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Table 3 Concentration of direct inpatient spending and resource utilization among high cost patients

From: Clinical characteristics and preventable acute care spending among a high cost inpatient population

 

All

Top 1 %

Top 5 %

(n = 36,892)

(n = 369)

(n = 1844)

Direct Inpatient Spending ($)

321,556,160

49,147,104

122,454,872

Percentage of total inpatient spending (%)

100.0

15.3

38.1

Average direct cost per patient $ (SD)

8,716 (17,646)

133,190 (57,739)

66,407 (44,326)

Resource Utilization (proportion of direct inpatient spending) %

Endoscopy

0.3

0.3

0.3

Food Services

2.5

2.3

2.6

Health Professionals

5.0

9.4

7.7

Imaging

3.2

2.8

3.2

Laboratory

7.2

4.9

5.5

Nursing

45.7

33.7

40.2

Operating Room

8.7

2.0

3.1

Operating Room Implants

4.2

1.5

2.0

Pharmacy

6.7

8.7

8.4

Post-anesthesia Care Unit

2.1

0.4

0.7

Special Care Unit

14.4

34.0

26.3

Direct inpatient spending attributable to ALC days $(%)

$15,789,200 (4.9 %)

$3,985,800 (8.1 %)

$11,140,500 (9.1 %)

  1. Data Source: Case Costing System within Ottawa Hospital Data Warehouse
  2. Abbreviations: ALC Alternate Level of Care, SD Standard Deviation