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A nurse manager in an acute care hospital proposed that a geriatric nurse specialists assume responsibility for discharge planning for stroke patients. The literature indicates

A nurse manager in an acute care hospital proposed that a geriatric nurse specialists assume responsibility for discharge planning for stroke patients. The literature indicates that length of stay could be reduced from 5.4 days to 5.2 days. On average, a geriatric nurse specialists would spend 3.3 hours on discharge planning per patient. His/her salary would be $35 per hour including fringes. Supply and telephone costs are less than $10 per discharge plan. The accounting staff indicated that the average cost per day is $860 and the incremental cost for each additional day is $340. Compare the cost and savings associated with this proposal. Is this a financially attractive innovation? Whether it is or not, what alternatives should the administration consider?

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