Question
In 2006 it was estimated the annual number of cases of community acquired pneumonia in the U.S. was between 5,000,000 and 6,000,000 with a total
In 2006 it was estimated the annual number of cases of community acquired pneumonia in the U.S. was between 5,000,000 and 6,000,000 with a total cost of more than $8 billion. While the cost per case is low, the cost per case for patients requiring hospitalization is not low. A group of physicians and support staff decided to analyze DRG 89, Pneumonia, to determine if there were cost saving opportunities and to prioritize any opportunities identified. Using the table below, A) calculate the potential cost savings based on the current treatment profile and the best practice identified, B) divide the potential savings based on whether the physician must change their practice style or managers should reduce the cost of delivering services, and C) prioritize the top four opportunities, i.e., which areas should be targeted for improvement first.
DRG 89 - Community Acquired Pneumonia | ||||||
Current Practice | Best Practice | |||||
Service | Quantity | Cost | Total cost | Quantity | Cost | |
Admission | 1 | $39 | $39 | 1 | $30 | |
Med/Surg | 6 | $1,200 | $7,200 | 4.9 | $1,050 | |
Respiratory therapy | 6 | $200 | $1,200 | 6 | $150 | |
Rehab therapy | 4 | $150 | $600 | 3 | $150 | |
Dietary | 18 | $23 | $414 | 14.7 | $15 | |
Clinical Lab | 18 | $75 | $1,350 | 15 | $75 | |
Radiology | 6 | $100 | $600 | 4 | $95 | |
Pharmacy | 36 | $110 | $3,960 | 30 | $85 | |
Social services | 3 | $75 | $225 | 3 | $60 | |
Cardiology | 1.5 | $100 | $150 | 1.5 | $100 | |
Total Cost | $15,738 |
Step by Step Solution
There are 3 Steps involved in it
Step: 1
Get Instant Access to Expert-Tailored Solutions
See step-by-step solutions with expert insights and AI powered tools for academic success
Step: 2
Step: 3
Ace Your Homework with AI
Get the answers you need in no time with our AI-driven, step-by-step assistance
Get Started