A Multifunction Neurosciences Intensive Care Unit Lumbar Puncture Service Improves Efficiency and Delivers...

Area of Science:

• Neuroscience
• Healthcare Management
• Medical Procedures

Background:

• The neurosciences intensive care unit (NeuroICU) implemented a dedicated day team to manage time-sensitive tasks.
• This initiative aimed to improve operational efficiency and reduce costs associated with lumbar puncture (LP) services.

Purpose of the Study:

• To evaluate the multifunctional efficacy and cost-efficiency of a novel NeuroICU day team model for lumbar puncture (LP) services.
• To assess the impact of this model on patient outcomes and hospital resource utilization.

Main Methods:

• A retrospective review of a single-center NeuroICU day team's activities was conducted over a defined period.
• Cost savings were calculated using a time-driven, activity-based costing method, including estimated bed-day savings.
• The study analyzed 400 consult encounters across 7 multifunction service domains, with a focus on LP procedures.

Main Results:

• The NeuroICU day team performed approximately 100 LPs annually, a significant increase from the previous model's 23 LPs/year.
• An estimated $1 million in cost savings was achieved, with an average reduction of 2 hospital days per LP, equating to ~$5000 per patient.
• The initiative facilitated earlier postoperative discharges, improved bed availability, and streamlined care pathways.

Conclusions:

• A multifunctional NeuroICU day team model demonstrates significant improvements in operational throughput and direct cost savings.
• This approach enhances team operational resilience and contributes to more efficient patient care delivery within the NeuroICU.