Impact of integrated community nursing services on hospital utilization and costs in a medicare risk plan

Lawton R. Burns, Gerri Lamb, Douglas R. Wholey

Research output: Contribution to journalArticle

20 Citations (Scopus)

Abstract

This study measures the impact of integrated community nursing services on hospital use and costs for elderly people in a health maintenance organization (HMO). We tracked 4,943 HMO patients over three consecutive five-month periods (one preintervention and two postintervention). We compared 326 patients who entered a program of integrated services during period 2 with 301 patients who entered during period 3 and 4,316 nonprogram patients in respect to their utilization and costs during periods 2 and 3. Regression results reveal that patients receiving integrated services had significantly higher utilization and costs during the period of enrollment and significantly lower utilization and costs during the period following enrollment, compared to nonprogram patients. These results were replicated when considering only patients with observed episodes of care in these periods, when controlling for hospital use and costs in the prior period, and when controlling for the risk of selection into the program. The findings suggest that integrating services at the community level may achieve substantial cost savings.

Original languageEnglish (US)
Pages (from-to)30-41
Number of pages12
JournalInquiry
Volume33
Issue number1
StatePublished - 1996
Externally publishedYes

Fingerprint

nursing services
Nursing Services
Hospital Costs
Social Welfare
Medicare
utilization
costs
community
Health Maintenance Organizations
Costs and Cost Analysis
organization
Episode of Care
health
Cost Savings
savings
regression

ASJC Scopus subject areas

  • Nursing(all)
  • Health(social science)
  • Health Professions(all)
  • Health Policy

Cite this

Impact of integrated community nursing services on hospital utilization and costs in a medicare risk plan. / Burns, Lawton R.; Lamb, Gerri; Wholey, Douglas R.

In: Inquiry, Vol. 33, No. 1, 1996, p. 30-41.

Research output: Contribution to journalArticle

@article{2fa2c35ab9594da99ac4f45bdebfc005,
title = "Impact of integrated community nursing services on hospital utilization and costs in a medicare risk plan",
abstract = "This study measures the impact of integrated community nursing services on hospital use and costs for elderly people in a health maintenance organization (HMO). We tracked 4,943 HMO patients over three consecutive five-month periods (one preintervention and two postintervention). We compared 326 patients who entered a program of integrated services during period 2 with 301 patients who entered during period 3 and 4,316 nonprogram patients in respect to their utilization and costs during periods 2 and 3. Regression results reveal that patients receiving integrated services had significantly higher utilization and costs during the period of enrollment and significantly lower utilization and costs during the period following enrollment, compared to nonprogram patients. These results were replicated when considering only patients with observed episodes of care in these periods, when controlling for hospital use and costs in the prior period, and when controlling for the risk of selection into the program. The findings suggest that integrating services at the community level may achieve substantial cost savings.",
author = "Burns, {Lawton R.} and Gerri Lamb and Wholey, {Douglas R.}",
year = "1996",
language = "English (US)",
volume = "33",
pages = "30--41",
journal = "Inquiry (United States)",
issn = "0046-9580",
publisher = "Excellus Health Plan",
number = "1",

}

TY - JOUR

T1 - Impact of integrated community nursing services on hospital utilization and costs in a medicare risk plan

AU - Burns, Lawton R.

AU - Lamb, Gerri

AU - Wholey, Douglas R.

PY - 1996

Y1 - 1996

N2 - This study measures the impact of integrated community nursing services on hospital use and costs for elderly people in a health maintenance organization (HMO). We tracked 4,943 HMO patients over three consecutive five-month periods (one preintervention and two postintervention). We compared 326 patients who entered a program of integrated services during period 2 with 301 patients who entered during period 3 and 4,316 nonprogram patients in respect to their utilization and costs during periods 2 and 3. Regression results reveal that patients receiving integrated services had significantly higher utilization and costs during the period of enrollment and significantly lower utilization and costs during the period following enrollment, compared to nonprogram patients. These results were replicated when considering only patients with observed episodes of care in these periods, when controlling for hospital use and costs in the prior period, and when controlling for the risk of selection into the program. The findings suggest that integrating services at the community level may achieve substantial cost savings.

AB - This study measures the impact of integrated community nursing services on hospital use and costs for elderly people in a health maintenance organization (HMO). We tracked 4,943 HMO patients over three consecutive five-month periods (one preintervention and two postintervention). We compared 326 patients who entered a program of integrated services during period 2 with 301 patients who entered during period 3 and 4,316 nonprogram patients in respect to their utilization and costs during periods 2 and 3. Regression results reveal that patients receiving integrated services had significantly higher utilization and costs during the period of enrollment and significantly lower utilization and costs during the period following enrollment, compared to nonprogram patients. These results were replicated when considering only patients with observed episodes of care in these periods, when controlling for hospital use and costs in the prior period, and when controlling for the risk of selection into the program. The findings suggest that integrating services at the community level may achieve substantial cost savings.

UR - http://www.scopus.com/inward/record.url?scp=0029997397&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=0029997397&partnerID=8YFLogxK

M3 - Article

C2 - 8774372

AN - SCOPUS:0029997397

VL - 33

SP - 30

EP - 41

JO - Inquiry (United States)

JF - Inquiry (United States)

SN - 0046-9580

IS - 1

ER -