naa a22 4500 510740723 CHVBK 20180411083027.0 cr unu---uuuuu 180411e20130901xx s 000 0 eng 10.1007/s11845-013-0923-0 doi (NATIONALLICENCE)springer-10.1007/s11845-013-0923-0 Randomized controlled trial of feedback on cost of hospital care among gastroenterology inpatients [Elektronische Daten] [E. Slattery, G. Harewood, K. Clancy, F. Murray, S. Patchett] Introduction: Spending on hospital inpatients comprises a major proportion of healthcare costs. This study assessed the impact of systematic feedback to gastroenterologists on the cost of care provided to inpatients on a gastrointestinal/hepatology (GIH) hospital service. Methods: Patients with a GIH diagnosis were randomly assigned to be cared for by one of two hospital services. Over 3months, teams were randomized to receive feedback (GIH A) or no feedback (GIH B, control group); feedback consisted of an email sent twice weekly to all physicians on the GIH A service detailing the length of stay (LOS) and real-time cost of care accrued by each inpatient. Results: Over 3months, care was provided to 56 (GIH A) and 47 (GIH B) inpatients with a GIH illness. Patient complexity level was similar for both services as demonstrated by mean relative value: 1.11 (GIH A) vs. 1.27 (GIH B), p=0.2. Weighted LOS and weighted cost of care values were calculated to adjust for the respective RV of each patient. Mean weighted LOS (10.8 [GIH A] vs. 13.8days/pt [GIH B], p=0.02) and mean weighted cost of care (9,904 [GIH A] vs. 12,654 euros/pt [GIH B], p=0.02) were significantly lower in the feedback group. Subsequent hospital readmission rates did not differ among both groups. Conclusion: Systematic feedback on cost of care was associated with lower healthcare costs without compromising quality. Incorporating a running total of patient costs into computer software used to order patient tests may represent one approach to controlling healthcare expenses. Royal Academy of Medicine in Ireland, 2013 Outcomes nationallicence Health economics nationallicence Feedback nationallicence Cost of healthcare nationallicence Length of stay nationallicence Behavior modification nationallicence Slattery E. Department of Gastroenterology, Beaumont Hospital, Dublin, Ireland aut Harewood G. Department of Gastroenterology, Beaumont Hospital, Dublin, Ireland aut Clancy K. Department of Gastroenterology, Beaumont Hospital, Dublin, Ireland aut Murray F. Department of Gastroenterology, Beaumont Hospital, Dublin, Ireland aut Patchett S. Department of Gastroenterology, Beaumont Hospital, Dublin, Ireland aut Irish Journal of Medical Science Springer-Verlag 182/3(2013-09-01), 503-507 0021-1265 182:3<503 2013 182 11845 https://doi.org/10.1007/s11845-013-0923-0 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/s11845-013-0923-0 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Slattery E. Department of Gastroenterology, Beaumont Hospital, Dublin, Ireland aut NATIONALLICENCE 700 1- Harewood G. Department of Gastroenterology, Beaumont Hospital, Dublin, Ireland aut NATIONALLICENCE 700 1- Clancy K. Department of Gastroenterology, Beaumont Hospital, Dublin, Ireland aut NATIONALLICENCE 700 1- Murray F. Department of Gastroenterology, Beaumont Hospital, Dublin, Ireland aut NATIONALLICENCE 700 1- Patchett S. Department of Gastroenterology, Beaumont Hospital, Dublin, Ireland aut NATIONALLICENCE 773 0- Irish Journal of Medical Science Springer-Verlag 182/3(2013-09-01), 503-507 0021-1265 182:3<503 2013 182 11845 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer