Skip to main content

Advertisement

Table 4 One-way sensitivity analyses on selected parameters, expressed as dollars per quality-adjusted life year gained

From: Cost-effectiveness of recommended nurse staffing levels for short-stay skilled nursing facility patients

Parameter Range (Best, Worst) Biased toward recommended staffing Biased against recommended staffing
Efficacy of optimizing nurse staffing See table 2   
All staff   $124,000 $2,508,000
NA   $225,000 $556,000
Licensed staff (RN + LPN)   $230,000 $510,000
RN   $289,000 $369,000
Transition probabilities    
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    
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    
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
  1. All costs in 2002 U.S. dollars. The column labeled "range" refers to the best-case and worst-case values tested in sensitivity analyses. "Double" and "Half" refer to double and half the base case values, respectively. SNF, skilled nursing facility; NA, nurse assistant; LPN, licensed practical nurse; RN, registered nurse.