Benefits of High-Intensity Intensive Care Unit Physician Staffing under the Affordable Care Act
The Affordable Care Act signed into law by President Obama, with its value-based purchasing program, is designed to link payment to quality processes and outcomes. Treatment of critically ill patients represents nearly 1% of the gross domestic product and 25% of a typical hospital budget. Data sugge...
Saved in:
| Main Authors: | , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Wiley
2011-01-01
|
| Series: | Critical Care Research and Practice |
| Online Access: | http://dx.doi.org/10.1155/2011/170814 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1850232572292890624 |
|---|---|
| author | Sachin Logani Adam Green James Gasperino |
| author_facet | Sachin Logani Adam Green James Gasperino |
| author_sort | Sachin Logani |
| collection | DOAJ |
| description | The Affordable Care Act signed into law by President Obama, with its value-based purchasing program, is designed to link payment to quality processes and outcomes. Treatment of critically ill patients represents nearly 1% of the gross domestic product and 25% of a typical hospital budget. Data suggest that high-intensity staffing patterns in the intensive care unit (ICU) are associated with cost savings and improved outcomes. We evaluate the literature investigating the cost-effectiveness and clinical outcomes of high-intensity ICU physician staffing as recommended by The Leapfrog Group (a consortium of companies that purchase health care for their employees) and identify ways to overcome barriers to nationwide implementation of these standards. Hospitals that have implemented the Leapfrog initiative have demonstrated reductions in mortality and length of stay and increased cost savings. High-intensity staffing models appear to be an immediate cost-effective way for hospitals to meet the challenges of health care reform. |
| format | Article |
| id | doaj-art-0a948016486e4e6ea29b3e4e9ed38b7d |
| institution | OA Journals |
| issn | 2090-1305 2090-1313 |
| language | English |
| publishDate | 2011-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Critical Care Research and Practice |
| spelling | doaj-art-0a948016486e4e6ea29b3e4e9ed38b7d2025-08-20T02:03:08ZengWileyCritical Care Research and Practice2090-13052090-13132011-01-01201110.1155/2011/170814170814Benefits of High-Intensity Intensive Care Unit Physician Staffing under the Affordable Care ActSachin Logani0Adam Green1James Gasperino2Section of Critical Care Medicine, Department of Medicine, Drexel University College of Medicine, Philadelphia, PA 19102, USASection of Critical Care Medicine, Department of Medicine, Drexel University College of Medicine, Philadelphia, PA 19102, USASection of Critical Care Medicine, Department of Medicine, Drexel University College of Medicine, Philadelphia, PA 19102, USAThe Affordable Care Act signed into law by President Obama, with its value-based purchasing program, is designed to link payment to quality processes and outcomes. Treatment of critically ill patients represents nearly 1% of the gross domestic product and 25% of a typical hospital budget. Data suggest that high-intensity staffing patterns in the intensive care unit (ICU) are associated with cost savings and improved outcomes. We evaluate the literature investigating the cost-effectiveness and clinical outcomes of high-intensity ICU physician staffing as recommended by The Leapfrog Group (a consortium of companies that purchase health care for their employees) and identify ways to overcome barriers to nationwide implementation of these standards. Hospitals that have implemented the Leapfrog initiative have demonstrated reductions in mortality and length of stay and increased cost savings. High-intensity staffing models appear to be an immediate cost-effective way for hospitals to meet the challenges of health care reform.http://dx.doi.org/10.1155/2011/170814 |
| spellingShingle | Sachin Logani Adam Green James Gasperino Benefits of High-Intensity Intensive Care Unit Physician Staffing under the Affordable Care Act Critical Care Research and Practice |
| title | Benefits of High-Intensity Intensive Care Unit Physician Staffing under the Affordable Care Act |
| title_full | Benefits of High-Intensity Intensive Care Unit Physician Staffing under the Affordable Care Act |
| title_fullStr | Benefits of High-Intensity Intensive Care Unit Physician Staffing under the Affordable Care Act |
| title_full_unstemmed | Benefits of High-Intensity Intensive Care Unit Physician Staffing under the Affordable Care Act |
| title_short | Benefits of High-Intensity Intensive Care Unit Physician Staffing under the Affordable Care Act |
| title_sort | benefits of high intensity intensive care unit physician staffing under the affordable care act |
| url | http://dx.doi.org/10.1155/2011/170814 |
| work_keys_str_mv | AT sachinlogani benefitsofhighintensityintensivecareunitphysicianstaffingundertheaffordablecareact AT adamgreen benefitsofhighintensityintensivecareunitphysicianstaffingundertheaffordablecareact AT jamesgasperino benefitsofhighintensityintensivecareunitphysicianstaffingundertheaffordablecareact |