Literature DB >> 32338422

Hospital Costs and Reimbursement Model for a Geriatric Emergency Department.

Lauren T Southerland1, Elizabeth L Savage1, Katrina Muska Duff2, Jeffrey M Caterino1, Tina R Bergados3, Katherine M Hunold1, Geoffrey I Finnegan3, Gregory Archual1.   

Abstract

OBJECTIVES: The American College of Emergency Physicians' geriatric emergency department (GED) guidelines recommend additional staff and geriatric equipment, which may not be financially feasible for every ED. Data from an accredited Level 1 GED was used to report equipment costs and to develop a business model for financial sustainability of a GED.
METHODS: Staff salaries including the cost of fringe benefits were obtained from a Midwestern hospital with an academic ED of 80,000 annual visits. Reimbursement assumptions included 100% Medicare/Medicaid insurance payor and 8-hour workdays with 4.5 weeks of leave annually. Equipment costs from hospital invoices were collated. Operational and patient safety metrics were compared before and after the GED.
RESULTS: A geriatric nurse practitioner in the ED is financially self-sustaining at 7.1 consultations, a pharmacist is self-sustaining at 7.7 medication reconciliation consultations, and physical and occupational therapist evaluations are self-sustaining at 5.7 and 4.6 consults per workday, respectively. Total annual equipment costs for mobility aids, delirium aids, sensory aids, and personal care items for the GED was $4,513. Comparing the 2 years before and after, in regard to operational metrics the proportions of patients with lengths of stay > 8 hours and patients placed in observation did not change. In regard to patient safety, the rate of falls decreased from 0.60/1,000 patient visits to 0.42/1,000 in the ED observation unit and 0.42/1,000 to 0.36/1,000 in the ED. ED recidivism at 7 and 30 days did not change. Estimated cost savings from the reduction in falls was $80,328.
CONCLUSION: The additional equipment and personnel costs for comprehensive geriatric assessment in the ED are potentially financially justified by revenue generation and improvements in patient safety measures. A geriatric ED was associated with a decrease in patient falls in the ED but did not decrease admissions or ED recidivism.
© 2020 by the Society for Academic Emergency Medicine.

Entities:  

Year:  2020        PMID: 32338422      PMCID: PMC7577924          DOI: 10.1111/acem.13998

Source DB:  PubMed          Journal:  Acad Emerg Med        ISSN: 1069-6563            Impact factor:   3.451


  10 in total

1.  Geriatric Emergency Department Innovations: Transitional Care Nurses and Hospital Use.

Authors:  Ula Hwang; Scott M Dresden; Mark S Rosenberg; Melissa M Garrido; George Loo; Jeremy Sze; Stephanie Gravenor; D Mark Courtney; Raymond Kang; Carolyn W Zhu; Carmen Vargas-Torres; Corita R Grudzen; Lynne D Richardson
Journal:  J Am Geriatr Soc       Date:  2018-01-10       Impact factor: 5.562

2.  Medicare nonpayment, hospital falls, and unintended consequences.

Authors:  Sharon K Inouye; Cynthia J Brown; Mary E Tinetti
Journal:  N Engl J Med       Date:  2009-06-04       Impact factor: 91.245

3.  Redesigned geriatric emergency care may have helped reduce admissions of older adults to intensive care units.

Authors:  Corita Grudzen; Lynne D Richardson; Kevin M Baumlin; Gary Winkel; Carine Davila; Kristen Ng; Ula Hwang
Journal:  Health Aff (Millwood)       Date:  2015-05       Impact factor: 6.301

4.  Geriatric emergency department innovations: preliminary data for the geriatric nurse liaison model.

Authors:  Amer Z Aldeen; D Mark Courtney; Lee A Lindquist; Scott M Dresden; Stephanie J Gravenor
Journal:  J Am Geriatr Soc       Date:  2014-08-12       Impact factor: 5.562

5.  Earlier Physical Therapy Input Is Associated With a Reduced Length of Hospital Stay and Reduced Care Needs on Discharge in Frail Older Inpatients: An Observational Study.

Authors:  Peter J Hartley; Victoria L Keevil; Ledia Alushi; Rebecca L Charles; Eimear B Conroy; Patricia M Costello; Becki Dixon; Aida M Dolinska-Grzybek; Diana Vajda; Roman Romero-Ortuno
Journal:  J Geriatr Phys Ther       Date:  2019 Apr/Jun       Impact factor: 3.381

6.  Prevention of falls in hospital.

Authors:  Rob Morris; Shelagh O'Riordan
Journal:  Clin Med (Lond)       Date:  2017-07       Impact factor: 2.659

7.  Concepts in Practice: Geriatric Emergency Departments.

Authors:  Lauren T Southerland; Alexander X Lo; Kevin Biese; Glenn Arendts; Jay Banerjee; Ula Hwang; Scott Dresden; Vivian Argento; Maura Kennedy; Christina L Shenvi; Christopher R Carpenter
Journal:  Ann Emerg Med       Date:  2019-11-13       Impact factor: 5.721

8.  Who falls in an adult emergency department and why-A retrospective review.

Authors:  Deanne R McErlean; James A Hughes
Journal:  Australas Emerg Nurs J       Date:  2016-12-26

9.  ED patient falls and resulting injuries.

Authors:  Kevin M Terrell; Christopher S Weaver; Beverly K Giles; Mary J Ross
Journal:  J Emerg Nurs       Date:  2008-07-10       Impact factor: 1.836

10.  GAPcare: The Geriatric Acute and Post-Acute Fall Prevention Intervention in the Emergency Department: Preliminary Data.

Authors:  Elizabeth M Goldberg; Sarah J Marks; Aderonke Ilegbusi; Linda Resnik; Daniel H Strauss; Roland C Merchant
Journal:  J Am Geriatr Soc       Date:  2019-10-17       Impact factor: 5.562

  10 in total
  2 in total

1.  Can an Emergency Department-Initiated Intervention Prevent Subsequent Falls and Health Care Use in Older Adults? A Randomized Controlled Trial.

Authors:  Elizabeth M Goldberg; Sarah J Marks; Linda J Resnik; Sokunvichet Long; Hannah Mellott; Roland C Merchant
Journal:  Ann Emerg Med       Date:  2020-08-25       Impact factor: 5.721

2.  An implementation science approach to geriatric screening in an emergency department.

Authors:  Lauren T Southerland; Katherine M Hunold; Jenifer Van Fossen; Jeffrey M Caterino; Peg Gulker; Julie A Stephens; Jason J Bischof; Erin Farrell; Christopher R Carpenter; Lorraine C Mion
Journal:  J Am Geriatr Soc       Date:  2021-09-27       Impact factor: 5.562

  2 in total

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