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A burn center cost-reduction program

J J Mathews1, K Supple, A Calistro

  • 1Loyola University Medical Center, Maywood, IL 60153, USA.

The Journal of Burn Care & Rehabilitation
|July 1, 1997
PubMed
Summary
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Burn centers can reduce costs and length of stay without compromising patient care quality. Implementing practice changes led to significant cost savings and improved infection rates, demonstrating effective resource management.

Area of Science:

  • Medical research
  • Healthcare management
  • Burn care quality improvement

Background:

  • High-census burn centers face challenges in managing resource utilization and patient length of stay.
  • Maintaining quality of care while reducing costs is a critical objective in healthcare settings.

Purpose of the Study:

  • To evaluate the impact of practice changes on resource usage, length of stay, and quality of care in a burn center.
  • To determine if cost reduction strategies can be implemented without negatively affecting patient outcomes.

Main Methods:

  • A 2-year initiative was implemented in a high-census burn center focusing on reducing resource consumption and length of stay.
  • Key performance indicators including hospital charges, length of stay, infection rates, readmission, morbidity, and wound healing were tracked.

Related Experiment Videos

  • Patient population characteristics (total body surface area percentage burn and acuity level) were monitored to ensure consistency.

    • Main Results:

    • Average hospital charges decreased significantly from $46,628 in FY1993 to $33,159 in FY1994 per patient.
    • Average length of stay was also reduced during the study period.
    • No significant changes in patient population demographics were observed. Infection rates improved significantly, while readmission, morbidity, and wound healing progression remained comparable.

    Conclusions:

    • Cost-reduction programs in burn centers can successfully decrease expenses and length of stay.
    • Implemented practice changes demonstrated that quality of care can be maintained and even improved, specifically noting a reduction in infection rates.
    • This study highlights the feasibility of optimizing resource management in burn care without compromising patient outcomes.