Cost-minimization model of a multidisciplinary Antibiotic Stewardship Team based on a successful implementation on a urology ward of an academic hospital

Jan-Willem H. Dik; Ron Hendrix; Alex W. Friedrich; Jos Luttjeboer; Prashant Nannan Panday; Kasper R. Wilting; Jerome R. Lo-Ten-Foe; Maarten J. Postma; Bhanu Sinha

doi:10.1371/journal.pone.0126106

Cost-minimization model of a multidisciplinary Antibiotic Stewardship Team based on a successful implementation on a urology ward of an academic hospital

Jan-Willem H. Dik, Ron Hendrix, Alex W. Friedrich^*, Jos Luttjeboer, Prashant Nannan Panday, Kasper R. Wilting, Jerome R. Lo-Ten-Foe, Maarten J. Postma, Bhanu Sinha

^*Corresponding author for this work

Research output: Contribution to journal › Article › Academic › peer-review

22 Citations (Scopus)

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Abstract

Background

In order to stimulate appropriate antimicrobial use and thereby lower the chances of resistance development, an Antibiotic Stewardship Team (A-Team) has been implemented at the University Medical Center Groningen, the Netherlands. Focus of the A-Team was a pro-active day 2 case-audit, which was financially evaluated here to calculate the return on investment from a hospital perspective.

Methods

Effects were evaluated by comparing audited patients with a historic cohort with the same diagnosis-related groups. Based upon this evaluation a cost-minimization model was created that can be used to predict the financial effects of a day 2 case-audit. Sensitivity analyses were performed to deal with uncertainties. Finally, the model was used to financially evaluate the A-Team.

Results

One whole year including 114 patients was evaluated. Implementation costs were calculated to be (sic)17,732, which represent total costs spent to implement this A-Team. For this specific patient group admitted to a urology ward and consulted on day 2 by the A-Team, the model estimated total savings of (sic)60,306 after one year for this single department, leading to a return on investment of 5.9.

Conclusions

The implemented multi-disciplinary A-Team performing a day 2 case-audit in the hospital had a positive return on investment caused by a reduced length of stay due to a more appropriate antibiotic therapy. Based on the extensive data analysis, a model of this intervention could be constructed. This model could be used by other institutions, using their own data to estimate the effects of a day 2 case-audit in their hospital.

Original language	English
Article number	e0126106
Number of pages	12
Journal	PLoS ONE
Volume	10
Issue number	5
DOIs	https://doi.org/10.1371/journal.pone.0126106
Publication status	Published - 8-May-2015

Keywords

ANTIMICROBIAL STEWARDSHIP
HEALTH-CARE
ECONOMIC OUTCOMES
PROGRAM
INFECTIONS
INTERVENTION
PREVENTION
GUIDELINES
MANAGEMENT
RESISTANCE

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Cost-minimization model of a multidisciplinary Antibiotic Team based on a successful implementation on the urology ward of an academic hospital
Dik, J.-W. (Speaker)
14-Sept-2018
Activity: Talk and presentation › Professional or public presentation › Professional

Data from: Cost-minimization model of a multidisciplinary antibiotic stewardship team based on a successful implementation on a urology ward of an academic hospital
Dik, J.-W. (Creator), Hendrix, R. (Creator), Friedrich, A. (Creator), Luttjeboer, J. (Creator), Nannan Panday, P. (Creator), Wilting, K. R. (Creator), Lo-Ten-Foe, J. R. (Creator), Postma, M. (Creator) & Sinha, B. (Creator), University of Groningen, 8-May-2015
DOI: 10.5061/dryad.kq2r1
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Cite this

Dik, J.-W. H., Hendrix, R., Friedrich, A. W., Luttjeboer, J., Panday, P. N., Wilting, K. R., Lo-Ten-Foe, J. R., Postma, M. J., & Sinha, B. (2015). Cost-minimization model of a multidisciplinary Antibiotic Stewardship Team based on a successful implementation on a urology ward of an academic hospital. PLoS ONE, 10(5), Article e0126106. https://doi.org/10.1371/journal.pone.0126106

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title = "Cost-minimization model of a multidisciplinary Antibiotic Stewardship Team based on a successful implementation on a urology ward of an academic hospital",

abstract = "BackgroundIn order to stimulate appropriate antimicrobial use and thereby lower the chances of resistance development, an Antibiotic Stewardship Team (A-Team) has been implemented at the University Medical Center Groningen, the Netherlands. Focus of the A-Team was a pro-active day 2 case-audit, which was financially evaluated here to calculate the return on investment from a hospital perspective.MethodsEffects were evaluated by comparing audited patients with a historic cohort with the same diagnosis-related groups. Based upon this evaluation a cost-minimization model was created that can be used to predict the financial effects of a day 2 case-audit. Sensitivity analyses were performed to deal with uncertainties. Finally, the model was used to financially evaluate the A-Team.ResultsOne whole year including 114 patients was evaluated. Implementation costs were calculated to be (sic)17,732, which represent total costs spent to implement this A-Team. For this specific patient group admitted to a urology ward and consulted on day 2 by the A-Team, the model estimated total savings of (sic)60,306 after one year for this single department, leading to a return on investment of 5.9.ConclusionsThe implemented multi-disciplinary A-Team performing a day 2 case-audit in the hospital had a positive return on investment caused by a reduced length of stay due to a more appropriate antibiotic therapy. Based on the extensive data analysis, a model of this intervention could be constructed. This model could be used by other institutions, using their own data to estimate the effects of a day 2 case-audit in their hospital.",

keywords = "ANTIMICROBIAL STEWARDSHIP, HEALTH-CARE, ECONOMIC OUTCOMES, PROGRAM, INFECTIONS, INTERVENTION, PREVENTION, GUIDELINES, MANAGEMENT, RESISTANCE",

author = "Dik, \{Jan-Willem H.\} and Ron Hendrix and Friedrich, \{Alex W.\} and Jos Luttjeboer and Panday, \{Prashant Nannan\} and Wilting, \{Kasper R.\} and Lo-Ten-Foe, \{Jerome R.\} and Postma, \{Maarten J.\} and Bhanu Sinha",

year = "2015",

month = may,

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doi = "10.1371/journal.pone.0126106",

language = "English",

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journal = "PLoS ONE",

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T1 - Cost-minimization model of a multidisciplinary Antibiotic Stewardship Team based on a successful implementation on a urology ward of an academic hospital

AU - Dik, Jan-Willem H.

AU - Hendrix, Ron

AU - Friedrich, Alex W.

AU - Luttjeboer, Jos

AU - Panday, Prashant Nannan

AU - Wilting, Kasper R.

AU - Lo-Ten-Foe, Jerome R.

AU - Postma, Maarten J.

AU - Sinha, Bhanu

PY - 2015/5/8

Y1 - 2015/5/8

N2 - BackgroundIn order to stimulate appropriate antimicrobial use and thereby lower the chances of resistance development, an Antibiotic Stewardship Team (A-Team) has been implemented at the University Medical Center Groningen, the Netherlands. Focus of the A-Team was a pro-active day 2 case-audit, which was financially evaluated here to calculate the return on investment from a hospital perspective.MethodsEffects were evaluated by comparing audited patients with a historic cohort with the same diagnosis-related groups. Based upon this evaluation a cost-minimization model was created that can be used to predict the financial effects of a day 2 case-audit. Sensitivity analyses were performed to deal with uncertainties. Finally, the model was used to financially evaluate the A-Team.ResultsOne whole year including 114 patients was evaluated. Implementation costs were calculated to be (sic)17,732, which represent total costs spent to implement this A-Team. For this specific patient group admitted to a urology ward and consulted on day 2 by the A-Team, the model estimated total savings of (sic)60,306 after one year for this single department, leading to a return on investment of 5.9.ConclusionsThe implemented multi-disciplinary A-Team performing a day 2 case-audit in the hospital had a positive return on investment caused by a reduced length of stay due to a more appropriate antibiotic therapy. Based on the extensive data analysis, a model of this intervention could be constructed. This model could be used by other institutions, using their own data to estimate the effects of a day 2 case-audit in their hospital.

AB - BackgroundIn order to stimulate appropriate antimicrobial use and thereby lower the chances of resistance development, an Antibiotic Stewardship Team (A-Team) has been implemented at the University Medical Center Groningen, the Netherlands. Focus of the A-Team was a pro-active day 2 case-audit, which was financially evaluated here to calculate the return on investment from a hospital perspective.MethodsEffects were evaluated by comparing audited patients with a historic cohort with the same diagnosis-related groups. Based upon this evaluation a cost-minimization model was created that can be used to predict the financial effects of a day 2 case-audit. Sensitivity analyses were performed to deal with uncertainties. Finally, the model was used to financially evaluate the A-Team.ResultsOne whole year including 114 patients was evaluated. Implementation costs were calculated to be (sic)17,732, which represent total costs spent to implement this A-Team. For this specific patient group admitted to a urology ward and consulted on day 2 by the A-Team, the model estimated total savings of (sic)60,306 after one year for this single department, leading to a return on investment of 5.9.ConclusionsThe implemented multi-disciplinary A-Team performing a day 2 case-audit in the hospital had a positive return on investment caused by a reduced length of stay due to a more appropriate antibiotic therapy. Based on the extensive data analysis, a model of this intervention could be constructed. This model could be used by other institutions, using their own data to estimate the effects of a day 2 case-audit in their hospital.

KW - ANTIMICROBIAL STEWARDSHIP

KW - HEALTH-CARE

KW - ECONOMIC OUTCOMES

KW - PROGRAM

KW - INFECTIONS

KW - INTERVENTION

KW - PREVENTION

KW - GUIDELINES

KW - MANAGEMENT

KW - RESISTANCE

U2 - 10.1371/journal.pone.0126106

DO - 10.1371/journal.pone.0126106

M3 - Article

C2 - 25955494

SN - 1932-6203

VL - 10

JO - PLoS ONE

JF - PLoS ONE

IS - 5

M1 - e0126106

ER -

Cost-minimization model of a multidisciplinary Antibiotic Stewardship Team based on a successful implementation on a urology ward of an academic hospital

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Cost-minimization model of a multidisciplinary Antibiotic Team based on a successful implementation on the urology ward of an academic hospital

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Data from: Cost-minimization model of a multidisciplinary antibiotic stewardship team based on a successful implementation on a urology ward of an academic hospital

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