CAUTI Case Study Summary

CDC estimated that more than 1 million health care-associated infections occur each year, at a cost of approximately $30 billion annually.

According to exhibit # 2, in order to break even annually, the clinic will have to cover the total operating expenses of $690,000. That means that the clinic will have to perform 986 scan per year, or approximately 4 scans per day to achieve this goal. Considering that the equipment in the clinic is capable of much more, this operation should have no problem in reaching and exceeding its goal daily if proper measures are put into place.

Daniel will be diagnosed with the DSM-V category anxiety disorders. “Anxiety disorders share features of excessive fear and anxiety and related behavioral disturbances” (American Psychoanalytic Association, 2013). Daniel is diagnosed with general anxiety disorder (GAD). The DSM-V outlines the following features for Daniels illness:

CCIB Intake LPA McGaskey received a call from resident Todd Sabin who engaged in a conversation with caregiver Martha (last name unknown). According to Todd the caregiver contacted Todd's social worker Javier Serna (626) 471-6402) and left a message on his phone stating Todd threatened to kill her and that she is afraid of him. Todd's social worker discussed the telephone message. The social worker reported he spoke with Martha and asked why didn't contact the police department if she was afraid for her life. According to the social worker Martha had no response to the question. Todd stated Martha informed the social worker he does not sleep at night and wanders through the facility. Subsequently she informed the cook to do whatever Todd wanted

2.8 CA3130 Op-Amp CA3130A and CA3130 are op-amp that combine the advantage of both CMOS and bipolar transistors. Gate-protected P-channel MOSFET transistor are used in the input circuit to provide very high-input impedance, very low input current and exceptional speed performance. The use of P,OS transistor in the input stage results in common mode input voltage capability down to 0.5V below the negative supply terminal, an important attribute in single-supply application. The CA3130 series circuit operates at supply voltage ranging from 5V to 16V.

Because of the large amount of money associated with running this service line, the issue of payment will affect it very intensely. With the cardiac cath labs expected to cost $4,500,000 and the cardiac rehab expansion to be $500,000, the upfront expense will already cut into the bottom line. The service line will need to not only address education of the community, access into the system, preventive medicine and the latest technology, but it will need to be done as efficiently as possible. Moving patients through the system as quickly and efficiently as possible is also cost effective.

Those that are available mainly focus on patients located in an acute-care setting. Other areas inflicting a considerable amount of cost include long-term care facilities, recurrence, and complicated comorbidities that require additional expensive medications and care. These costs will continue to increase if the incidence of CDI is not curbed. It is important to understand this financial burden to ensure that adequate resources and man power are dedicated to CDI treatment and prevention. In addition, funding can help with creating prevention efforts and identifying cost-effective

UCDMC has dropped from an “A” grade to a “B” grade starting in the Fall of 2016 to present because infection prevention performance has fallen below average (LeapFrog Group, 2017). The infection report from LeapFrog corresponds with the SNI’s infection report for 2016 and 2017. Numerous CAUTI occur in the hospital nationwide each year and costs approximately $250 million (Agency for healthcare Research and Quality [AHRQ], 2016). CAUTIs are preventable and can

Potential for reduction in reimbursement by 1- % if it falls with other hospitals that rank among the lowest- performing 25 percent with regards to Hospital Acquired conditions (HAC): CAUTI being of them.

Hospital- acquired infections is also another concern for patients. The common health-acquired infections include surgical site infections, ventilator – associated pneumonia, catheter-associated urinary tract infections, blood stream and bacterial infections. Annually, these types of infections cost the U.S. about $9.8 billion. Topping the list for the most costly burden are surgical-site infections.

(Douglas Scott II, R. March 2009. The Direct Medical Costs of Healthcare-Associated Infections in U.S. Hospitals and the Benefits of Prevention. Date Retrieved: December 30, 2015, http://www.cdc.gov/HAI/pdfs/hai/Scott_CostPaper.pdf)

Nucor has been facing many industry challenges including the overall development of the industry. They are competing with foreign firms on cost and efficiency. Nucor has a low cost strategy because as they say their product is not necessarily very attractive. It does not have attractive or unique selling features other than its cost. The commodity of steel is in a very competitive market. Nucor understands that innovation and productivity are going to be key factors to keep their buyers satisfied with their prices. Nucor is facing many challenges with a growing world market and many of their competitors merging in order to create stronger more dominate

The NP cost per patient is 80% of that of an MD ($5.61/$6.98 = 80%), but their visit volume per hour is 58% of the physician (1.8/3.1 = 58%).

The largest costs involved would include providing paid time for a two to three-hour in-service training (i.e. 30 nurses X $30-40/hourly wage = $900-1,200 X 2-3 hours = $1,800-3,600), and subsequent inclusion of the training in regulatory modules for the facility in programs like MyClinicalExchange.com or MyOCOAZ.com, which provide online training and testing modules (estimated to be approximately $4,000-5,000). Additionally, there would be the cost of a software update to add the Braden Scale to the Electronic Health Record and Workstation on Wheels for bedside charting (estimated to cost $2,000-3,000). Smaller costs would include a lunch/learn where lunch would be provided to gain rapport and introduce the key players and principles (approximately $200-300/shift, depending on unit size), and the cost of printed materials (less than $100/shift). For an acute care staff of 30 nurses, the overall cost to train and implement would total less than $14,000 on the high side, which would more than pay for itself in the first four patients who do not acquire a pressure ulcer during their hospital stay

According to Compton et al, (2008), 5% of ICU budget goes to the treatment of pressure ulcer. Courtney, Ruppman, & Cooper (2006) continue to say that an average of $4,000 is spent to take care of one patient with pressure ulcer. The price of treatment varies because there are different stages of pressure which range from stage 1 to unstageable stage which can lead to septicemia and death.