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Healthc Q ; 24(4): 27-33, 2022 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-35216646

RESUMO

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.


Assuntos
Assistência de Longa Duração , Alta do Paciente , Custos e Análise de Custo , Cuidados Críticos , Hospitais , Humanos
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