The hospital costs of high emergency department pediatric readiness
Abstract Objective We estimate annual hospital expenditures to achieve high emergency department (ED) pediatric readiness (HPR), that is, weighted Pediatric Readiness Score (wPRS) ≥ 88 (0–100 scale) across EDs with different pediatric volumes of children, overall and after accounting for current lev...
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| Format: | Article |
| Language: | English |
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Elsevier
2024-06-01
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| Series: | Journal of the American College of Emergency Physicians Open |
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| Online Access: | https://doi.org/10.1002/emp2.13179 |
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| author | Katherine E. Remick Marianne Gausche‐Hill Amber Lin Jeremy D. Goldhaber‐Fiebert Benjamin Lang Ashley Foster Beech Burns Peter C. Jenkins Hilary A. Hewes Nathan Kuppermann K. John McConnell Jennifer Marin Christopher Weyant Rachel Ford Sean R. Babcock Craig D. Newgard For the Pediatric Readiness Study Group |
| author_facet | Katherine E. Remick Marianne Gausche‐Hill Amber Lin Jeremy D. Goldhaber‐Fiebert Benjamin Lang Ashley Foster Beech Burns Peter C. Jenkins Hilary A. Hewes Nathan Kuppermann K. John McConnell Jennifer Marin Christopher Weyant Rachel Ford Sean R. Babcock Craig D. Newgard For the Pediatric Readiness Study Group |
| author_sort | Katherine E. Remick |
| collection | DOAJ |
| description | Abstract Objective We estimate annual hospital expenditures to achieve high emergency department (ED) pediatric readiness (HPR), that is, weighted Pediatric Readiness Score (wPRS) ≥ 88 (0–100 scale) across EDs with different pediatric volumes of children, overall and after accounting for current levels of readiness. Methods We calculated the annual hospital costs of HPR based on two components: (1) ED pediatric equipment and supplies and (2) labor costs required for a Pediatric Emergency Care Coordinator (PECC) to perform pediatric readiness tasks. Data sources to generate labor cost estimates included: 2021 national salary information from U.S. Bureau of Labor Statistics, detailed patient and readiness data from 983 EDs in 11 states, the 2021 National Pediatric Readiness Project assessment; a national PECC survey; and a regional PECC survey. Data sources for equipment and supply costs included: purchasing costs from seven healthcare organizations and equipment usage per ED pediatric volume. We excluded costs of day‐to‐day ED operations (ie, direct clinical care and routine ED supplies). Results The total annual hospital costs for HPR ranged from $77,712 (95% CI 54,719–100,694) for low volume EDs to $279,134 (95% CI 196,487–362,179) for very high volume EDs; equipment costs accounted for 0.9–5.0% of expenses. The total annual cost‐per‐patient ranged from $3/child (95% CI 2–4/child) to $222/child (95% CI 156–288/child). After accounting for current readiness levels, the cost to reach HPR ranged from $23,775 among low volume EDs to $145,521 among high volume EDs, with costs per patient of $4/child to $48/child. Conclusions Annual hospital costs for HPR are modest, particularly when considered per child. |
| format | Article |
| id | doaj-art-18e0401b13844fccb5936dbdbee9c4aa |
| institution | OA Journals |
| issn | 2688-1152 |
| language | English |
| publishDate | 2024-06-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Journal of the American College of Emergency Physicians Open |
| spelling | doaj-art-18e0401b13844fccb5936dbdbee9c4aa2025-08-20T02:01:10ZengElsevierJournal of the American College of Emergency Physicians Open2688-11522024-06-0153n/an/a10.1002/emp2.13179The hospital costs of high emergency department pediatric readinessKatherine E. Remick0Marianne Gausche‐Hill1Amber Lin2Jeremy D. Goldhaber‐Fiebert3Benjamin Lang4Ashley Foster5Beech Burns6Peter C. Jenkins7Hilary A. Hewes8Nathan Kuppermann9K. John McConnell10Jennifer Marin11Christopher Weyant12Rachel Ford13Sean R. Babcock14Craig D. Newgard15For the Pediatric Readiness Study GroupDepartments of Pediatrics and SurgeryDell Medical SchoolUniversity of Texas at AustinAustin Texas USADepartments of Emergency Medicine and PediatricsDavid Geffen School of MedicineHarbor‐UCLA Medical CenterLundquist Institute for Biomedical Innovation at Harbor‐UCLA Medical CenterTorrance California USACenter for Policy and Research in Emergency Medicine Department of Emergency Medicine Oregon Health & Science University Portland Oregon USADepartment of Health Policy and Center for Health Policy Stanford Medical School and Freeman Spogli Institute Stanford University Stanford California USADepartments of Pediatrics and SurgeryDell Medical SchoolUniversity of Texas at AustinAustin Texas USADepartment of Emergency Medicine University of California San Francisco San Francisco California USACenter for Policy and Research in Emergency Medicine Department of Emergency Medicine Oregon Health & Science University Portland Oregon USADepartment of Surgery Indiana University Indianapolis Indiana USADepartment of Pediatrics University of Utah School of Medicine Salt Lake City Utah USADepartment of Emergency Medicine and Pediatrics University of California, Davis School of Medicine Sacramento California USACenter for Policy and Research in Emergency Medicine Department of Emergency Medicine Oregon Health & Science University Portland Oregon USADepartment of Pediatrics Emergency Medicine, & Radiology University of Pittsburgh School of Medicine Pittsburgh Pennsylvania USADepartment of Health Policy and Center for Health Policy Stanford Medical School and Freeman Spogli Institute Stanford University Stanford California USAEmergency Medical Services and Trauma Systems ProgramOregon Health AuthorityPortland Oregon USACenter for Policy and Research in Emergency Medicine Department of Emergency Medicine Oregon Health & Science University Portland Oregon USACenter for Policy and Research in Emergency Medicine Department of Emergency Medicine Oregon Health & Science University Portland Oregon USAAbstract Objective We estimate annual hospital expenditures to achieve high emergency department (ED) pediatric readiness (HPR), that is, weighted Pediatric Readiness Score (wPRS) ≥ 88 (0–100 scale) across EDs with different pediatric volumes of children, overall and after accounting for current levels of readiness. Methods We calculated the annual hospital costs of HPR based on two components: (1) ED pediatric equipment and supplies and (2) labor costs required for a Pediatric Emergency Care Coordinator (PECC) to perform pediatric readiness tasks. Data sources to generate labor cost estimates included: 2021 national salary information from U.S. Bureau of Labor Statistics, detailed patient and readiness data from 983 EDs in 11 states, the 2021 National Pediatric Readiness Project assessment; a national PECC survey; and a regional PECC survey. Data sources for equipment and supply costs included: purchasing costs from seven healthcare organizations and equipment usage per ED pediatric volume. We excluded costs of day‐to‐day ED operations (ie, direct clinical care and routine ED supplies). Results The total annual hospital costs for HPR ranged from $77,712 (95% CI 54,719–100,694) for low volume EDs to $279,134 (95% CI 196,487–362,179) for very high volume EDs; equipment costs accounted for 0.9–5.0% of expenses. The total annual cost‐per‐patient ranged from $3/child (95% CI 2–4/child) to $222/child (95% CI 156–288/child). After accounting for current readiness levels, the cost to reach HPR ranged from $23,775 among low volume EDs to $145,521 among high volume EDs, with costs per patient of $4/child to $48/child. Conclusions Annual hospital costs for HPR are modest, particularly when considered per child.https://doi.org/10.1002/emp2.13179childrencostsemergencyequipmentmortalitypersonnel |
| spellingShingle | Katherine E. Remick Marianne Gausche‐Hill Amber Lin Jeremy D. Goldhaber‐Fiebert Benjamin Lang Ashley Foster Beech Burns Peter C. Jenkins Hilary A. Hewes Nathan Kuppermann K. John McConnell Jennifer Marin Christopher Weyant Rachel Ford Sean R. Babcock Craig D. Newgard For the Pediatric Readiness Study Group The hospital costs of high emergency department pediatric readiness Journal of the American College of Emergency Physicians Open children costs emergency equipment mortality personnel |
| title | The hospital costs of high emergency department pediatric readiness |
| title_full | The hospital costs of high emergency department pediatric readiness |
| title_fullStr | The hospital costs of high emergency department pediatric readiness |
| title_full_unstemmed | The hospital costs of high emergency department pediatric readiness |
| title_short | The hospital costs of high emergency department pediatric readiness |
| title_sort | hospital costs of high emergency department pediatric readiness |
| topic | children costs emergency equipment mortality personnel |
| url | https://doi.org/10.1002/emp2.13179 |
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