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Cost Analysis of a Multidisciplinary Vascular Anomaly Clinic.
- Source :
- Annals of Otology, Rhinology & Laryngology; May2019, Vol. 128 Issue 5, p401-405, 5p
- Publication Year :
- 2019
-
Abstract
- Objective: Multidisciplinary vascular anomaly clinics (VACs) offer important value to pediatric patients with complex vascular anomalies whose care overlaps specialties. These clinics are labor intensive and costly to operate since providers see fewer patients compared to their individual specialty clinic. Our North American tertiary care institution's VAC specialists include a pediatric otolaryngologist, pediatric surgeon, pediatric plastic surgeon, pediatric dermatologist, and interventional radiologist. To assess financial feasibility, we conducted a cost analysis of our VACs comprised of 2 half-day multidisciplinary physician attended clinics (5 specialists at our main campus and 2 specialists at a satellite clinic) and a half-day nurse practitioner clinic. Method: Assessment of net revenue based on net collections for clinic, professional, operative, hospital setting, and facility charges generated during 12 consecutive monthly VACs beginning July 1, 2015. Expense calculations included provider and staff salaries, benefits, supply costs, and clinic leasing costs. Results: There were 469 clinic visits, of which 202 were new patient evaluations. Sixty-eight patients underwent 93 procedures under general anesthesia, including procedures performed by our interventional radiologist, most commonly sclerotherapy or embolization (n = 37), surgical interventions including endoscopy (n = 36), or laser procedures (n = 20). Three patients were admitted. Fifty-seven patients received a new diagnosis different from that for which they were referred. Gross revenue was $1 810 525, and net revenue was 42.5%, or $783 152. Expenses totaled $453 415 for a net positive revenue of $329 737. Conclusion: When including direct downstream revenue, particularly from operative procedures, our VAC program operates on a net positive margin, making the program financially feasible. [ABSTRACT FROM AUTHOR]
- Subjects :
- CLINICS
MEDICAL appointments
BLOOD-vessel abnormalities
VASCULAR surgery
ENDOSCOPY
HEALTH care teams
HOSPITAL charges
SCLEROTHERAPY
MEDICAL lasers
MEDICAL care costs
NURSE practitioners
PHYSICIANS
QUALITY assurance
RADIOLOGISTS
INTERVENTIONAL radiology
WAGES
THERAPEUTIC embolization
COST analysis
HUMAN services programs
GENERAL anesthesia
TERTIARY care
ECONOMICS
BLOOD disease treatment
Subjects
Details
- Language :
- English
- ISSN :
- 00034894
- Volume :
- 128
- Issue :
- 5
- Database :
- Complementary Index
- Journal :
- Annals of Otology, Rhinology & Laryngology
- Publication Type :
- Academic Journal
- Accession number :
- 135877232
- Full Text :
- https://doi.org/10.1177/0003489419826135