Early discharge of the postmastectomy patient: unbundling of hospital services to improve profitability under DRGs.

摘要: Cost containment is necessary for health care facilities to remain profitable and, therefore, operable. Thus, newer strategies of providing quality patient need be developed achieve this goal. The purpose study was compare the costs and outcome patients who had modified radical mastectomies, were discharged home with an indwelling hemovac drain, whose follow-up conducted by visiting nurses in contrast traditional hospitalization these until hemovacs removed. Two groups compared a prospective fashion. Twenty undergone mastectomy stage I or II breast carcinoma drain (HWIH) 20 remained hospitalized drains continuous wall suction (IHWH). Mean length stay HWIH group (2.65 days) significantly lower than IHWH (9.65 (P less .001). total hospital charges (exclusive physician fees) ($ 2106) 7672) Under Diagnosis Related Group (DRG) reimbursement allowances, loss $ 355 per patient, whereas profit 5211 patient. One complication required rehospitalization (a wound infection that treated IV antibiotics). This suggests significant improvement efficiency may accomplished selected are followed as outpatients both surgeon nurse specialist.