Navigation Links
Physical therapy in the intensive care unit benefits hospital's bottom line
Date:1/11/2013

In a study evaluating the financial impact of providing early physical therapy for intensive care patients, researchers at Johns Hopkins found that the up-front costs are outweighed by the financial savings generated by earlier discharges from the intensive care unit and shorter hospital stays overall. An article describing the findings, "ICU Early Physical Rehabilitation Programs: Financial Modeling of Cost Savings," is published online today ahead of print in the March issue of Critical Care Medicine.

"The evidence is growing that providing early physical and occupational therapy for intensive care patients even when they are on life support leads to better outcomes. Patients are stronger and more able to care for themselves when they are discharged," says Dale M. Needham, M.D., Ph.D., an associate professor of medicine and critical care specialist at the Johns Hopkins University School of Medicine and senior author of the study.

Needham says a major barrier to early rehab programs in the ICU has been concern among hospital administrators about the cost. "However, our study shows that a relatively low investment up front can produce a significant overall reduction in the cost of hospital care for these patients," Needham says. "Such programs are an example of how we can save money and improve care at the same time."

For the study, the researchers developed a financial model based on actual experience at The Johns Hopkins Hospital's medical intensive care unit (MICU), as well as on projections for hospitals of different sizes with variable lengths of stay.

The Johns Hopkins MICU admits about 900 patients each year. In 2008, the hospital created an early rehabilitation program with dedicated physical and occupational therapists, which added about $358,000 to the cost of care annually. However, by 2009, the length of stay in the MICU had decreased an average of 23 percent, down from six-and-a-half days to five days, while the time spent by those same patients as they transitioned to less-intensive hospital units fell 18 percent. Using their financial model, the authors estimated a net cost saving for the hospital of about $818,000 per year, even after factoring in the up-front costs.

The researchers then analyzed the potential impact of early rehabilitation services in 24 different scenarios, accounting for variations in the number of ICU admissions, cost savings per day and reductions in length of stay.

"We were very conservative in creating the financial model to avoid overstating the potential net cost savings," says Robert Lord, A.B., lead author of the study. "We found that in 20 out of the 24 scenarios, hospitals would have an overall cost savings by providing early rehabilitation to their intensive care unit patients, and in the four remaining scenarios, using the most conservative assumptions, there was a modest net cost increase of up to $88,000 per year," adds Lord.

Needham says their financial model can serve as a resource for hospitals throughout the United States to estimate their own net cost impact for providing early physical rehabilitation to ICU patients. He says length of stay is the biggest driver of cost to a hospital, which typically gets paid a fixed amount for caring for patients with specific diagnoses.

"The bottom line is that early rehabilitation in the ICU helps patients play an active role in their recovery and can make a big difference in their quality of life when they leave the hospital," says Needham. "More patients are surviving their ICU stay than ever before, yet many lose muscle strength during treatment for a critical illness because of long periods of bed rest." Early rehabilitation therapy, he says, can prevent muscle weakness that impairs patients' ability to care for themselves after hospital discharge.

The researchers conclude that with their conservative projections, investment in early rehabilitation for ICU patients can generate substantial net cost savings for hospitals while improving patient outcomes.


'/>"/>

Contact: Ellen Beth Levitt
eblevitt@jhmi.edu
410-955-5307
Johns Hopkins Medicine
Source:Eurekalert

Related medicine news :

1. Biophysical Society announces winners of 2013 Minority Affairs Committee travel awards
2. Why good resolutions about taking up a physical activity can be hard to keep
3. KORT Physical Therapy Expands Services to Include In-Home Physical Therapy
4. Continuing education provider HomeCEUConnection.com Announces Upcoming Attendance at Annual American Physical Therapy Association Combined Sections Meeting in San Diego.
5. QuickMedical Launches Fabrication Enterprises Physical Therapy/Occupational Therapy Products
6. NLP Logix Signed to Provide Predictive Modeling Services for Worker Compensation Physical Therapy Provider
7. Diet Guide Published on Dec. 3 by Clear Passage Physical Therapy Provides Life-Saving Information
8. PhysicalTherapistSites (Websites For Physical Therapists) Announces Partnership with Medical Billing Professionals
9. Radiologic and physical findings identify elder abuse
10. Loyolas orthopaedic physical therapy residency program is credentialed
11. Kids need at least 7 minutes a day of vigorous physical activity, but most arent getting that
Post Your Comments:
*Name:
*Comment:
*Email:
(Date:10/13/2017)... ... 13, 2017 , ... Dickinson Insurance and Financial Services, a ... services, is providing an update on a charitable event that began earlier this ... a locally recognized nonprofit that provides shelter and care for animals seeking new ...
(Date:10/13/2017)... ... October 13, 2017 , ... PurhealthRX , a ... utilizing Purzorb™ technology. Applying the Purzorb™process to full spectrum CBD oil will revolutionize the ... a CBD form that can be easily incorporated into liquid products, while reducing costs ...
(Date:10/13/2017)... ... 13, 2017 , ... The Visiting Nurse Association (VNA) of Somerset Hills is ... vendors and unique items from across the nation, this holiday-themed event will raise funds ... by the VNA. The boutique will be open Saturday, November 4 (10:00 a.m. ...
(Date:10/13/2017)... ... 2017 , ... Coveros, a leader in agile coaching services ... by the Center for Medicare and Medicaid Services (CMS). The Enterprise Agile Transformation ... Agile methodologies in a consistent and high value manner across CMS programs. Coveros ...
(Date:10/12/2017)... Orleans, LA (PRWEB) , ... October 12, 2017 , ... ... centers in the U.S., announced today its plans to open a flagship location in ... will occupy the former Rooms To Go store next to Office Depot in the ...
Breaking Medicine News(10 mins):
(Date:10/2/2017)... Mich. , Oct. 2, 2017 Diplomat ... 8th Day Software and Consulting, LLC , and ... 8th Day Software, based in Tennessee ... LLC. 8th Day expands EnvoyHealth,s service offerings for health ... development. "In an ...
(Date:10/2/2017)... Oct. 2, 2017  AllianceRx Walgreens Prime, the combined ... Walgreens and pharmacy benefit manager Prime Therapeutics LLC (Prime), ... which included the unveiling of new signage at its ... well as at a few other company-owned facilities across ... to patients, some of whom will begin to see ...
(Date:10/2/2017)... COPENHAGEN, Denmark , Oct. 2, 2017 The ... tool in the struggle to reverse the tide of prescription ... plan for regulating their medicine intake and stepping down their ... is set to launch in December 2017; the first 100,000 ... access. Learn more at http://www.rebound-solution.com/ ...
Breaking Medicine Technology: