The hospital costs of high emergency department pediatric readiness.

Autor: Remick KE; Departments of Pediatrics and Surgery Dell Medical School University of Texas at Austin Austin Texas USA., Gausche-Hill M; Departments of Emergency Medicine and Pediatrics David Geffen School of Medicine Harbor-UCLA Medical Center Lundquist Institute for Biomedical Innovation at Harbor-UCLA Medical Center Torrance California USA., Lin A; Center for Policy and Research in Emergency Medicine Department of Emergency Medicine Oregon Health & Science University Portland Oregon USA., Goldhaber-Fiebert JD; Department of Health Policy and Center for Health Policy Stanford Medical School and Freeman Spogli Institute Stanford University Stanford California USA., Lang B; Departments of Pediatrics and Surgery Dell Medical School University of Texas at Austin Austin Texas USA., Foster A; Department of Emergency Medicine University of California San Francisco San Francisco California USA., Burns B; Center for Policy and Research in Emergency Medicine Department of Emergency Medicine Oregon Health & Science University Portland Oregon USA.; Center for Health Systems Effectiveness Department of Emergency Medicine Oregon Health & Science University Portland Oregon USA., Jenkins PC; Department of Surgery Indiana University Indianapolis Indiana USA., Hewes HA; Department of Pediatrics University of Utah School of Medicine Salt Lake City Utah USA., Kuppermann N; Department of Emergency Medicine and Pediatrics University of California, Davis School of Medicine Sacramento California USA., McConnell KJ; Center for Policy and Research in Emergency Medicine Department of Emergency Medicine Oregon Health & Science University Portland Oregon USA.; Center for Health Systems Effectiveness Department of Emergency Medicine Oregon Health & Science University Portland Oregon USA., Marin J; Department of Pediatrics Emergency Medicine, & Radiology University of Pittsburgh School of Medicine Pittsburgh Pennsylvania USA., Weyant C; Department of Health Policy and Center for Health Policy Stanford Medical School and Freeman Spogli Institute Stanford University Stanford California USA., Ford R; Emergency Medical Services and Trauma Systems Program Oregon Health Authority Portland Oregon USA., Babcock SR; Center for Policy and Research in Emergency Medicine Department of Emergency Medicine Oregon Health & Science University Portland Oregon USA., Newgard CD; Center for Policy and Research in Emergency Medicine Department of Emergency Medicine Oregon Health & Science University Portland Oregon USA.
Jazyk: angličtina
Zdroj: Journal of the American College of Emergency Physicians open [J Am Coll Emerg Physicians Open] 2024 Jun 03; Vol. 5 (3), pp. e13179. Date of Electronic Publication: 2024 Jun 03 (Print Publication: 2024).
DOI: 10.1002/emp2.13179
Abstrakt: Objective: We estimate annual hospital expenditures to achieve high emergency department (ED) pediatric readiness (HPR), that is, weighted Pediatric Readiness Score (wPRS) ≥ 88 (0-100 scale) across EDs with different pediatric volumes of children, overall and after accounting for current levels of readiness.
Methods: We calculated the annual hospital costs of HPR based on two components: (1) ED pediatric equipment and supplies and (2) labor costs required for a Pediatric Emergency Care Coordinator (PECC) to perform pediatric readiness tasks. Data sources to generate labor cost estimates included: 2021 national salary information from U.S. Bureau of Labor Statistics, detailed patient and readiness data from 983 EDs in 11 states, the 2021 National Pediatric Readiness Project assessment; a national PECC survey; and a regional PECC survey. Data sources for equipment and supply costs included: purchasing costs from seven healthcare organizations and equipment usage per ED pediatric volume. We excluded costs of day-to-day ED operations (ie, direct clinical care and routine ED supplies).
Results: The total annual hospital costs for HPR ranged from $77,712 (95% CI 54,719-100,694) for low volume EDs to $279,134 (95% CI 196,487-362,179) for very high volume EDs; equipment costs accounted for 0.9-5.0% of expenses. The total annual cost-per-patient ranged from $3/child (95% CI 2-4/child) to $222/child (95% CI 156-288/child). After accounting for current readiness levels, the cost to reach HPR ranged from $23,775 among low volume EDs to $145,521 among high volume EDs, with costs per patient of $4/child to $48/child.
Conclusions: Annual hospital costs for HPR are modest, particularly when considered per child.
Competing Interests: The authors declare no conflict of interest.
(© 2024 The Authors. Journal of the American College of Emergency Physicians Open published by Wiley Periodicals LLC on behalf of American College of Emergency Physicians.)
Databáze: MEDLINE
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