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Using Case Costing to Evaluate the Potential Impact of a Reintegration Unit on an Acute-Care Hospital's Capacity and Resources.
Cheng, Ivy; Atzema, Clare L; Carew, Debra; Landau, Stacy; Walko, Debra; Li, Wendy; Ma, Yan Yan; Baker, G Ross.
  • Cheng I; An associate scientist at Sunnybrook Research Institute in Toronto, ON, a practising staff emergency physician and a health services researcher studying emergency department operations and focusing on ED crowding, frequent users and impact of COVID-19. She can be contacted by e-mail at ivy.cheng@sun
  • Atzema CL; A program research director at the Integrated Community Program, Sunnybrook Research Institute in Toronto, ON, a senior scientist at the Sunnybrook Research Institute and IC/ES, a practising staff emergency physician and a health services researcher who studies cardiovascular disease in the emergenc
  • Carew D; A Sunnybrook Health Sciences Centre manager in Administration at Pine Villa in Toronto, ON. Debra has been in healthcare for over 40 years. Although most of her career was in acute care, in retirement she has expanded her knowledge into the unique aspects of providing care in a community environment
  • Landau S; has been with SPRINT Senior Care for 13 years and is currently its chief executive officer. With over 25 years of experience at a variety of healthcare and seniors' care organizations, Stacy has demonstrated keen strategic thinking and a passion for and dedication to client-centred care across the a
  • Walko D; has been a leader in community-based mental health, addiction and specialized geriatric services for over 30 years. As a senior director of Complex Care and Seniors Services for LOFT Community Services, she works each day to innovate, create and provide integrated healthcare services to support peop
  • Li W; A decision support senior manager at Lakeridge Health in the Durham Region, ON. She has over 10 years of progressive experience in developing data-driven analyses and tools to inform operational and strategic decision making at multiple leading hospitals in the Greater Toronto Area.
  • Ma YY; A manager of Case Costing, Management Information Systems and HSFR Finance at Sunnybrook Health Sciences Centre in Toronto, ON. She has over 15 years of case costing experience in the Ministry of Health and Long-Term Care and hospitals in Ontario.
  • Baker GR; A professor emeritus at the Institute of Health Policy, Management and Evaluation at the University of Toronto in Toronto, ON. He is co-leading the ADVANCE program supporting leadership councils of Ontario Health Teams and the Ontario Health Team Impact Fellowship program.
Healthc Q ; 24(4): 27-33, 2022 Jan.
Article in English | MEDLINE | ID: covidwho-1716159
ABSTRACT
The Ontario Ministry of Health funded a reintegration unit to transition hospitalized patients who no longer required acute care to alternate level of care (ALC), such as long-term care. In its first year, 102 (3.5%) patients of the hospital's waiting-for-ALC population were transferred, with 37.3% transferred on the day of ALC readiness. The reintegration unit reduced direct hospital costs by $861,000. Using case costing, we modelled optimized scenarios including all transfers on the day of ALC readiness and increased transfers to the reintegration unit; this helped reduce avoided direct costs by $2.3-$5.4 million. Acute-care bed capacity could have increased by 11%. We outline strategies to optimize future performance of the reintegration unit.
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Full text: Available Collection: International databases Database: MEDLINE Main subject: Patient Discharge / Long-Term Care Type of study: Experimental Studies Limits: Humans Language: English Journal: Healthc Q Journal subject: Hospitals / Health Services Year: 2022 Document Type: Article

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Full text: Available Collection: International databases Database: MEDLINE Main subject: Patient Discharge / Long-Term Care Type of study: Experimental Studies Limits: Humans Language: English Journal: Healthc Q Journal subject: Hospitals / Health Services Year: 2022 Document Type: Article