Cost Analysis of an Advanced Practice Registered Nurse Transitional Care Model for Cardiac Patients

Area of Science:

• Healthcare Management
• Nursing Practice
• Cardiovascular Health

Background:

• Growing emphasis on reducing hospital readmissions has increased interest in effective care transition strategies.
• Hospital readmissions represent a significant financial burden on healthcare systems.

Purpose of the Study:

• To conduct a comparative cost analysis of a transitional care program for cardiac patients versus the costs associated with hospital readmissions.
• To evaluate the BRIDGE model's impact on healthcare expenditures.

Main Methods:

• The study compared the costs of the advanced practice registered nurse-managed BRIDGE transitional care program with the financial impact of hospital readmissions.
• Data analysis focused on cost savings within 30 days of hospital discharge for cardiac patients.

Main Results:

• The BRIDGE model demonstrated a reduction in healthcare costs, with savings exceeding program expenses.
• An average per-patient saving of $4,944 was observed due to avoided readmissions within 30 days.
• The program resulted in total savings of $306,537 for patients with acute coronary syndrome.

Conclusions:

• Transitional care programs, particularly those managed by advanced practice registered nurses, can effectively reduce healthcare costs associated with hospital readmissions.
• The BRIDGE model offers a cost-effective solution for managing cardiac patients post-discharge.
• The holistic and supportive approach of nurse practitioners is well-suited for transitional care settings.