Hospital at Home Budget Impact Model

Instructions

We have developed this budget impact model to help your organization project the potential economic impact of Hospital  at Home adoption.  We understand that each organization's financial and risk arrangmenets are unique.  The results of this budget impact model are intended to guide your consideration of Hospital at Home adoption.

The model requires that you enter data on the number of acute hospital admissions and average length of stay over the past year for community-acquired pneumonia, CHF, COPD, and cellulitis.  Specific DRGs are listed below.  You must also enter data about the fixed and variable costs for these types of admissions within your organization.  The projection of the economic impact of Hospital at Home adoption requires information regarding the proportion of acute admissions who are medically eligible for Hospital at Home and who choose to participate in Hospital at Home.  Starting values are suggested based on past experience of the group at Johns Hopkins and their collaborators, but you are able to adjust these values.  The economic impact will be expressed in terms of projected number of bed days that are made available and projected changes in variable costs and reimbursement.

Inpatient bed days that are made available by Hospital at Home admissions may be reallocated to other types of internal medicine patients.  To complete the calculation of the potential economic impact of Hospital at Home adoption, you also need to enter data on the average length of stay for these projected additional internal medicine service acute admissions.

These data are for your review only.  No data that you enter are being transmitted to any other entity.

Please note that you must enter all fields for all four conditions and the one field for other internal medicine acute admissions to proceed to the results page.
 

Average LOS for Non-Hospital at Home Condition Admissions
in Internal Medicine Service in the Past Year

 


Enter Pneumonia Data for the Past Year
DRG 89 SIMPLE PNEUMONIA & PLEURISY AGE >17 W CC

# of Pneumonia Admissions :

Average Length of Stay for Pneumonia:

Hospital at Home Eligibility Rate (%):

Proportion of Eligible Patients Who Would Use it (%):

Average Variable Costs for Pneumonia:

Average Fixed Costs for Pneumonia:

Average Reimbursement for Pneumonia: 		Enter CHF Data for the Past Year
DRG 127 HEART FAILURE & SHOCK

# of CHF Admissions :

Average Length of Stay for CHF:

Hospital at Home Eligibility Rate (%):

Proportion of Eligible Patients Who Would Use it (%):

Average Variable Costs for CHF:

Average Fixed Costs for CHF:

Average Reimbursement for CHF:

Enter COPD Data for the Past Year
DRG 88 CHRONIC OBSTRUCTIVE PULMONARY DISEASE

# of COPD Admissions :

Average Length of Stay for COPD:

Hospital at Home Eligibility Rate (%):

Proportion of Eligible Patients Who Would Use it (%):

Average Variable Costs for COPD:

Average Fixed Costs for COPD:

Average Reimbursement for COPD: 		Enter Cellulitis Data for the Past Year
DRG 277 CELLULITIS AGE >17 W CC

# of Cellulitis Admissions :

Average Length of Stay for Cellulitis:

Hospital at Home Eligibility Rate (%):

Proportion of Eligible Patients Who Would Use it (%):

Average Variable Costs for Cellulitis:

Average Fixed Costs for Cellulitis:

Average Reimbursement for Cellulitis: