Author + information
- Jeffrey B. Anderson,
- David Brown,
- Stacey Lihn,
- James Tweddell,
- Jesse Hansen,
- Mark McDonald,
- Greg Lubiani and
- Carole Lannon
Background: Clinical centers in the National Pediatric Quality Improvement Collaborative (NPC-QIC) partner with parents of children with hypoplastic left heart syndrome (HLHS) to improve care and outcomes. Collaboration in NPC-QIC requires a cost for participating centers.
Our objective was to estimate return on investment for a center participating in NPC-QIC.
Methods: The NPC-QIC registry data provided mortality outcomes from participating centers between 2006-2014. Financial data from a single center was used to estimate administrative costs associated with involvement in the collaborative (e.g. annual participation fees, personnel, and travel costs) and revenue associated with caring for infants with HLHS who survived through their first birthdays (based on internal billing records normalized to 2014 dollars). Data on patients who exclusively received their inpatient and outpatient care at this single institution between 2004-2014 and who survived to their first birthday were analyzed.
Results: From 2006-2014 there was a 40% reduction (9.8%-5.5%) in interstage mortality across participating centers, correlating with one less death per 23 patients. Annual single center administrative costs for NPC-QIC involvement were $38,271. At this center there were 69 patients with HLHS who survived to one year of life during the study period. At 12 months of life the median revenue was $488,944 ($28,261 – 3,813,187) per patient.
Conclusions and Implications: Improved patient outcomes matter to parents and clinicians. Reassuring to institutions is that participation in NPC-QIC not only leads to improved patient outcomes but that the potential revenue associated with improved results for a center significantly outweighs the cost of involvement in NPC-QIC.
Poster Hall, Hall C
Friday, March 17, 2017, 3:45 p.m.-4:30 p.m.
Session Title: Congenital Heart Disease: Advances in Quality Improvement for Pediatric Cardiac Care
Abstract Category: 10. Congenital Heart Disease: Pediatric
Presentation Number: 1143-018
- 2017 American College of Cardiology Foundation