Assuntos
Artroplastia de Substituição/economia , Centers for Medicare and Medicaid Services, U.S./economia , Prestação Integrada de Cuidados de Saúde/economia , Custos de Cuidados de Saúde , Avaliação de Processos em Cuidados de Saúde/economia , Cuidado Transicional/economia , Seguro de Saúde Baseado em Valor/economia , Análise Custo-Benefício , Humanos , Equipe de Assistência ao Paciente/economia , Avaliação de Programas e Projetos de Saúde , Resultado do Tratamento , Estados UnidosRESUMO
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.