Proposta di ottimizzazione delle risorse nel trattamento ospedaliero dello Scompenso Cardiaco attraverso l’utilizzo dell’U.O. di Riabilitazione Cardiologica

ABSTRACT: Proposal of resources optimization in the hospital treatment of heart failure by an increased utilization of cardiac rehabilitation. T. Diaco, G. Milanesi, D. Zaniboni, M. Gritti, G. Zavatteri, M. Claus, F. Velo.
Introduction: Cardiac failure has an important econo- mic weight on social cost. An improved resources utilization could promote a reduction of the new hospitalization and a of medical costs.
Working hypotesis: To analyze a model of increased uti- lization of our Cardiac Rehabilitation (CR) Unit, aiming at improving the cost/profit ratio through a better use of re- sources and a better assignment of care. With a reduction of average length of stay in the Operative Units for acute pa- tients, we could promote a demand of post-acute hospitali- zation of 950.7 days of hospitalization that could be assigned to Cardiologic Rehabilitation Unit.
Results: With the transfer of patients the utilization ra-
te of CR would increase to 97%. With a mean period in bed of 15.3 days we could hospitalize 62 additional patients and the total margin of contribution would became positive: 69.817 euro. The break even analysis applied to costs and re- turns of the Unit shows a further indication to increase the hospitalization number in CR Unit with patients transfered from acute patient units. Under the same costs the recovery of efficiency leads to a reduction of variable costs. In the sa- me time there is an increase of returns due to an increase of mean value for case and an increase of services.
Conclusion: The increase in the efficiency in the utiliza- tion of CR Unit leads to an increase of the Hospital effi- ciency. The transfer of patients from acute units to CR Unit would allow an increased hospitalization rate for acute pa- tients without requiring additional resources.