Disclaimer

This calculator is intended to be used only for the purpose of assessing and demonstrating potential cost savings ranges under normalized hospital cost conditions. The results and outcomes are estimations only and should not be interpreted as a guarantee or warranty of similar results. It does not suggest a definitive review of actual costs and savings incurred in a hospital. Savings are estimates only and specific to the individual case. Savings may not be typical and may vary.

References

(1) Agency for Healthcare Research and Quality (AHRQ), Healthcare Cost and Utilization Project (HCUP), National (Nationwide) Inpatient Sample (NIS) 2009-2018 (all available data as of 01/27/21). 2018 U.S. Hospital Average Length of Stay = 4.7 days.

(2) Taheri PA et al. Length of stay has minimal impact on the cost of hospital admission. J Am Coll Surg 2000;191:123–130 and Milbrandt EB et al. Growth of intensive care unit resource use and its estimated cost in Medicare. Crit Care Med 2008; 36:2504–2510, both in Slight, S. P.,et al Return on Investment of Implementing a Continuous Monitoring System in General Medical-Surgical Units. 2014. Society Critical Care Medicine. ($920 direct variable cost per day Medsurg, and $1,450 direct variable cost per day in ICU, as updated to 2020)

(3) Definitive Healthcare. National Benchmark Utilization Rate (Occupancy Rate) is 61%. 2021.

(4) McDermott, et al., HCUP – Statistical Brief #281. August 2021. Overview of Operating Room Procedures During Inpatient Stays in U.S. Hospitals, 2018. 24.6% of inpatients stays have an O.R. procedure. This includes an adjustment subtracting 1,167,700 C-Sections Procedures.

(5) Fernandez-Bustamante et al., Postoperative Pulmonary Complications, Early Mortality, and Hospital Stay Following Non-cardiothoracic Surgery: A Multicenter Study by the Perioperative Research Network Investigators. JAMA Surg. 2017 February 01; 7 Hospitals, 1,202 Surgical Patients.  Patients with at least (1) PPC were associated with a 3 day increase in LOS.

(6) Weighted average calculation = 11.33% using three studies. (A) Fernandez-Bustamante et al., Postoperative Pulmonary Complications, Early Mortality, and Hospital Stay Following Non-cardiothoracic Surgery: A Multicenter Study by the Perioperative Research Network Investigators. JAMA Surg. 2017 February 01; 7 Hospitals, 1,202 patients, 33.4% PPC rate. (B) Mazo, et al., Prospective External Validation of a Predictive Score for Postoperative Pulmonary Complications. Anesthesiology, V 121 • No 2, August 2014. 63 Hospitals, 5,099 patients, 7.92% PPC rate. (C) Schultz, et al., LAS VEGAS INVESTIGATORS. Epidemiology, practice of ventilation and outcome for patients at increased risk of postoperative pulmonary complications. LAS VEGAS - an observational study in 29 countries. Eur J Anaesthesiol 2017; 34:492–507. 9,413 surgical inpatients in 146 hospital centers across 29 countries including the U.S. PPC Incidence rate of 10.4%.

(7) A (2) two study weighted average approach was applied to determine percent of surgical inpatients at risk for developing a PPC. (1) Mazo, et al., Prospective External Validation of a Predictive Score for Post Operative Pulmonary Complications. Anesthesiology, V 121 • No 2 August 2014. 5,099 Surgical Patients in 63 hospital center across 21 countries. Using the ARISCAT risk scoring system, 54.38% of patients were at risk for PPC. (2) Schultz, et al., LAS VEGAS INVESTIGATORS. Epidemiology, practice of ventilation and outcome for patients at increased risk of postoperative pulmonary complications. LAS VEGAS - an observational study in 29 countries. Eur J Anaesthesiol 2017; 34:492–507. 9,413 surgical inpatients in 146 hospital centers across 29 countries including the U.S. Using the ARISCAT risk scoring system. 28.4% of surgical inpatients were at heightened risk for developing a PPC. The weighted average for both studies was 37.5%.

(8) Fernandez-Bustamante et al., Postoperative Pulmonary Complications, Early Mortality, and Hospital Stay Following Non-cardiothoracic Surgery: A Multicenter Study by the Perioperative Research Network Investigators. JAMA Surg. 2017 February 01; 7 Hospitals, 1,202 Surgical Patients. 34.2% of Patients with (1) PPC were transferred to the ICU for an average stay of (2) days.