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Home Correction: A quality improvement initiative for COPD patients: A cost analysis
Correction: A quality improvement initiative for COPD patients: A cost analysis
Correction: A quality improvement initiative for COPD patients: A cost analysis

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Trout,Bhansali,Riley,Peyerl,and Lee-Chiong: Correction: A quality improvement initiative for COPD patients: A cost analysis

There is an error in Table 3. The information in the Reference column in rows 15–18 is incorrect. Please see the correct Table 3 here.

Table 3
Budget impact model values & references.
ValueDescriptionReference
21.0%30-Day readmission rate for the overall patient cohort in a 3-month timeframe preceding ICP implementation (Pre-ICP)Alabama Integrated Care Program. 2016–2018
61.0%31–90 Day hospitalization rate for the overall patient cohort in a 3-month timeframe preceding ICP implementation (Pre-ICP)Alabama Integrated Care Program. 2016–2018
16.0%30-Day readmission rate in a 3-month timeframe preceding ICP implementation for a patient cohort who enrolled in ICP that were not prescribed NIV (ICP)Alabama Integrated Care Program. 2016–2018
11.0%30-Day readmission rate for an ICP patient cohort after ICP implementationAlabama Integrated Care Program. 2016–2018
111.4%31–90 Day hospitalization rate in a 3-month timeframe preceding ICP implementation for a patient cohort who enrolled in ICP that were not prescribed NIV (ICP)Alabama Integrated Care Program. 2016–2018
0.0%30-Day readmission rate in a 3-month timeframe preceding ICP implementation for a patient cohort who enrolled in ICP that were prescribed NIV (ICP + NIV)Alabama Integrated Care Program. 2016–2018
6.3%30-Day readmission rate for an ICP + NIV patient cohort after ICP implementationAlabama Integrated Care Program. 2016–2018
100.0%31–90 Day hospitalization rate in a 3-month timeframe preceding ICP implementation for a patient cohort who enrolled in ICP that were prescribed NIV (ICP + NIV)Alabama Integrated Care Program. 2016–2018
9.1%31–90 Day hospitalization rate for an ICP + NIV patient cohort after ICP implementationAlabama Integrated Care Program. 2016–2018
10.2%Mortality rate of all patients after enrolling in the ICPAlabama Integrated Care Program. 2016–2018
$6,971CMS Reimbursement to a US hospital for a patient admission (excluding 0-30-day readmissions)CMS "Medicare charge in-patient summary" for DRG 190 with MCC FY2016 within national summary FY2016 (Updated August 2018)
$1,057CMS Reimbursement to home medical equipment provider (HME) for NIV (AVAPS-AE (Trilogy 100)) device, supplies and supportive care (per month)2019 CMS Average. CPT code E0465, E0466
$11,400Cost per Readmission (within 30-days of initial admission)American Hospital Network, 2016

Assume ~8% yearly increase
$10,862Cost per Hospitalization (All-cause admission)American Hospital Network, 2016

Assume ~8% yearly increase
$17,600Cost to HME of NIV (AVAPS-AE (Trilogy 100)) acquisitionPhilips Trilogy 100 MSRP
$14.74Cost to HME of NIV (AVAPS-AE (Trilogy 100)) repair

Default value of $13.90 was obtained using the following formula: 10.5% of the devices require some type of repair/service (after year 2) * $132/avg repair cost per unit (inflated to 2018 values)
Philips-reported repair rates (obtained, 2018)
$1,036Cost to HME of NIV (AVAPS-AE (Trilogy 100)) supplies (annual)

Filters, bacteria (22mm), single use 50-pack (MSRP $160.00) at 2 packs used per year = $320.00 per year; Disposable circuits (adult non-invasive passive, disposable, non-heated 10-pack) (MSRP $83.80) at 2 packs per year = $167.60 per year; NIV mask (MSRP $274) at 2 per year = $548.00. Annual TOTAL supplies costs = $320.00 + $167.60 + $548 = $1,035.60
AVAPS-AE (Trilogy 100) Supplies MSRP (obtained, 2018)
$1,290Annual cost to HME of NIV (AVAPS-AE (Trilogy 100)) supportive care• RT site visits ($75 per visit): 5 visits in first month; one visit per month for next 11 months

• Phone call to patient ($15 per call): 5 min average plus 15 min for documentation; 6 calls per year

• 1.5 hour for initial setup plus mileage and documentation

Reference

DTrout, AHBhansali, DDRiley, FWPeyerl, TLLee-ChiongJr (2020) A quality improvement initiative for COPD patients: A cost analysis. PLoS ONE 15(7): e0235040. 10.1371/journal.pone.0235040