The Program Cost Effectiveness of a Safety-Net Hospital Program Expanding Social Needs Activities in Atlanta.

Details

• Alternative Title:
  Journal of Health Care for the Poor and Underserved, 2025, v. 36, no. 1: The Program Cost Effectiveness of a Safety-Net Hospital Program Expanding Social Needs Activities in Atlanta.
• Journal Article:
  Journal of Health Care for the Poor and Underserved
• Personal Author:
  MacLeod, Kara E. ; Roy, Kakoli ; Wirth, Diane ; Minaya-Junca, Jasmin ; Onwuanyi, Anekwe ; Luo, Feijun ; Lane, Rashon
• Description:
  The Grady Heart Failure Program (GHFP), based in a safety-net hospital, is an outpatient program that follows heart failure hospitalization. The 2018 GHFP added a community health worker, patient liaison, and mobile integrated health home visits to reduce socioeconomic barriers to treatment. Important outcomes for the GHFP included the program cost and patient follow-up visits within seven days of hospital discharge. We calculated the difference in 30-day related readmission between 2017 and 2018 to assess pre-post program effectiveness. Patient follow-up visits within seven days increased from 63.7% in 2017 to 65.6% in 2018. Related 30-day readmissions declined from 15.5% in 2017 to 13.1% in 2018. Compared with 2017, the incremental program cost per related 30-day hospital readmission averted was $7,955 in 2018. The expanded GHFP is potentially cost-saving from the perspective of the hospital-provider based on the inpatient cost saved from a heart failure readmission averted.
• Content Notes:
  Author manuscript
• Subjects:
  • Humans
  • Safety-net Providers
  • Heart Failure
  • Patient Readmission
  • Cost-Benefit Analysis
  • Male
  • Female
  • Middle Aged
  • Program Evaluation
  • Aged
  More +
• Keywords:
  • Community health workers
  • costs and cost analysis
  • heart failure
  • safety-net providers
  • social determinants of health
• Source:
  Journal of Health Care for the Poor and Underserved, 2025, v. 36, no. 1
• DOI:
  https://doi.org/10.1353/hpu.2025.a951591
• ISSN:
  1049-2089 ; 1548-6869
• Pubmed ID:
  39957644
• Pubmed Central ID:
  PMC12278172
• Document Type:
  Text
• Funding:
  CC999999/ImCDC/Intramural CDC HHSUnited States/
• Genre:
  Journal Article
• Place as Subject:
  Georgia
• Pages in Document:
  167-179 (14 pdf pages)
• Volume:
  36
• Issue:
  1
• Download URL:
  https://stacks.cdc.gov/view/cdc/261675/cdc_261675_DS1.pdf
• File Type:
  [PDF - 151.43 KB]
• Collection(s):
  CDC Public Access
• Main Document Checksum:
  urn:sha-512:f43e67a3f4c0f20642a238b02fb14601ffb4885027303194929e503eb3510cd0a0329881ef0538f8718f899674efe93975c3b2acf5f95de403b513d3a0a572fd