Table 4 One-way sensitivity analyses on selected parameters, expressed as dollars per quality-adjusted life year gained
Parameter | Range (Best, Worst) | Biased toward recommended staffing | Biased against recommended staffing |
|---|---|---|---|
Efficacy of optimizing nurse staffing | See table 2 | Â | Â |
All staff | Â | $124,000 | $2,508,000 |
NA | Â | $225,000 | $556,000 |
Licensed staff (RN + LPN) | Â | $230,000 | $510,000 |
RN | Â | $289,000 | $369,000 |
Transition probabilities | Â | Â | Â |
Hospitalization rate | (double, half) | $36,000 | $896,000 |
In-hospital mortality rate | (double, half) | $150,000 | $793,000 |
Annual mortality rate in SNF or when discharged | (15%, 61%) | $181,000 | $760,000 |
Utilities | Â | Â | Â |
of "hospital" state | (0.41, 0.79) | $239,000 | $343,000 |
of "discharged" state | (1.00, 0.73) | $218,000 | $371,000 |
Time to discharge utility in recommended staffing group | (15 d., 30 d.) | $94,000 | $321,000 |
Costs | Â | Â | Â |
Hospitalization cost | (double, half) | $192,000 | $386,000 |
NA wage | ($10, $20) | $256,000 | $455,000 |
LPN wage | ($30, $15) | $292,000 | $339,000 |
RN wage | ($20, $40) | $193,000 | $391,000 |
Non-nursing costs in SNF | ($400, $100) | $243,000 | $356,000 |
Daily costs for discharged patients | ($0, $113) | $321,000 | $428,000 |
Discount rate | (0%, 5%) | $297,000 | $337,000 |