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Changes in acute hospital costs after employing clinical facilitators to improve stroke care in Victoria, Australia.


ABSTRACT: BACKGROUND:Hospital costs for stroke are increasing and variability in care quality creates inefficiencies. In 2007, the Victorian Government (Australia) employed clinical facilitators for three years in eight public hospitals to improve stroke care. Literature on the cost implications of such roles is rare. We report changes in the costs of acute stroke care following implementation of this program. METHODS:Observational controlled before-and-after cohort design. Standardised hospital costing data were compared pre-program (financial year 2006-07) and post-program (2010-11) for all admitted episodes of stroke or transient ischaemic attack (TIA) using ICD-10 discharge codes. Costs in Australian dollars (AUD) were adjusted to a common year 2010. Generalised linear regression models were used for adjusted comparisons. RESULTS:A 20% increase in stroke and TIA episodes was observed: 2624 pre-program (age?>?75?years: 53%) and 3142 post-program (age?>?75?years: 51%); largely explained by more TIA admissions (up from 785 to 1072). Average length of stay reduced by 22% (pre-program 7.3?days to post-program 5.7?days, p?

SUBMITTER: Cadilhac DA 

PROVIDER: S-EPMC6337854 | biostudies-literature | 2019 Jan

REPOSITORIES: biostudies-literature

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Changes in acute hospital costs after employing clinical facilitators to improve stroke care in Victoria, Australia.

Cadilhac Dominique A DA   Dewey Helen M HM   Denisenko Sonia S   Bladin Christopher F CF   Meretoja Atte A  

BMC health services research 20190118 1


<h4>Background</h4>Hospital costs for stroke are increasing and variability in care quality creates inefficiencies. In 2007, the Victorian Government (Australia) employed clinical facilitators for three years in eight public hospitals to improve stroke care. Literature on the cost implications of such roles is rare. We report changes in the costs of acute stroke care following implementation of this program.<h4>Methods</h4>Observational controlled before-and-after cohort design. Standardised hos  ...[more]

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