The Noninvasive Respiratory Care Unit (3)

The Noninvasive Respiratory Care Unit (3)Patients who require indwelling arterial or pulmonary artery catheters are considered inappropriate for placement in the NRCU. Patients may be ventilated through tracheostomy or translaryngeal tubes. Microprocessor-based ventilators are used, allowing for extensive monitoring of patient and ventilator functions. Newer modes of ventilation are available as potential weaning aides and/or alternative forms of ventilatory support.
All patients admitted to the NRCU at Rush-Presbyterian-St. Lukes Medical Center between July 1, 1987 and June 30, 1988 were identified. Demographic information, diagnoses, and outcomes were available for each patient from a unit log book. Data regarding length of hospitalization, duration of ventilation, hospital costs, payments, payors, and profit/loss calculations were obtained through an in-house computerized data base (This system is capable of merging medical record abstracts with detailed billing information).
Hospital costs (excluding physician fees) were obtained by multiplying billed charges by cost-to-charge ratios. In our analysis, 138 different cost-to-charge ratios were used to estimate costs of care for each patient.