Impact of the Predictive Instrument on Cardiac Care Cost: Effect of Treatment Setting on Resource Use, Patient Outcome and Hospital Cost. Executive Summary and Final Report

摘要

Demographic and clinical data were collected on potentially acute cardiac patients. Data were available to evaluate various treatment settings for patients who appeared similar in the ER while controlling for age and severity of final diagnosis. By combining these data with each patient's hospital bill, it has been possible to review outcome and resources used to care for similar types of patients in three treatment settings: (1) the CCU; (2) the ICU and Progressive Coronary Care Unit (PCU), both of which are used at Boston City Hospital as either substitutes for the CCU when it is full or as an intermediate level of care for less severely ill patients; and (3) the medical wards (conventional care). Historical cost data from the hospital for these three cost centers were also made available so that they could be compared.