The additional hospital costs generated in the management of complications of pacemaker and defibrillator implantations. Discussion.
Annual Meeting of The American Association for Thoracic Surgery. Boston, Mass, USA, 1995/04/23.
The rapid approach of capitated reimbursement mandates that providers examine their practice patterns associated with all surgical procedures.
Documentation of (1) the complications associated with these procedures and (2) the additional hospital costs associated with the management of these complications is critical for comprehensive fiscal accountability.
This study analyzed (1) the feasibility of obtaining accurate hospital cost data specific for complications and (2) the outcome in terms of fully loaded hospital costs generated in the management of the most common surgical complications associated with pacemaker and nonthoracotomy implantable defibrillator therapies.
Between July 1989 and September 1994, a total of 1031 pacemaker and 105 implantable defibrillator procedures were performed by a cardiac surgeon in a tertiary-level teaching hospital setting.
The additional fully loaded hospital costs were determined by (1) correlating clinical data from the complete medical record with complete hospital charge data for the admission (s) related to the complication, (2) carving out complication-related charges based on the clinical data, (3) converting complication-related charges to fully loaded costs based on conversion factors in effect at the time of service, and (4) correlating cost with hospital net reimbursement and payor source.
The feasibility study determined that accurate and reliable cost data specific to complications can be obtained, although...
Mots-clés Pascal : Implantation chirurgicale, Pacemaker, Défibrillateur, Evaluation, Coût, Complication, Maintenance, Analyse statistique, Homme, Chirurgie, Appareil circulatoire pathologie, Trouble rythme cardiaque, Traitement instrumental
Mots-clés Pascal anglais : Surgical implantation, Pacemaker, Defibrillator, Evaluation, Costs, Complication, Maintenance, Statistical analysis, Human, Surgery, Cardiovascular disease, Arrhythmia, Instrumentation therapy
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Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 96-0227190
Code Inist : 002B26E. Création : 199608.