Panattoni Laura, Dillon Ellis, Hurlimann Lily, Durbin Meg, Tai-Seale Ming
Hutchinson Institute for Cancer Outcomes Research, Fred Hutchinson Cancer Research Center, Seattle, Washington (Dr Panattoni); Palo Alto Medical Foundation Research Institute, Mountain View, California (Drs Dillon and Tai-Seale and Ms Hurlimann); and Canopy Health, Emeryville, California (Dr Durbin).
J Ambul Care Manage. 2018 Jan/Mar;41(1):58-70. doi: 10.1097/JAC.0000000000000209.
Little is known about the cost of implementing chronic care models. We estimate the human resource cost of implementing a novel team-based chronic care model "Champion," at a large multispecialty group practice. We used activity-based costing to calculate costs from development through rollout and stabilization in 1 clinic with 12 000 chronic care patients. Data analyzed included Microsoft Outlook meeting metadata, supporting documents, and 2014 employee wages. Implementation took more than 29 months, involved 168 employees, and cost the organization $2 304 787. Payers may need to consider a mixed-payment model to support the both implementation and maintenance costs of team-based chronic care.
关于实施慢性病护理模式的成本，人们知之甚少。我们估算了在一家大型多专科医疗集团实施一种新型的基于团队的慢性病护理模式“冠军模式”的人力资源成本。我们采用作业成本法来计算从开发到在一家拥有12000名慢性病护理患者的诊所推出并稳定运行的成本。分析的数据包括微软Outlook会议元数据、支持文件以及2014年员工工资。实施过程耗时超过29个月，涉及168名员工，该机构为此花费了2304787美元。支付方可能需要考虑采用混合支付模式，以支持基于团队的慢性病护理的实施和维护成本。
