Wednesday, June 25, 2014

Healthcare and its costs, patient cost estimator, home care costs, ED visits Ontario

Here is some good reading about healthcare, and healthcare costs.

A patient with extensive burns and requiring a skin graft will stay in hospital on average 44.8 days with a cost of $161,925 for services. Visit the Patient Cost Estimator!

The Patient Cost Estimator (PCE) is an interactive tool developed by CIHI to estimate the avera
My ED visit
ge cost of various services provided in hospitals. This tool provides information nationally, by jurisdiction and by patient age group. The cost estimates represent the estimated average cost of services provided to the average patient. They include the costs incurred by the hospital in providing services and exclude physician fees, since physicians are normally paid directly by the jurisdiction and not by the hospital.

ED (Emergency Department) Spending in Canada: A Focus on the Cost of Patients Waiting for Access to an In-Patient Bed in Ontario. Healthcare Quarterly, January 2009.

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In 2005-2006, hospitals in Canada spent $1.8 billion on their emergency departments (EDs). In the same year, more than one million patients were admitted via EDs. Half the patients in our study waited for at least two hours, and 1/4 of admitted patients waited more than 24 hours to be moved from the ED to an acute care bed. In this article, we have explored the proportion of ED spending that is dedicated to patients waiting for a bed. We have found that 6.5% of ED spending in Ontario (or $51 million) was dedicated to these patients in Ontario. It is generally agreed that there have been few studies of the costs of ED services (Bamezai et al. 2005; Williams 1996). Studies that have looked at ED costs for admitted patients compared with those discharged home have found higher costs associated with admitted patients, particularly those who are older and those who visit large EDs located in urban areas (Bennett et al. 2007; Higginson and Guly 2007).

Using 2010 data from over 113,000 different private drug plans... We found that the use of common cost-control measures is relatively low among Canadian private benefits programs. Healthcare Policy, August 2013.

Prescription drugs provided outside of hospital are not universally covered in Canada. Instead, these costs are paid by a blend of various public drug programs, private drug plans and out-of-pocket payments. An estimated 38% of drug expenditures in 2011 were financed through private drug plans, which are most commonly offered as part of employer-sponsored supplemental health benefits packages provided to employees and their dependents (CIHI 2012). In 2010, 23 insurance companies offered private benefits plans that provided health coverage to 68% of Canadians (Canadian Life and Health Insurance Association 2012).

The majority of seniors want to remain at home, and evidence suggests that providing care at home is a cost-effective alternativeHealthcare Quarterly, July 2013.

It is well documented in the literature that waiting in an acute care bed for placement may lead to a decline in the health of the individual (Covinsky et al. 2003; Graf 2006). Waiting is also very costly and resource-intensive for the healthcare system since a bed is being occupied by a person who no longer requires acute services (Walker 2011). Facilitating a successful transition home, or to another community setting, requires careful consideration of resource availability, costs, risks and benefits to the individual and the health system as a whole.

Putting a Dollar Amount on Spending per ED Visit in Ontario

The average amount per ED visit in Ontario was estimated to be $148. This ranged from $111 per visit in the North East LHIN 13 to $219 per visit in Toronto Central LHIN 7 (Figure 3). When costs associated with admitted patients were removed, the average rate per visit dropped to $138 per visit, a drop of nearly 7%. While there does appear to be an association between the average amount spent per ED visit and the proportion of patients admitted via the ED, there appears be variation in the proportion spent on admitted ED patients.

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