Financial Impact of Incentive Spirometry

Bibliographic Data

ID13775352
AuthorsAdam E M Eltorai (0000-0001-5749-6631, The Warren Alpert Medical School of Brown University, Providence, RI, USA, corresponding author), Grayson L Baird (0000-0002-5926-9886, The Warren Alpert Medical School of Brown University, Providence, RI, USA), Joshua Pangborn (The Warren Alpert Medical School of Brown University, Providence, RI, USA), Ashley Szabo Eltorai (0000-0003-2184-3464, Yale University, New Haven, CT, USA), Valentin Antoci (0000-0001-8490-2690, The Warren Alpert Medical School of Brown University, Providence, RI, USA), Katherine Paquette (The University of Rhode Island, Providence, USA), Kevin Connors (0000-0003-2546-9115, Rhode Island Hospital, Providence, USA), Jacqueline Barbaria (Rhode Island Hospital, Providence, USA), Kimberly J Smeals (Rhode Island Hospital, Providence, USA), Barbara Riley (0000-0002-8788-3621, Rhode Island Hospital, Providence, USA), Shyam A Patel (0000-0001-5856-9062, The Warren Alpert Medical School of Brown University, Providence, RI, USA), Saurabh Agarwal (0000-0002-2977-2739, The Warren Alpert Medical School of Brown University, Providence, RI, USA), Terrance T Healey (0000-0002-0867-9877, The Warren Alpert Medical School of Brown University, Providence, RI, USA), Corey E Ventetuolo (0000-0002-4223-4775, The Warren Alpert Medical School of Brown University, Providence, RI, USA), Frank W Sellke (0000-0002-8886-801X, The Warren Alpert Medical School of Brown University, Providence, RI, USA), Alan H Daniels (0000-0001-9597-4139, The Warren Alpert Medical School of Brown University, Providence, RI, USA)
Year2018
Volume55
Pages46958018794993-46958018794993
Publication date2018-01-01
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenueINQUIRY The Journal of Health Care Organization Provision and Financing (JOURNAL)
Journal identifiersISSN: 0046-9580 • E-ISSN: 1945-7243
PublisherSAGE Publishing (PUBLISHER • US)
DOI10.1177/0046958018794993
PMID30175643
OpenAlexW2891333314
LanguageEN
References cited45

Despite largely unproven clinical effectiveness, incentive spirometry (IS) is widely used in an effort to reduce postoperative pulmonary complications. The objective of the study is to evaluate the financial impact of implementing IS. The amount of time nurses and RTs spend each day doing IS-related activities was assessed utilizing an online survey distributed to the relevant national nursing and respiratory therapists (RT) societies along with questionnaire that was prospectively collected every day for 4 weeks at a single 10-bed cardiothoracic surgery step-down unit. Cost of RT time to teach IS use to patients and cost of nurse time spent reeducating and reminding patients to use IS were used to calculate IS implementation cost estimates per patient. Per-patient cost of IS implementation ranged from $65.30 to $240.96 for a mean 9-day step-down stay. For the 566 patients who stayed in the 10-bed step-down in 2016, the total estimated cost of implementing IS ranged from $36 959.80 to $136 383.36. Using national survey workload data, per-patient cost of IS implementation costed $107.36 (95% confidence interval [CI], $97.88-$116.98) for a hospital stay of 4.5 days. For the 9.7 million inpatient surgeries performed annually in the United States, the total annual cost of implementing postoperative IS is estimated to be $1.04 billion (95% CI, $949.4 million-$1.13 billion). The cost of implementing IS is substantial. Further efficacy studies are necessary to determine whether the cost is justifiable

Asthma · Business · Confidence interval · Incentive · Medical emergency · Operations management · Physical therapy · Spirometry · Total cost · Unit cost · Workload · Accounting · Airway Management and Intubation Techniques · Chronic Obstructive Pulmonary Disease (COPD) Research · Emergency Medicine · Internal Medicine · Medicine · Respiratory Support and Mechanisms

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