The Economic Effect of a Tertiary Hospital-Based Heart Failure Program
Douglas Gregory, PhD*,*,
David DeNofrio, MD and
Marvin A. Konstam, MD
* Cardiovascular Clinical Studies and Tufts University School of Medicine, Boston, Massachusetts
Tufts-New England Medical Center, Department of Cardiology, and Tufts University School of Medicine, Boston, Massachusetts
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Figure 1 Kaplan-Meier cumulative mortality rates were estimated for the number of days after the patient was evaluated for cardiac transplantation at the academic medical center's heart failure program.
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Figure 2 Mean cumulative hospitalizations and outpatient events per patient stratified by transplant status were estimated from right-censored non-parametric reliability models and are conditional on survival. Inpatient events included all hospitalizations for heart failure, other cardiovascular services, and non-cardiovascular services. Outpatient events include patient encounters for the hospital's clinic, ancillary, or emergency services.
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Figure 3 Net revenue was modeled by 2003 Medicare national teaching hospital rates, including adjustments for indirect medical education, regional relative wages, disproportionate share hospital allowance, and capital and operating cost allowances. Direct cost was inflated to 2003 by the medical component of the Consumer Price Index. Mean cumulative accrual rates of revenue and direct cost per patient stratified by transplant status were estimated from right-censored non-parametric reliability models and are conditional on survival.
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