A cost analysis of remote monitoring in a heart failure program. Issue 3 (1st October 2016)

• Record Type: Journal Article
• Authors: Williams, Cynthia; Wan, Thomas T. H.
• Is Part Of: Home health care services quarterly. Volume 35:Issue 3/4(2016)
• Page Start: 112
• Page End: 122
• Publication Date: 2016-10-01
• Subjects: Clinical practice -- community and home care -- evaluation of services -- home health care -- quality of care -- service delivery -- service utilization; Home care services -- Periodicals; Home care services -- United States -- Periodicals; Home Care Services -- Periodicals; 362.14
• DOI: 10.1080/01621424.2016.1227009
• Languages: English
• ISSNs: 0162-1424

Abstract

ABSTRACT: In this study, we examine the cost per outcomes of remote monitoring services in home health care. The methodology followed case matched design via retrospective chart reviews. Results of the chi-square test suggest that there were no significant associations between the intervention and hospital readmissions, χ 2 = (1, n = 210, p -value = .71, phi = .71). An independent t -test compared group means of the number of skilled nursing visits and agency costs, p -value of .002 and .000, respectively, favoring the standard of care group. Based on this data set, the home care agency lost $153.46 for each hospital readmission in the intervention group. The cost of care complicated the agency's resources through an increase in nursing visits without offsetting the agency's investment into technology; the cost did not support remote monitoring as a financially viable option to the standard of care.