Using the average cost of a problem and the cost of intervention to demonstrate saving
is: - CORRECT ANSWER A: A cost-benefit analysis
B: An efficacy
... [Show More] study
C: A product evaluation
D. A cost-effective analysis
Cost-benefit analysis - CORRECT ANSWER Cost-benefit analysis uses average cost of
a problem (such as wound in infections) and the average cost of intervention to
demonstrate savings. For example, if a surgical unit averaged 10 surgical site infections
annually at an addition average cost of 27,000 each, the total annual cost would be
270,000. If the total cost for intervention, (new staff person, benefits, education, and
software) totals 92,000, and the goal is to reduce infection by 50% (05.x 270,000 for a
total projected savings of 135,000), cost benefit is demonstrated by subtracting the
proposed saving from the intervention cost (135,000 - 92,000) for a saving of 43,43,000
annually
Measuring the effectiveness of an intervention rather than the monetary saving is: -
CORRECT ANSWER A: A cost-benefit analysis
B: An cost-efficacy study
C: A product evaluation
D. A product evaluation
Cost-Effective Analysis - CORRECT ANSWER Cost-Effective Analysis measures the
effectiveness of an intervention rather than monetary savings. For example, annually 2
million nosocomial infections result in 90,000 deaths and an estimated $6.7 billion in
additional health costs. From that perspective decreasing infections should reduce
costs, but there are human savings in suffering as well, and it can be difficult to place a
dollar value on that. If each infection adds about 12 days to hospitalization, then a
reduction of 5 infections (5x12=60) would result in a cost-effective saving of 60 fewer
patient infection days
A 76-year old female with lung cancer was place on hospice care by her physician 6
months earlier (two 90-days periods), but she still alive Her family ask the case
manager if the patient will be removed from hospice care. The best response is:
A "She will be removed from hospice care until her condition worsen because she has
exceed the 6 months period"
B. "she has exhausted all of her hospice care benefits and will be removed from hospice
care"
C. "She can continue with hospice care as long the physician authorizes the care every
60 days"
D. "She can continue with hospice care if the patient continues to authorize care every
90 days. - CORRECT ANSWER C: Initially, the physician must certify that a patient who
is eligible under Medicare A is terminal with a life expectancy <6 month (two 90-days
periods). However, if the patient remains alive, the physician can extend coverage by
authorizing continued hospice care every 60 days. The goal is to maintain the patient in
the home environment with home health aides, homemaker, durable goods, pain
management, case management, counseling, and social worker assistance. Routine
intermittent home care must comprise 80% of the total care, with in-home continuous
care and in-patient hospice care available for short augmenting period only. [Show Less]