Back to Search
Start Over
A quality improvement initiative for COPD patients: A cost analysis
- Source :
- PLoS ONE, PLoS ONE, Vol 15, Iss 7, p e0235040 (2020)
- Publication Year :
- 2020
- Publisher :
- Public Library of Science, 2020.
-
Abstract
- The objective of this analysis was to evaluate and report on the economic impact of implementing an integrated, quality, and operational improvement program on chronic obstructive pulmonary disease (COPD) care from acute through post-acute care settings. This initiative was established in a cohort of 12 hospitals in Alabama and sought to address COPD readmission through improved workflows pertaining to early diagnosis, efficient care transitions, and patient visibility across the entire care episode. Implementation of the initiative was influenced by lean principles, particularly cross-functional agreement of workflows to improve COPD care delivery and outcomes. A budget impact model was developed to calculate cost savings directly from objective data collected during this initiative. The model estimated payer annual savings over 5 years. Patients were classified for analysis based on whether or not they received noninvasive ventilation. Scenario analyses calculated savings for payers covering different COPD cohort sizes. The base case revealed annual per patient savings of $11,263 for patients treated through the quality improvement program versus traditional care. The model projected cumulative savings of $52 million over a 5-year period. Clinical incorporation of non-invasive ventilation (NIV) resulted in $20,535 annual savings per patient and projected $91 million over 5 years. We conclude that an integrated management program for COPD patients across the care continuum is associated with substantial cost savings and significantly reduced hospital readmissions.
- Subjects :
- Budgets
Male
Quality management
Palliative care
Pulmonology
Medical Doctors
Copd patients
Cost-Benefit Analysis
Health Care Providers
Pulmonary Disease, Chronic Obstructive
0302 clinical medicine
Medicine and Health Sciences
030212 general & internal medicine
Economic impact analysis
Medical Personnel
health care economics and organizations
Aged, 80 and over
COPD
Multidisciplinary
Palliative Care
Disease Management
Middle Aged
Quality Improvement
Hospitals
Professions
Models, Economic
Cohort
Acute Disease
Cost analysis
Alabama
Medicine
Engineering and Technology
Female
Research Article
Biotechnology
Adult
medicine.medical_specialty
Death Rates
Science
Chronic Obstructive Pulmonary Disease
Equipment
Bioengineering
Patient Readmission
03 medical and health sciences
Population Metrics
Cost Savings
Physicians
medicine
Humans
Aged
Hospitalizations
Health economics
Noninvasive Ventilation
Population Biology
business.industry
Correction
Biology and Life Sciences
medicine.disease
Health Care
030228 respiratory system
Health Care Facilities
Emergency medicine
People and Places
Medical Devices and Equipment
Population Groupings
business
Subjects
Details
- Language :
- English
- ISSN :
- 19326203
- Volume :
- 15
- Issue :
- 7
- Database :
- OpenAIRE
- Journal :
- PLoS ONE
- Accession number :
- edsair.doi.dedup.....592b7116a98323cafa4644ef615a7afa