Division of Thoracic Surgery and Interventional Pulmonology, Swedish Cancer Institute, Seattle, Wash.
Swedish Medical Center, Seattle, Wash.
J Thorac Cardiovasc Surg. 2018 Jan;155(1):416-424. doi: 10.1016/j.jtcvs.2017.07.086. Epub 2017 Sep 13.
Lung cancer screening programs have become increasingly prevalent within the United States after the National Lung Screening Trial results. We aimed to review the financial impact after programmatic implementation of Advanced Registered Nurse Practitioner-led programs of Lung Cancer Screening and Tobacco Related Diseases, Incidental Pulmonary Nodule Clinic, and Tobacco Cessation Services.
We reviewed revenue from 2013 to 2016 by our nurse practitioner-led program. Encounters were queried for charges related to outpatient evaluation and management, professional procedures, and facility charges related to both outpatient and inpatient procedures. Revenue was normalized using 2016 data tables and the national Medicare conversion factor (35.8043).
Our program evaluated 694 individuals, of whom 75% (518/694) are enrolled within the lung cancer-screening program. Overall revenue associated with the programs was $733,336. Outpatient evaluation and management generated revenue of $168,372. In addition, professional procedure revenue accounted for an additional $60,015 with facility revenue adding an additional $504,949.
A nurse practitioner-led program of lung cancer screening, incidental pulmonary nodules, and tobacco-cessation services can provide additional revenue opportunities for a Thoracic Surgery and Interventional Pulmonology Division, as well as a health care system. The current national, median annual wage of a nurse practitioner is $98,190, and the cost associated directly to their salary (and benefits) may remain neutral or negative within certain programs. However, the larger economic benefit may be realized within the division and institution. This potential additional revenue appears related to evaluation of newly identified diseases and subsequent evaluations, procedures, and operations.
美国国家肺癌筛查试验结果公布后，肺癌筛查计划在美国越来越普遍。我们旨在审查肺癌筛查和烟草相关疾病、偶然肺结节诊所以及烟草戒断服务的高级注册护士执业者领导的计划实施后的财务影响。
我们审查了我们的护士从业者领导的项目在 2013 年至 2016 年期间的收入。查询了与门诊评估和管理、专业程序以及与门诊和住院程序相关的设施收费有关的费用。使用 2016 年数据表和国家医疗保险转换系数（35.8043）对收入进行标准化。
我们的计划评估了 694 人，其中 75%（518/694）参加了肺癌筛查计划。与这些项目相关的总收入为 733336 美元。门诊评估和管理产生的收入为 168372 美元。此外，专业程序收入占额外的 60015 美元，设施收入增加了额外的 504949 美元。
肺癌筛查、偶然肺结节和烟草戒断服务的护士从业者领导的计划可为胸外科和介入肺科部门以及医疗保健系统提供额外的收入机会。目前，注册护士的全国中位数年薪为 98190 美元，与他们的工资（和福利）直接相关的成本在某些计划中可能保持中立或为负。然而，更大的经济效益可能在部门和机构中实现。这种潜在的额外收入似乎与新发现疾病的评估以及随后的评估、程序和操作有关。
