The business case for clinical pathways and outcomes management: a case study of Children's Hospital and Health Center of San Diego

The business case for clinical pathways and outcomes management: a case study of Children's Hospital and Health Center of San Diego

Collection:
Health Policy and Services Research
Series Title(s):
Field report (Commonwealth Fund)
Author(s):
March, Artemis.
Contributor(s):
Commonwealth Fund.
Publication:
[New York] : Commonwealth Fund, [2003]
Language(s):
English
Format:
Text
Subject(s):
Quality Assurance, Health Care -- economics
Hospitals, Pediatric -- economics
Critical Pathways -- economics
California
Children's Hospital and Health Center (San Diego, Calif.)
Abstract:
Children's Hospital and Health Center of San Diego has lowered the cost of providing care and slashed the length of hospitalization by measurably increasing its quality outcomes. Yet, under the current business model of per diem payment, those savings have accrued mostly to insurers and other payers, and the hospital has forfeited millions of dollars in annual revenue. The per diem payment structure typical for children's hospitals (where Medicaid typically becomes the primary payer for chronic conditions) contrasts with the per discharge basis for Medicare; reducing length of stay thereby gives adult hospitals a financial gain, but gives children's hospitals a financial loss.
Copyright:
Reproduced with permission of the copyright holder. Further use of the material is subject to CC BY license. (More information)
NLM Unique ID:
101184322 (See catalog record)
Permanent Link:
http://resource.nlm.nih.gov/101184322