Faculty Disclosure The presenter has advised that the following - - PowerPoint PPT Presentation

Faculty Disclosure

• The presenter has advised that the following presentation will NOT include

discussion on any commercial products or service and that there are NO financial interests or relationships with any of the Commercial Supporters of this years ASM.

Economic Impact of the Accelerated Chest pain Risk Evaluation (ACRE) Project

Background / Aim:

$174 191 to identify 1 pt with ACS in intermediate risk group ADAPT ADP ~20% eligible for accelerated assessment Define the economic benefits of implementation of ADAPT on admissions and ED length of stay (LOS)

Cullen L, et al. Costs and outcomes of assessing patients with chest pain in an Australian emergency department. MJA 2015; 202 (8): 427-433

Economic Impact of the ACRE Project

Methods:

Implemented in 16 hospitals: October 2013 - August 2015 Applied costs for chest pain assessment Adm savings =↓adm rates x inpt LOS x inpatient cost/hr ED savings = Total number of pts x ED LOS x ED cost/hr

Cullen L, et al. Costs and outcomes of assessing patients with chest pain in an Australian emergency department. MJA 2015; 202 (8): 427-433

Economic Impact of the ACRE Project

Admissions savings: ↓3246 admissions x 24.3h x $67/inpatient hour = $5.3 million released capacity ($1628 / pt) ED LOS savings: ↓25 024 x 34m x $167/ ED hour = $2.3 million released capacity ($94 / pt)

Economic Impact of the ACRE Project

Conclusion:

It is feasible that the well co-ordinated implementation of an evidence-based clinical pathway for chest pain assessment has achieved BIG savings