基于紧急部门的密集护理单位对编码和收入的分析
Michael H Sherman1, Vincent L Kan2, Patric Gibbons2,3
1Boston University Chobanian & Avedisian School of Medicine, Department of Emergency Medicine, Boston, Massachusetts.
实施急诊室重症监护室 (ED-ICU) 显著提高了重症监护编码和专业收入. 这种模式显示出改善紧急医疗的财政绩效和运营效率的前景.
科学领域:
- 紧急医疗 紧急医疗
- 关键的护理关键的护理
- 医疗保健服务研究 医疗服务研究
背景情况:
- 紧急部门的重症监护室 (ED-ICU) 正在出现,以满足关键护理需求.
- 关于ED-ICU的财务和运营影响的数据有限.
研究的目的:
- 评估实施ED-ICU模型的财务和运营影响.
- 分析现行程序术语 (CPT) 编码和专业收入后实施的变化.
主要方法:
- 在一个城市的学术ED. 的回顾性,准实验性研究.
- 在ED-ICU实施前后35周的CPT编码和专业收入分析.
- 使用学生的t测试,比较关键和非关键护理编码比例和收入.
主要成果:
- 在实施后,重症监护编码 (CPT 99291,99292) 显著增加.
- 非危急护理编码 (CPT 99282,99283) 减少,而高敏度编码 (99285) 增加.
- 每次访问的平均ED费用增加了40美元,提高了专业收入.
结论:
- 实施ED-ICU与加大重症监护和高敏度编码相关.
- ED-ICU模型可以提高财政绩效和运营效率.
- 需要进一步研究资源配置,文档和护理实践.
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