Assignment: Methadone Treatment
Assignment: Methadone Treatment
AHRQ (2016), p. 8
Hospital stay Average cost per day
Average cost per inpatient day varies across 50 states
Medication errors Annual cost of 400,000 ADEs = $3.5 billion annually
Patient Safety (2016)
Journal for Nurses in Professional Development www.jnpdonline.com 307
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TABLE 2 Updated Known Costs of Outcomes Table 2018, Continued Conditions Recent Cost Estimate References Mental health Hospitalizations for pediatric mental health disorder
Hospital-based in-patient psychiatric services Treatment of mental disorders (adult)
Suicide risk Follow-up calls for suicidal ideation or self-harm
Total resource utilization charges/mean charges/visits (pediatrics): Depression: 1.33 billion/$13,200 Bipolar: 702 million/$17,058 Psychosis: 540 million/$19,676 Externalizing disorder: 264 million/$18,784 Anxiety disorder: 149 million/$19,118 ADHD: 133 million/$19,118 Eating disorder: 108 million/$46,130 Substance abuse: 102 million/$12,098 Reaction disorder: 100 million/$8,444 Average expenditure per child for treatment of mental disorders: $2,195 $1,143 annual mean cost of outpatient visits $12,126 annual mean cost of in patient visits $966 annual mean medication cost $1,020 annual mean ED visits cost Estimated ROI was $1.76 for commercial insurance and $2.43 for Medicaid for patients discharged from a hospital Estimated ROI was $1.70 for commercial insurance and $2.05 for Medicaid for patients discharged from an emergency department; study support business case for payers to invest in postdischarge follow-up calls
Bardach et al. (2014)
Richardson, Mark, & McKeon (2014)
Methicillin-resistant staph aureus
Estimate cost per patient up to $60,000 Sannazzaro (2015)
Narcan use Narcan kit of 1Y2 doses costs $130Y$140 Park (2017)
Nosocomial infections Single-bed ICU rooms
5 year analysis (costs, infection risk, length of stay, and cost savings from reduction of nosocomial infections) in single-bed roomsVsubstantially outweighed additional construction and operational expenses: ROI 56.18%
Sadatsafavi, Niknejad, Zadeh, & Sadatsafavi (2016)
OB adverse events Estimated extra cost per case in 2015: $602 AHRQ (2017)
Opioid treatment Methadone treatment annual cost: $6,552 Buprenorphine treatment annual cost: $5,980 Naltrexone treatment annual cost: $14,112
National Institute on Drug Abuse NIH (2015)
Orientation New RN
$49,000Y$92,000 (includes replacement costs)
Trepanier, Early, Ulrich, & Cherry (2012)
Surgical site infections Estimated extra cost per case in 2015: $28,219
Stroke $16,000 average hospital cost for discharges per case in 2014
AHRQ (2016), p. 18
Subcutaneous drug delivery Administration: Subcutaneous: $30.19 Intravenous: $113.13
Dychter, Gold, & Haller (2012)
308 www.jnpdonline.com November/December 2018
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