AHA/HRET Hospital Engagement Network Cost References for Estimated Savings

As of May 2, 2013

Topic / Cost/Equation / Reference
Early Elective
Deliveries: / $15,172 per NICU
Stay averted (4.8% of EEDs would go to NICU) / Dignity Health, CMS email April 18, 2013; 9.4% from this article (4.8% per Jack Jordan 4/26 email): Clark SL, Miller DD, Belfort MA, et al. Neonatal and maternal outcomes associated with elective term delivery. Am J Obstet Gynecol 2009;200:156.e1-156.e4.; $15,172 from internal Dignity Health history
CAUTI/
CLABSI/ SSI / $750 per CAUTI
Prevented/
$19,000 per CLABSI
Prevented/
$20,000 per SSI Prevented / Scott RD. “The Direct Medical Costs of Healthcare-Associated Infections in U.S. Hospitals and the Benefits of Prevention.” Division of Healthcare Quality Promotion National Center for Preparedness, Detection, and Control of Infectious Diseases Coordinating Center for Infectious Diseases Centers for Disease Control and Prevention. Web. 4 Dec 2012. http://www.cdc.gov/hai/pdfs/hai/scott_costpaper.pdf
Adverse Drug Events: / $3,000 per ADE
Prevented / McClellan, MB and Thompson TG. "FR Doc 04-4249." U S Food and Drug Administration. Volume 69, Number 38. Department of Health and Human Services, 26 Feb 2004. Web. 5 Dec. 2012. http://www.fda.gov/OHRMS/DOCKETS/98fr/04-4249.htm
Falls with
Injury / $11,250 per Fall with
Injury Prevented / Shumway-Cook A, Ciol MA, Hoffman J, Dudgeon BJ, Yorston K, Chan L. Falls in the Medicare population: incidence, associated factors, and impact on health care. Physical Therapy, 2009. 89(4):1-9.
Hospital Acquired Pressure Ulcers / $33,180 per HAPU Stage III or IV Prevented / Jones A and Nay T. "Healthcare Acquired Pressure Ulcers (HAPU).” Clinical Alert. Volume 6, Number 3. Maryland Department of Health and Mental Hygiene, 1 Dec 2009. Dec 2012. dhmh.maryland.gov/ohcq/HOS/Docs/Alerts/alert-v6-n3-winter2009.pdf
VTE / $10,000 per VTE
Prevented / Maynard G and Stein J. "Preventing Hospital-Acquired Venous Thromboembolism: A Guide for Effective Quality Improvement." Society of Hospital Medicine, Agency for Healthcare Research and Quality. US Department of Health & Human Services, Web. 5 Dec 2012.
http://www.ahrq.gov/qual/vtguide/vtguideapa.htm
VAP / $43,000 per VAP
Prevented / Tablan OC, Anderson LJ, Besser R, et al. CDC Healthcare
Infection Control Practices Advisory Committee. Guidelines for preventing health care-associated pneumonia, 2003: Recommendations of CDC and the Healthcare Infection Control Practices Advisory Committee. MMWR Recomm Rep. 2004 Mar 26;53(RR-3):1-36.
Readmissions / $9,600 per
Readmission Prevented / Tiongson J. "Solicitation for Applications Community-based Care Transitions Program." Centers for Medicare & Medicaid Services, Web. 4 Dec 2012. www.cms.gov/Medicare/Demonstration-
Projects/DemoProjectsEvalRpts/downloads/CCTP_Solicitation.pdf