Date of Award

2021

Document Type

Dissertation

Degree Name

Doctor of Health Administration

College

College of Health Professions

First Advisor

Dunc Williams

Second Advisor

Kit N. Simpson

Third Advisor

Daniel Brinton

Abstract

Objective: The primary objective of the current study is to evaluate the existing healthcare costs that healthcare emergency departments (EDs) and hospitals incur as a result of ED visits from chronic obstructive pulmonary disease (COPD) exacerbations and hospital admissions for congestive heart failure (CHF) within the medium size hospitals in the state of Florida in 2018. These data insights can determine better where telehealth might be used to save hospitals more money. Methods: The study design chosen was a retrospective cohort study analysis of HCUP archival billing data that examines specific databases- SID and SEDD- for CHF admissions and COPD ER visits for all adult individuals age 18 years and older in the calendar year 2018. Results: For CHF admissions, the total number of hospitals included totaled 182 facilities. The the total median charges for CHF admissions was $27M. The total median cost was 3.4M. The median cost per CHF admission was $11,000. In terms of COPD ER visits, the total number of hospitals included totaled 163 hospitals. The total median charges was 3.6M. The total median cost was $278,000. The median cost per visit was $599. Conclusion: CHF admissions cost more money than the COPD ER visit ($8B vs. $822M, respectively). Telehealth services offer annual significant cost savings for both conditions ($1.8B and $274M, respectively).

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