Hospitals can reduce the rate of costly cesarean births by revamping admissions policies for women in labor and revisiting other labor-related policies. Lawrence (MA) General Hospital overhauled most of its obstetrics department's policies in an effort to cut back on c-sections. Tougher admissions guidelines, fewer inductions, and encouraging women to get out of bed and walk around more all contributed to cutting the hospital's c-section rate to 17% from a high of 26% in 1993. Learn how your facility can have similar results.
{"title":"New admissions guidelines, policy changes result in fewer c-sections, lower costs.","authors":"","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Hospitals can reduce the rate of costly cesarean births by revamping admissions policies for women in labor and revisiting other labor-related policies. Lawrence (MA) General Hospital overhauled most of its obstetrics department's policies in an effort to cut back on c-sections. Tougher admissions guidelines, fewer inductions, and encouraging women to get out of bed and walk around more all contributed to cutting the hospital's c-section rate to 17% from a high of 26% in 1993. Learn how your facility can have similar results.</p>","PeriodicalId":79903,"journal":{"name":"Health care cost reengineering report","volume":"3 11","pages":"165-71"},"PeriodicalIF":0.0,"publicationDate":"1998-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21207600","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Beware the promises of disease management companies when negotiating contracts.","authors":"","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":79903,"journal":{"name":"Health care cost reengineering report","volume":"3 10","pages":"155-7"},"PeriodicalIF":0.0,"publicationDate":"1998-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21058472","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Wireless computer networking. Computer connectivity is essential in today's high-tech health care industry. But telephone lines aren't fast enough, and high-speed connections like T-1 lines are costly. Read about an Ohio community hospital that installed a wireless network "bridge" to connect buildings that are miles apart, creating a reliable high-speed link that costs one-tenth of a T-1 line.
{"title":"Networking via wireless bridge produces greater speed and flexibility, lowers cost.","authors":"","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Wireless computer networking. Computer connectivity is essential in today's high-tech health care industry. But telephone lines aren't fast enough, and high-speed connections like T-1 lines are costly. Read about an Ohio community hospital that installed a wireless network \"bridge\" to connect buildings that are miles apart, creating a reliable high-speed link that costs one-tenth of a T-1 line.</p>","PeriodicalId":79903,"journal":{"name":"Health care cost reengineering report","volume":"3 10","pages":"152-3"},"PeriodicalIF":0.0,"publicationDate":"1998-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21058469","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Hospitals 'talking trash' to cut costs, help environment.","authors":"","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":79903,"journal":{"name":"Health care cost reengineering report","volume":"3 10","pages":"145-9"},"PeriodicalIF":0.0,"publicationDate":"1998-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21058466","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Percutaneous dialysis catheters. Interventional radiologists can implant dialysis catheters quicker and more reliably than vascular surgeons, which can translate into big savings. A study from Yale University suggests that surgical dialysis sites may cost three times as much as percutaneous devices.
{"title":"Image-guided dialysis access ports more successful, less costly than surgery.","authors":"","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Percutaneous dialysis catheters. Interventional radiologists can implant dialysis catheters quicker and more reliably than vascular surgeons, which can translate into big savings. A study from Yale University suggests that surgical dialysis sites may cost three times as much as percutaneous devices.</p>","PeriodicalId":79903,"journal":{"name":"Health care cost reengineering report","volume":"3 10","pages":"154-5"},"PeriodicalIF":0.0,"publicationDate":"1998-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21058471","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Preventing adverse drug events. Adverse drug events aren't always fatal, but they invariably add to length of stay and health care costs. Boston researchers estimate that adverse drug events cost a 700-bed teaching hospital about $5.6 million annually, $2.8 million of which is preventable. Albany Medical Center looked closer at factors that contribute to adverse drug events, putting in place a medication error detection program that prevented 2,100 errors in one year.
预防药物不良事件。药物不良反应并不总是致命的，但它们总是会增加住院时间和医疗费用。波士顿研究人员估计，一家拥有700张床位的教学医院每年因药物不良事件花费560万美元，其中280万美元是可以预防的。奥尔巴尼医疗中心(Albany Medical Center)更仔细地研究了导致药物不良事件的因素，并实施了一项药物错误检测计划，该计划在一年内防止了2100起错误。
{"title":"Even in best-run centers, preventable medication errors lengthen LOS, increase costs.","authors":"","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Preventing adverse drug events. Adverse drug events aren't always fatal, but they invariably add to length of stay and health care costs. Boston researchers estimate that adverse drug events cost a 700-bed teaching hospital about $5.6 million annually, $2.8 million of which is preventable. Albany Medical Center looked closer at factors that contribute to adverse drug events, putting in place a medication error detection program that prevented 2,100 errors in one year.</p>","PeriodicalId":79903,"journal":{"name":"Health care cost reengineering report","volume":"3 10","pages":"149-51"},"PeriodicalIF":0.0,"publicationDate":"1998-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21058467","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Lateral transfer device reduces back injuries that result from moving patients.","authors":"","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":79903,"journal":{"name":"Health care cost reengineering report","volume":"3 10","pages":"157-8"},"PeriodicalIF":0.0,"publicationDate":"1998-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21058473","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Treating urinary tract infections at the source: Urinary tract infection is a common problem in hospitals, particularly among patients who require long-term management with indwelling urinary catheters. A new Foley catheter, made of silicon imbedded with a broad-spectrum antibiotic, shows a 10-fold reduction in UTI within three days of use. Its maker claims hospitals can save $68,000 to $438,000 per 1,000 catheters.
{"title":"Antibiotic-laced urinary catheter helps prevent costly infections.","authors":"","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Treating urinary tract infections at the source: Urinary tract infection is a common problem in hospitals, particularly among patients who require long-term management with indwelling urinary catheters. A new Foley catheter, made of silicon imbedded with a broad-spectrum antibiotic, shows a 10-fold reduction in UTI within three days of use. Its maker claims hospitals can save $68,000 to $438,000 per 1,000 catheters.</p>","PeriodicalId":79903,"journal":{"name":"Health care cost reengineering report","volume":"3 9","pages":"138-9"},"PeriodicalIF":0.0,"publicationDate":"1998-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21056067","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Outreach program slashes Florida health network's rate of cesarean sections.","authors":"","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":79903,"journal":{"name":"Health care cost reengineering report","volume":"3 9","pages":"137-8"},"PeriodicalIF":0.0,"publicationDate":"1998-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21056326","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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