The Impact of Enhanced Critical Care Training and 24/7 (Tele-ICU) Support on Medicare Spending and Postdischarge Utilization Patterns.

ABSTRACT:

Objective

To estimate the effect of implementing a tele-ICU and a critical care residency training program for advanced practice providers on service utilization and total Medicare episode spending.

Data sources/study settings

Medicare claims data for fee-for-service beneficiaries at 12 large, inpatient hospitals in the Atlanta Hospital Referral Region.

Study design

Difference-in-differences design where changes in spending and utilization for Medicare beneficiaries eligible for treatment in participating ICUs was compared to changes in a comparison group of clinically similar beneficiaries treated at similar hospitals' ICUs in the same hospital referral region.

Extraction methods

Using Medicare claims data from January 2010 through June 2015, we defined measur

SUBMITTER: Trombley MJ 

PROVIDER: S-EPMC6051971 | biostudies-literature | 2018 Aug

REPOSITORIES: biostudies-literature