: Our data demonstrates a critical care NP coverage model in a PCVDU is associated with a significantly reduced LOS demonstrating that the NP is an efficient and likely cost-effective addition to a medically comprehensive service.
Entities:
Keywords:
Cost effective health care; Length of stay; Nurse practitioners; Pediatrics; Ventilation
Authors: B J Make; N S Hill; A I Goldberg; J R Bach; G J Criner; P E Dunne; M E Gilmartin; J E Heffner; R Kacmarek; T G Keens; S McInturff; W J O'Donohue; E A Oppenheimer; D Robert Journal: Chest Date: 1998-05 Impact factor: 9.410
Authors: Marie J Cowan; Martin Shapiro; Ron D Hays; Abdelmonem Afifi; Sondra Vazirani; Cathy Rodgers Ward; Susan L Ettner Journal: J Nurs Adm Date: 2006-02 Impact factor: 1.737