Charging for Intensive Care using Direct Nursing Hours as the Cost Marker
Open Access
- 1 August 1997
- journal article
- research article
- Published by SAGE Publications in Anaesthesia and Intensive Care
- Vol. 25 (4) , 372-377
- https://doi.org/10.1177/0310057x9702500409
Abstract
The hypothesis that direct nursing hours correlate with the cost of a patient stay in intensive care was tested. One hundred and thirty-nine patients were studied and the data collected included: (a) direct nursing hours applied to each patient; (b) a daily TISS score: (c) a detailed costing of each patient (all costs are shown in N.Z.$). There was a strong correlation between the direct nursing hours and the total cost per patient (r2=0.98) (total cost=54xdirect nursing hours+344). Also a strong correlation existed between the total TISS scores and the total costs per patient (r2=0.96) (total cost=67.13xTISS). Direct nursing hours offer a relatively simple and logical method of allocating costs per patient.Keywords
This publication has 8 references indexed in Scilit:
- A review of cost studies of intensive care unitsCritical Care Medicine, 1995
- Intensive Care Costing Methodology: Cost Benefit Analysis of Mask Continuous Positive Airway Pressure for Severe Cardiogenic Pulmonary OedemaAnaesthesia and Intensive Care, 1994
- The cost of an intensive care unit: A prospective studyIntensive Care Medicine, 1991
- Reimbursement for intensive care services under diagnosis-related groupsCritical Care Medicine, 1988
- Impact of Diagnosis-Related Groups' Prospective Payment on Utilization of Medical Intensive CareChest, 1988
- Implications of DRG Payments for Medical Intensive CareMedical Care, 1985
- Results and Costs of Intensive CareAnesthesiology, 1977
- Therapeutic intervention scoring systemCritical Care Medicine, 1974