This Value Analyzer helps you estimate your potential savings due to a range of potential benefits. The tool comes preloaded with exemplary values that should be reviewed to see how they might apply to your hospital settings.
*Note 1These beds on floors such as general care, medical, or surgical wards, as well as telemetry floors can often benefit the most from adding continuous surveillance monitoring. Assumes 100% average daily occupancy. Assumes average length of stay of 4.9 days from http://www.cdc.gov/nchs/fastats/hospital.htm
*Note 2In the US, over 150K falls with injuries occur in US hospitals (http://www.npsf.org/for-patients-consumers/patients-and-consumers-key-facts-about-patient-safety/). Initial estimates prorated from national data.
*Note 3The acute medical care costs of fall-related injuries among the U.S. older adults, Bahman S. Roudsari, et al, Injury, Volume 36, Issue 11, November 2005. A fall on the same level due to slipping, tripping, or stumbling was the most common mechanism of injury (28%). Mean hospitalization cost was US$ 17,483 (S.D.: US$ 22,426) in 2004 US$.
*Note 4Improved Outcomes and Reduced Costs with Contact-free Continuous Patient Monitoring on a Medical-Surgical Hospital Unit, by Harvey V. Brown, MD et al. showed a 62% reduction in falls.
*Note 5In US acute care facilities alone, an estimated 2.5 million pressure ulcers are treated each year. (Staas WE Jr, Cioschi HM Pressure sores-a multifaceted approach to prevention and treatment. West J Med. 1991;154:539-544). Prorated from national rates.
Am Geriatr Soc. 2012 Sep;60(9):1603-8. doi: 10.1111/j.1532-5415.2012.04106.x. Hospital-acquired pressure ulcers: results from the national Medicare Patient Safety Monitoring System study. Lyder CH1, Wang Y, Metersky M, Curry M, Kliman R, Verzier NR, Hunt DR. 4.5% developed at least one new PU during their hospitalization.
*Note 6Russo CA, Elixhauser A. Healthcare Cost and Utilization Project. Rockville, MD: Agency for Healthcare Research and Quality; Apr, 2006. [Accessed December 19, 2006]. Hospitalizations related to pressure sores, 2003. An average charge of $25,600 was billed to the uninsured. http://www.hcup-us.ahrq.gov/reports/statbriefs/sb3.pdf.
*Note 7Improved Outcomes and Reduced Costs with Contact-free Continuous Patient Monitoring on a Medical-Surgical Hospital Unit, by Harvey V. Brown, MD et al. showed a 74.7% reduction of in-unit developed pressure ulcers (stage II and above)
*Note 8Mickelsen et al (www.ncbi.nlm.nih.gov/pubmed/21512366) describes 12 Code Blue events per 1000 admissions. Estimated as number_of_beds*365/LOS*12/1000
*Note 9Poster: Predicting Care Using Informatics, Chris Snyder, D.O. CMIO/CQO, John Morcom, RRT
Director Respiratory Services, Peninsula Regional Medical Center average cost of Code Blue event is $17068
*Note 10"Effect of Contactless Continuous Patient Monitoring in a Medical-Surgical Unit on Intensive Care Unit Transfers" showed a 77% reduction in Code Blue events.
*Note 11HealthGrades Patient Safety in American Hospitals Study, 2011
*Note 12Zhan C, Miller MR. Excess Length of Stay, Charges and Mortality Attributable to Medical Injuries During Hospitalization. JAMA 2003; 290(14):1868-1874
*Note 13International Federation of Health Plans 2011 Comparative Price Report: Medical and Hospital Fees by Country states average Hospital Cost Per Day in US is $3,949. Kaiser Family Foundation's statehealthfacts.org states average Expenses per Inpatient Day in US is $1,910. Used average of $3000.
*Note 1453% reduction per JHIM FALL 2010 Volume 24:Number 4, Vital Time Savings: Evaluating the Use of an Automated Vital Signs Documentation System on a Medical/Surgical Unit By Meg Meccariello et al
*Note 15Assumes average length of stay of 4.9 days from http://www.cdc.gov/nchs/fastats/hospital.htm
*Note 20HealthGrades Patient Safety in American Hospitals Study, 2011
*Note 21Jeffrey M. Rothschild, M.D., M.P.H.; Seth Woolf; Kathleen M. Finn, M.D.; Mark W. Friedberg, M.D., M.P.H.; Cindy Lemay, R.N.; Kelly A. Furbush, R.N.; Deborah H. Williams, M.H.A.; David W. Bates, M.D., M.Sc. A Controlled Trial of a Rapid Response System in an Academic Medical Center. The Joint Commission Journal on Quality and Patient Safety. July 2008 Volume 34 Number 7
*Note 22CIN: Computers, Informatics, Nursing: Eliminating Errors in Vital Signs Documentation, FIELER, VICKIE K. PhD, RN, AOCN; JAGLOWSKI, THOMAS BSN, RN; RICHARDS, KAREN DNP, RN, NE-BC, 2013. The paper vital signs recording had an error rate of 18.75%.
*Note 23JHIM FALL 2010 Volume 24:Number 4, Vital Time Savings: Evaluating the Use of an Automated Vital Signs Documentation System on a Medical/Surgical Unit By Meg Meccariello; Dave Perkins; Loretta G. Quigley, RN, MS; Angie Rock, MBA, CCRP; and Jiejing Qiu, MS
*Note 24What is The Hourly Wage of a Medical Surgical Nurse? by Mike Parker, Demand Media http://work.chron.com/hourly-wage-medical-surgical-nurse-3753.html