From: The cost of care for children hospitalised with Invasive Group A Streptococcal Disease in Australia
Unit definition and data source | Unit cost (if available, fixed value per resource utilised); number of patients | Mean cost per patient (n = 65) | Total cost across all patients (n = 65) | |
---|---|---|---|---|
Prior to index admission (n = 65); unit cost is per consultation | ||||
Prior ED consultations | 1x ED consultation in the 7 days prior to the index admission. This includes an ED admission with a direct transfer to the index hospital. Source: Independent Hospital Pricing Authority, Public Sector, Round 22 (Financial Year 2017–18) multiplied by CPI for 2018/19 costs [16] | $716.62; n = 64 (range = 0 to 5 per patient) | $705.60 (SD $676.20) | $45,863.48 |
Prior GP consultations | 1x GP appointment at Level D Item 413 Source: Based on MBS Fees 201905-MBS.pdf (mbsonline.gov.au) for the 2018/19 fee schedule, p255 | $123.55; n = 67 (range = 0 to 5 per patient) | $127.35 (SD $139.80) | $8277.85 |
During index admission (n = 65); unit cost is the average cost per child (Source: From RCH administrative dataset) | ||||
TOTAL INDEX ADMISSION | All costs associated with the index admission | Variable; n = 65 | $60,112.13 (SD $79,072.41) | $ 3,907,288.38 |
ICU admission | ICU costs associated with the index admission | Variable; n = 27 | $23,155.92 (SD $47,258.65) | $ 1,505,134.87 |
Acute ward admission | Acute ward costs associated with the index admission (nursing and medical costs and supplies) | Variable; n = 64 | $16,314.36 (SD $15,695.65) | $ 1,060,433.46 |
HITH admission | HITH costs associated with the index admission | Variable; n = 17 | $1154.63 (SD $2890.21) | $ 75,050.78 |
Blood products | Blood product costs associated with the index admission (including IVIG) | Variable; n = 20 | $1065.59 (SD $2826.56) | $ 69,263.04 |
Pathology utilisation | Pathology costs associated with the index admission | Variable; n = 60 | $1851.36 (SD $2308.96) | $ 120,338.63 |
Imaging utilisation | Imaging costs associated with the index admission | Variable; n = 54 | $3508.25 (SD $6187.47) | $ 228,035.98 |
Pharmacy utilisation | Pharmacy costs associated with the index admission | Variable; n = 65 | $1523.60 (SD $2283.74) | $ 99,033.83 |
Theatre utilisation | Theatre and surgery costs associated with the index admission | Variable; n = 49 | $4835.93 (SD $5472.89) | $ 314,335.20 |
Allied Health utilisation | Allied Health costs associated with the index admission | Variable; n = 64 | $1289.94 (SD $2332.85) | $ 83,846.00 |
Other | Any other index admission costs not previously specified. | Variable; n = 64 | $5412.56 (SD $5269.33) | $ 351,816.57 |
Inpatient re-admissions (6 months post index admission) (n = 65); unit cost is the average cost per child | ||||
Rehabilitation inpatient admission directly after the index admission | Per diem rate for all admission costs associated with re- admissions 0-6 months post index admission Source: Modelled data from the RCH administrative dataset | Variable, n = 5 | $3625.89 (SD $13,401.38) | $235,682.70 |
Re-admission to the index hospital | Per diem rate for all admission costs associated with re- admissions 0-6 months post index admission Source: Modelled data from the RCH administrative dataset | Variable, n = 12 | $3030.84 (SD $11,187.71) | $197,004.87 |
Outpatient services (6 months post index admission) (n = 65); unit cost is per consultation | ||||
Outpatient consultations | 1x outpatient consultation for an allied health service or medical review Source: Based on Allied Health MBS Fees 201905-MBS.pdf (mbsonline.gov.au) for the 2018/19 fee schedule, p1288 | $62.25; n = 206 (range = 0 to 45 per patient) | $197.13 (SD 409.37) | $12,813.60 |
COMBINED HEALTHCARE COSTS HEALTHCARE COSTS PRE-ADMISSSION, INDEX ADMISSION AND THE 6 MONTHS FOLLOWING ADMISSION (n = 65) | ||||
Total healthcare costs | All reported healthcare costs in the 7 days prior to the index admission, during the index admission, and in the 0-6 months post index admission | Variable; n = 65 | Mean $67,798.94 (SD$92,409.74) Range $2831.45 to $492,347.38 TOTAL $4,406,931.08 |