Suppose you are currently (i.e. 2024) performing a cost-effectiveness analysis and you wish to include the cost per visit of a hospital admission for an acute ischemic stroke in a patient without major complications or comorbidities in your analysis. The Agency for Healthcare Research and Quality's HCUP National Inpatient Sample online database reports the following information for 2015: 2015 National Medicare-Severity Diagnosis Related Groups (MS-DRG): #063 Acute ischemic stroke w use of thrombolytic agent w/o cc/mcc Number Total number of discharges: N All discharges + Rate Rate of discharges per 100,000 persons 2.2 Length of stay LOS (length of stay), days (mean) 3.0 LOS (length of stay), days (median) 3.0 Hospital charges Charges, $ (mean) 63,243 Hospital costs Costs, $ (mean) 15,239 + Due to the transition from ICD-9-CM to ICD-10-CM in October 2015, these 2015 statistics were calculated using only quarter 1-3 data, and the statistics available are limited What would you use for the cost per visit of a hospital admission for an acute ischemic stroke in this population in your present-day cost-effectiveness analysis? Please explain all your assumptions, show where you got all your numbers, and show and explain any calculations. Explain any limitations you faced in determining this number. Show all your work and turn it in in spreadsheet form (Excel or Google Sheets)

EBK HEALTH ECONOMICS AND POLICY
7th Edition
ISBN:9781337668279
Author:Henderson
Publisher:Henderson
Chapter5: Demand For Health And Medical Care
Section: Chapter Questions
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Suppose you are currently (i.e. 2024) performing a cost-effectiveness analysis and you wish to
include the cost per visit of a hospital admission for an acute ischemic stroke in a patient
without major complications or comorbidities in your analysis. The Agency for Healthcare
Research and Quality's HCUP National Inpatient Sample online database reports the following
information for 2015:
2015 National
Medicare-Severity Diagnosis Related Groups (MS-DRG): #063 Acute ischemic stroke w use of
thrombolytic agent w/o cc/mcc
Number
Total number
of discharges:
N
All discharges +
Rate
Rate
of discharges
per 100,000
persons
2.2
Length of stay
LOS (length
of stay), days
(mean)
3.0
LOS (length of
stay), days
(median)
3.0
Hospital charges
Charges, $ (mean)
63,243
Hospital costs
Costs, $ (mean)
15,239
+ Due to the transition from ICD-9-CM to ICD-10-CM in October 2015, these 2015 statistics
were calculated using only quarter 1-3 data, and the statistics available are limited
What would you use for the cost per visit of a hospital admission for an acute ischemic stroke in this
population in your present-day cost-effectiveness analysis? Please explain all your assumptions, show
where you got all your numbers, and show and explain any calculations. Explain any limitations you
faced in determining this number.
Show all your work and turn it in in spreadsheet form (Excel or Google Sheets)
Transcribed Image Text:Suppose you are currently (i.e. 2024) performing a cost-effectiveness analysis and you wish to include the cost per visit of a hospital admission for an acute ischemic stroke in a patient without major complications or comorbidities in your analysis. The Agency for Healthcare Research and Quality's HCUP National Inpatient Sample online database reports the following information for 2015: 2015 National Medicare-Severity Diagnosis Related Groups (MS-DRG): #063 Acute ischemic stroke w use of thrombolytic agent w/o cc/mcc Number Total number of discharges: N All discharges + Rate Rate of discharges per 100,000 persons 2.2 Length of stay LOS (length of stay), days (mean) 3.0 LOS (length of stay), days (median) 3.0 Hospital charges Charges, $ (mean) 63,243 Hospital costs Costs, $ (mean) 15,239 + Due to the transition from ICD-9-CM to ICD-10-CM in October 2015, these 2015 statistics were calculated using only quarter 1-3 data, and the statistics available are limited What would you use for the cost per visit of a hospital admission for an acute ischemic stroke in this population in your present-day cost-effectiveness analysis? Please explain all your assumptions, show where you got all your numbers, and show and explain any calculations. Explain any limitations you faced in determining this number. Show all your work and turn it in in spreadsheet form (Excel or Google Sheets)
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