Asunto(s)
Artroplastia de Reemplazo/economía , Centers for Medicare and Medicaid Services, U.S./economía , Prestación Integrada de Atención de Salud/economía , Costos de la Atención en Salud , Evaluación de Procesos, Atención de Salud/economía , Cuidado de Transición/economía , Seguro de Salud Basado en Valor/economía , Análisis Costo-Beneficio , Humanos , Grupo de Atención al Paciente/economía , Evaluación de Programas y Proyectos de Salud , Resultado del Tratamiento , Estados UnidosRESUMEN
Interest in care transitions has intensified in light of emphasis placed on hospital readmissions. This study provides a comparative analysis of the costs of providing transitional care through a program for cardiac patients against hospital readmission costs. The advanced practice registered nurse-managed BRIDGE model reduced health care costs associated with readmissions that were in excess of program costs. On average, there was a per-patient savings of $4,944 in avoided readmissions within 30 days of hospital discharge. Over the duration of the program, this equates to a $306,537 savings in patients with acute coronary syndrome. Nurse practitioners have a unique, holistic, and supportive approach to providing care that may make them ideal for the transitional care setting.