PMID- 10770722
OWN - NLM
STAT- MEDLINE
DCOM- 20000809
LR  - 20061115
IS  - 1058-4838 (Print)
IS  - 1058-4838 (Linking)
VI  - 30
IP  - 4
DP  - 2000 Apr
TI  - Financial impact of a home intravenous antibiotic program on a medicare managed 
      care program.
PG  - 639-42
AB  - This study quantitates cost savings achieved by a home intravenous antibiotic 
      (HIVA) program in a Medicare managed health care program. In 1998, 66 treatment 
      courses of HIVA therapy were administered for a total of 1542 patient-days of 
      therapy. The calculated cost of HIVA therapy included the actual costs of drugs, 
      supplies, nursing and therapists' salaries, and laboratory studies. Savings were 
      calculated based on the average daily direct variable cost (DDVC) for hospital 
      acute unit or skilled nursing facility (SNF) care associated with the patient's 
      discharge diagnosis-related-group. The number of days on HIVA therapy was assumed 
      to equal the number of days in the hospital acute unit or hospital-based SNF. The 
      average cost per day of HIVA therapy was $122, whereas average DDVC of hospital 
      acute unit care was $798, and the average DDVC of SNF care was $541. In 1 year, 
      the HIVA program saved our health care system $646,000-$834,000, which 
      demonstrates that HIVA programs are powerful tools to reduce costs in Medicare 
      managed health care programs.
FAU - Dalovisio, J R
AU  - Dalovisio JR
AD  - Ochsner Clinic, New Orleans, LA 70121, USA. jdalovisio@ochsner.org
FAU - Juneau, J
AU  - Juneau J
FAU - Baumgarten, K
AU  - Baumgarten K
FAU - Kateiva, J
AU  - Kateiva J
LA  - eng
PT  - Comparative Study
PT  - Journal Article
DEP - 20000404
PL  - United States
TA  - Clin Infect Dis
JT  - Clinical infectious diseases : an official publication of the Infectious Diseases 
      Society of America
JID - 9203213
RN  - 0 (Anti-Bacterial Agents)
SB  - IM
MH  - Aged
MH  - Anti-Bacterial Agents/*economics
MH  - Cost-Benefit Analysis
MH  - Delivery of Health Care
MH  - Health Care Costs
MH  - Humans
MH  - Infusions, Intravenous
MH  - Managed Care Programs/*economics
MH  - Medicare/*economics
MH  - United States
EDAT- 2000/04/19 09:00
MHDA- 2000/08/12 11:00
CRDT- 2000/04/19 09:00
PHST- 1999/08/03 00:00 [received]
PHST- 1999/11/22 00:00 [revised]
PHST- 2000/04/19 09:00 [pubmed]
PHST- 2000/08/12 11:00 [medline]
PHST- 2000/04/19 09:00 [entrez]
AID - CID991064 [pii]
AID - 10.1086/313755 [doi]
PST - ppublish
SO  - Clin Infect Dis. 2000 Apr;30(4):639-42. doi: 10.1086/313755. Epub 2000 Apr 4.