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Implementation of a multi-site neonatal simulation improvement program: a cost analysis.

Xiao Xu1,2, John Yao3, Janine Bohnert3

  • 1Department of Obstetrics and Gynecology, Columbia University Vagelos College of Physicians and Surgeons, New York, NY, USA.

BMC Health Services Research
|May 13, 2024
PubMed
Summary
This summary is machine-generated.

The Simulating Success program cost approximately $39,211 per hospital site to implement. This neonatal resuscitation training initiative may offer long-term financial benefits by reducing other training costs.

Keywords:
Cost analysisIn situ simulationNeonatal resuscitation programSimulation science

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Area of Science:

  • Healthcare quality improvement
  • Medical education and training
  • Neonatal care

Background:

  • The California Perinatal Quality Care Collaborative (CPQCC) developed the Simulating Success program to enhance neonatal resuscitation training in hospitals.
  • This initiative aimed to improve patient outcomes and healthcare provider practices.

Purpose of the Study:

  • To determine the costs associated with designing and implementing the Simulating Success quality improvement program.
  • To analyze resource utilization from a healthcare sector perspective.

Main Methods:

  • A micro-costing approach was used to track personnel time, equipment, supplies, space, and travel costs.
  • Data were collected from 4 participating hospital sites and the CPQCC from 2017-2020.
  • Costs were inflation-adjusted to 2022 U.S. dollars and analyzed from the healthcare sector perspective.

Main Results:

  • The total cost for designing and implementing the Simulating Success program was $228,148.36 at CPQCC, with personnel costs being the largest component.
  • The mean cost per participating hospital site was estimated at $39,210.69 (95% CI: $34,094.52-$44,326.86).
  • Monthly costs for other neonatal resuscitation training decreased significantly during and after program implementation at the participating sites.

Conclusions:

  • Implementing a multi-site neonatal in situ simulation program necessitates substantial resource investment.
  • Such programs have the potential for long-term financial and non-financial benefits, including reduced training expenses and improved clinical practice.