Hampton Debra, Norton Jeffrey
Saint Joseph Healthcare; and Catholic Health Initiatives, Denver, Colorado, USA.
J Nurs Care Qual. 2006 Jan-Mar;21(1):70-7. doi: 10.1097/00001786-200601000-00014.
A balance should exist in health care organizations between the focus on cost containment and quality improvement efforts. This is particularly important in relation to critical care in that intensive care units (ICUs) absorb a significant proportion of the hospital's budget. The purpose of this article is to present a model that can be used to quantify the financial value to the institution of quality ICU outcomes achieved as a result of implementation of ventilator bundle initiatives. This one-bed ICU model illustrates the value of improving the care for one patient and cost, quantifying the outcomes that result through a focus on cost savings, revenue enhancement, and cost avoidance.
在医疗保健机构中，应在控制成本和提高质量的努力之间保持平衡。这在重症监护方面尤为重要，因为重症监护病房（ICU）占医院预算的很大一部分。本文的目的是提出一个模型，该模型可用于量化因实施呼吸机集束干预措施而实现的优质ICU结果对机构的财务价值。这个单床位ICU模型说明了改善对一名患者的护理和成本的价值，通过关注成本节约、收入增加和成本避免来量化结果。
