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Primary nursing. The impact on nursing costs within DRGs
The Journal of Nursing Administration
|March 1, 1986
Summary
Primary nursing models reduce healthcare costs. This study found primary nursing units saved $1.30 daily per patient compared to team nursing, even with higher patient acuity.
Area of Science:
- Nursing Economics
- Healthcare Management
- Clinical Nursing Practice
Background:
- Nursing care delivery models significantly impact operational costs.
- Understanding cost variations between primary and team nursing is crucial for resource allocation.
- Patient acuity and length of stay are key determinants of nursing costs.
Purpose of the Study:
- To compare direct nursing care costs between primary and team nursing units.
- To analyze the financial implications of different nursing care models within Diagnosis-Related Groups (DRGs).
- To identify cost-saving opportunities in nursing practice.
Main Methods:
- Utilized a computerized information system to gather data.
- Collected data on patient length of stay, nursing acuity, and direct nursing care costs.
- Compared cost data across specific Diagnosis-Related Groups (DRGs).
Main Results:
- Primary nursing units demonstrated cost savings compared to team nursing units.
- A daily savings of $1.30 per patient, per average DRG, was observed in the primary nursing unit.
- These savings were achieved despite a 28% increase in patient acuity in the primary nursing unit.
Conclusions:
- The primary nursing model is a cost-effective approach to patient care.
- Implementing primary nursing can lead to significant savings in direct nursing care costs.
- Nursing care delivery models should be evaluated for their economic impact alongside patient outcomes.