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Table 3 No-CAUTI Roll Out: budget impact, new south wales public hospitals, five annual operating periods

From: Budget impact analysis of a multifaceted nurse-led intervention to reduce indwelling urinary catheter use in New South Wales Hospitals

   

2022-23

2023-24

2024-25

2025-26

2026-27

Total

Estimated Annual Overnight Separations1

a

 

1,150,639

1,170,433

1,190,227

1,210,021

1,229,815

5,951,135

Intervention Scenario

        

Catheterised patients

        

    Rate

b

 

10.27%

10.27%

10.27%

10.27%

10.27%

 

    (n)

c

b*a

118,182

120,215

122,248

124,282

126,315

611,242

Catheterised patients receiving urine tests

       

    Rate

d

 

45.20%

45.20%

45.20%

45.20%

45.20%

 

    (n)

e

d*c

53,408

54,326

55,245

56,164

57,083

276,226

Catheterised patients receiving antibiotics

       

    Rate

f

 

7.80%

7.80%

7.80%

7.80%

7.80%

 

    (n)

g

f*c

9,168

9,326

9,483

9,641

9,799

47,417

Catheter Related Treatment Costs

        

Catheterisations($)

h

c*$8.14

$961,576

$978,118

$994,659

$1,011,201

$1,027,743

$4,973,297

    Urine Tests ($)

i

e*$35.23

$1,881,582

$1,913,950

$1,946,318

$1,978,686

$2,011,054

$9,731,590

    Antibiotic administrations ($)

j

g*$19.48

$178,632

$181,705

$184,778

$187,851

$190,924

$923,891

    Total Intervention Cost ($)

k

 

$408,122

$269,625

$269,625

$269,625

$269,625

$1,486,623

Total Costs Intervention Scenario

  

$3,429,912

$3,343,398

$3,395,381

$3,447,364

$3,499,346

$17,115,401

Usual Care Scenario

        

Catheterised Patients

        

    Rate

l

 

11.97%

11.97%

11.97%

11.97%

11.97%

 

    (n)

m

l*a

137,700

140,069

142,438

144,806

147,175

712,188

Catheterised patients receiving urine tests

       

    Rate

n

 

43.50%

43.50%

43.50%

43.50%

43.50%

 

    (n)

o

n*m

59,851

60,881

61,910

62,940

63,970

309,552

Catheterised patients receiving antibiotics

       

    Rate

p

 

7.60%

7.60%

7.60%

7.60%

7.60%

 

    (n)

q

p*m

10,463

10,643

10,823

11,003

11,183

54,117

Catheter Related Treatment Costs

        

    Catheterisations($)

r

m*$8.14

$1,120,379

$1,139,653

$1,158,926

$1,178,200

$1,197,473

$5,794,631

    Urine Tests ($)

s

o*$35.23

$2,108,586

$2,144,859

$2,181,133

$2,217,406

$2,253,679

$10,905,663

    Antibiotic Administrations ($)

t

q*$19.48

$203,872

$207,379

$210,886

$214,393

$217,900

$1,054,430

Total Costs Usual Care Scenario

  

$3,432,837

$3,491,891

$3,550,945

$3,609,999

$3,669,052

$17,754,724

Usual Care - Intervention (Differences)

        

    Catheterisation Rates (%)

  

-0.017

-0.017

-0.017

-0.017

-0.017

 

    Catheterisations (n)

  

-19,518

-19,853

-20,189

-20,525

-20,861

-100,946

    Catheterised Patients Receiving urine tests

 

-6,443

-6,554

-6,665

-6,776

-6,887

-33,325

    Catheterised Patients Receiving Antibiotics

 

-1,295

-1,318

-1,340

-1,362

-1,385

-6,700

Costs

        

    Catheterisations ($)

  

($158,803)

($161,535)

($164,267)

($166,999)

($169,730)

($821,334)

    Urine Tests ($)

  

($227,005)

($230,910)

($234,815)

($238,720)

($242,625)

($1,174,074)

    Antibiotic Administrations ($)

  

($25,239)

($25,674)

($26,108)

($26,542)

($26,976)

($130,539)

    Intervention Cost ($)

  

$408,122

$269,625

$269,625

$269,625

$269,625

$1,486,623

Total Net Costs

  

($2,925)

($148,493)

($155,564)

($162,635)

($169,706)

($639,323)

  1. 1 NSW Ministry of Health Annual Reports. Extrapolations based on linear projections. www.health.nsw.gov.au/AnnualReport.
  2. Omitted hospitals: Justice Health (Psychiatric) and Sydney Children's Network
  3. All costs and parameters derived from No-CAUTI trialAll costs inflation adjusted to AUD 2019-20 costs with health inflation indexes from AIHW. Health expenditure Australia 2017–18. Number 65 Cat. no. HWE 77. 2019