Improvement in cost recovery at an urban level I trauma center.
R Adams Cowley national trauma symposium - Western Trauma Association. Annual meeting. Baltimore MD USA ; Big Sky MT USA, 1994/11/18 - 1995/02/26.
With escalating health care costs and health reimbursement reorganization, the greatest danger to trauma centers will remain expensive uncompensated care.
This is caused primarily by costs incurred in treating complex, life-threatening injuries and to the large population of trauma patients with no, or inadequate, means of compensation.
In 1986 and 1987, this urban level I trauma center experienced an operating loss totaling $2,335,200.
To attempt to reverse this expense, annual tracking of the trauma service's financial performance was begun in 1989.
In addition, changes were made.
Early multidisciplinary baseline assessment of each admission was instituted for financial profiling and discharge planning.
Attempts were made on admission to identify health and vehicular insurance information.
Processing for Medicaid and Medicare reimbursement was begun as soon as possible, and coding for diagnoses was checked by medical records personnel and the trauma nurse coordinator.
If appropriate, Missouri Crime Victims Compensation was sought.
Base on costs incurred in providing trauma services, as required by the state of Missouri and the American College of Surgeons, a trauma response charge was developed and instituted.
Over a 5-year period, 1989 to 1993, financial audits were conducted.
The cost recovery ratio (CRR) (collections/cost) was utilized as the measure of financial success.
The CRR improved from 0.74 in 1989 to 0.93 in 1993, and in 2 years, 1991 and 199...
Mots-clés Pascal : Traumatisme, Homme, Missouri, Evaluation, Système santé, Economie santé, Assurance maladie, Analyse coût, Remboursement, Etats Unis, Amérique du Nord, Amérique
Mots-clés Pascal anglais : Trauma, Human, Missouri, Evaluation, Health system, Health economy, Health insurance, Cost analysis, Reimbursement, United States, North America, America
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 96-0069473
Code Inist : 002B30A01B. Création : 199608.