From: Implementation of a structured emergency nursing framework results in significant cost benefit
Outcome | 2018–19 | 2019–20 | 2020–21 | 2021–22 | 2022–23 |
---|---|---|---|---|---|
ED admission growth rate | 3.34% | 2.00% | 2.00% | 2.00% | 2.00% |
Projected ED admissions (352 AR-DRG) | 2,189,030.929 | 2,232,811.547 | 2,277,467.778 | 2,323,017.134 | 2,369,477.477 |
Statewide deterioration episode projection | 81,143 | 82,766 | 84,421 | 86,110 | 87,832 |
Expected equivalent savings (state level estimates) | Â | Â | Â | Â | Â |
Conservative ($1936.22 per episode) | $157,110,699 | $160,253,185 | $163,457,629 | $166,727,904 | $170,062,075 |
Expected ($2591.14 per episode) | $210,252,873 | $214,458,293 | $218,746,630 | $223,123,065 | $227,585,008 |
Optimistic ($3246.06 per episode) | $263,395,047 | $268,663,402 | $274,035,631 | $279,518,227 | $285,107,942 |
Net benefit - hospital level estimates: expected equivalent savings less HIRAID implementation costs: | Â | Â | |||
 Conservative ($1936.22 per episode) | $1,798,748 | $1,835,537 | $1,872,325 | $ 1,909,113 | $ 1,947,837 |
Implementation costs (initial and ongoing) | -$492,917 | -$134,077 | -$ 134,077 | -$ 134,077 | -$ 134,077 |
 Net savings | $ 1,305,831 | $1,701,460 | $1,738,248 | $ 1,775,036 | $ 1,813,760 |
 Payback period days: (Inv. Outlay/Det. Savings) * 365 days | 100.02 | 26.66 | 26.14 | 25.63 | 25.12 |
 Expected ($2591.14 per episode) | $2,407,169 | $2,456,401 | $2,505,632 | $ 2,554,864 | $ 2,606,687 |
Implementation costs (initial and ongoing) | -$492,917 | -$134,077 | -$134,077 | -$134,077 | -$ 134,077 |
 Net savings | $1,914,252 | $2,322,324 | $2,371,555 | $420,787 | $2,472,610 |
 Payback period days: (Inv. Outlay/Det. Savings) * 365 days | 74.74 | 19.92 | 19.53 | 19.15 | 18.77 |
 Optimistic ($3246.06 per episode) | $3,015,590 | $3,077,265 | $3,138,940 | $3,200,615 | $3,265,536 |
Implementation costs (initial and ongoing) | -$492,917 | -$134,077 | -$134,077 | -$134,077 | -$134,077 |
 Net savings | $2,522,673 | $2,943,188 | $ 3,004,863 | $3,066,538 | $3,131,459 |
 Payback period days: (Inv. Outlay/Det. Savings) * 365 days | 59.66 | 15.90 | 15.59 | 15.29 | 14.99 |