Evaluating cost and resource use associated with pulse oximetry screening for critical congenital heart disease: Empiric estimates and sources of variation.

摘要: Background Newborn screening for critical congenital heart disease (CCHD) using pulse oximetry is being implemented in the United States and internationally; however, few data are available on associated in-hospital costs use of resources. Methods Time motion study well-baby nurseries at two large urban hospitals Utah different approaches to screening. Two observers recorded time each step together with provider equipment characteristics. Structured questionnaire provided additional information labor costs. Results Fifty-three CCHD screens were observed. At site A (n = 22), was mostly done by medical assistants (95%) disposable probes (100%); B 31), performed certified nursing (90%) reusable (90%). Considering only first 53), median screen 8.6 min (range: 3.2–23.2), no significant difference between sites. The overall cost ($ 2014) per baby $24.52 $2.60 B. Nearly all variation due probes; similar sites. Conclusion CCHD means reasonably fast most babies, leading relative small little type. main driver equipment: a high throughput setting, currently considerable saving compared probes. As programs expand universal screening, improved cheaper technologies could lead economies scale. Birth Defects Research (Part A), 2015. © 2015 Wiley Periodicals, Inc. A) 103:962–971,