View in EDS

The introduction of a diagnostic decision support system (DXplain™) into the workflow of a teaching hospital service can decrease the cost of service for diagnostically challenging Diagnostic Related Groups (DRGs).

Saved in:
Bibliographic Details
Title: The introduction of a diagnostic decision support system (DXplain™) into the workflow of a teaching hospital service can decrease the cost of service for diagnostically challenging Diagnostic Related Groups (DRGs).
Authors: Elkin PL (AUTHOR), Liebow M (AUTHOR), Bauer BA (AUTHOR), Chaliki S (AUTHOR), Wahner-Roedler D (AUTHOR), Bundrick J (AUTHOR), Lee M (AUTHOR), Brown SH (AUTHOR), Froehling D (AUTHOR), Bailey K (AUTHOR), Famiglietti K (AUTHOR), Kim R (AUTHOR), Hoffer E (AUTHOR), Feldman M (AUTHOR), Barnett GO (AUTHOR), Elkin, Peter L1 (AUTHOR), Liebow, Mark (AUTHOR), Bauer, Brent A (AUTHOR), Chaliki, Swarna (AUTHOR), Wahner-Roedler, Dietlind (AUTHOR)
Source: International Journal of Medical Informatics. Nov2010, Vol. 79 Issue 11, p772-777. 6p.
Abstract: Background: In an era of short inpatient stays, residents may overlook relevant elements of the differential diagnosis as they try to evaluate and treat patients. However, if a resident's first principal diagnosis is wrong, the patient's appropriate evaluation and treatment may take longer, cost more, and lead to worse outcomes. A diagnostic decision support system may lead to the generation of a broader differential diagnosis that more often includes the correct diagnosis, permitting a shorter, more effective, and less costly hospital stay.Methods: We provided residents on General Medicine services access to DXplain, an established computer-based diagnostic decision support system, for 6 months. We compared charges and cost of service for diagnostically challenging cases seen during the fourth through sixth month of access to DXplain (intervention period) to control cases seen in the 6 months before the system was made available.Results: 564 cases were identified as diagnostically challenging by our criteria during the intervention period along with 1173 cases during the control period. Total charges were $1281 lower (p=.006), Medicare Part A charges $1032 lower (p=0.006) and cost of service $990 lower (p=0.001) per admission in the intervention cases than in control cases.Conclusions: Using DXplain on all diagnostically challenging cases might save our medical center over $2,000,000 a year on the General Medicine Services alone. Using clinical diagnostic decision support systems may improve quality and decrease cost substantially at teaching hospitals. [ABSTRACT FROM AUTHOR]
Copyright of International Journal of Medical Informatics is the property of Elsevier B.V. and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Database: Engineering Source
FullText Text:
  Availability: 0
Header DbId: egs
DbLabel: Engineering Source
An: 104936779
AccessLevel: 6
PubType: Academic Journal
PubTypeId: academicJournal
PreciseRelevancyScore: 0
IllustrationInfo
Items – Name: Title
  Label: Title
  Group: Ti
  Data: The introduction of a diagnostic decision support system (DXplain™) into the workflow of a teaching hospital service can decrease the cost of service for diagnostically challenging Diagnostic Related Groups (DRGs).
– Name: Author
  Label: Authors
  Group: Au
  Data: <searchLink fieldCode="AR" term="%22Elkin+PL%22">Elkin PL</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Liebow+M%22">Liebow M</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Bauer+BA%22">Bauer BA</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Chaliki+S%22">Chaliki S</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Wahner-Roedler+D%22">Wahner-Roedler D</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Bundrick+J%22">Bundrick J</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Lee+M%22">Lee M</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Brown+SH%22">Brown SH</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Froehling+D%22">Froehling D</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Bailey+K%22">Bailey K</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Famiglietti+K%22">Famiglietti K</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Kim+R%22">Kim R</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Hoffer+E%22">Hoffer E</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Feldman+M%22">Feldman M</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Barnett+GO%22">Barnett GO</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Elkin%2C+Peter+L%22">Elkin, Peter L</searchLink><relatesTo>1</relatesTo> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Liebow%2C+Mark%22">Liebow, Mark</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Bauer%2C+Brent+A%22">Bauer, Brent A</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Chaliki%2C+Swarna%22">Chaliki, Swarna</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Wahner-Roedler%2C+Dietlind%22">Wahner-Roedler, Dietlind</searchLink> (AUTHOR)
– Name: TitleSource
  Label: Source
  Group: Src
  Data: <searchLink fieldCode="JN" term="%22International+Journal+of+Medical+Informatics%22">International Journal of Medical Informatics</searchLink>. Nov2010, Vol. 79 Issue 11, p772-777. 6p.
– Name: Abstract
  Label: Abstract
  Group: Ab
  Data: <bold>Background: </bold>In an era of short inpatient stays, residents may overlook relevant elements of the differential diagnosis as they try to evaluate and treat patients. However, if a resident's first principal diagnosis is wrong, the patient's appropriate evaluation and treatment may take longer, cost more, and lead to worse outcomes. A diagnostic decision support system may lead to the generation of a broader differential diagnosis that more often includes the correct diagnosis, permitting a shorter, more effective, and less costly hospital stay.<bold>Methods: </bold>We provided residents on General Medicine services access to DXplain, an established computer-based diagnostic decision support system, for 6 months. We compared charges and cost of service for diagnostically challenging cases seen during the fourth through sixth month of access to DXplain (intervention period) to control cases seen in the 6 months before the system was made available.<bold>Results: </bold>564 cases were identified as diagnostically challenging by our criteria during the intervention period along with 1173 cases during the control period. Total charges were $1281 lower (p=.006), Medicare Part A charges $1032 lower (p=0.006) and cost of service $990 lower (p=0.001) per admission in the intervention cases than in control cases.<bold>Conclusions: </bold>Using DXplain on all diagnostically challenging cases might save our medical center over $2,000,000 a year on the General Medicine Services alone. Using clinical diagnostic decision support systems may improve quality and decrease cost substantially at teaching hospitals. [ABSTRACT FROM AUTHOR]
– Name: AbstractSuppliedCopyright
  Label:
  Group: Ab
  Data: <i>Copyright of International Journal of Medical Informatics is the property of Elsevier B.V. and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
PLink https://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=egs&AN=104936779
RecordInfo BibRecord:
  BibEntity:
    Identifiers:
      – Type: doi
        Value: 10.1016/j.ijmedinf.2010.09.004
    Languages:
      – Code: eng
        Text: English
    PhysicalDescription:
      Pagination:
        PageCount: 6
        StartPage: 772
    Titles:
      – TitleFull: The introduction of a diagnostic decision support system (DXplain™) into the workflow of a teaching hospital service can decrease the cost of service for diagnostically challenging Diagnostic Related Groups (DRGs).
        Type: main
  BibRelationships:
    HasContributorRelationships:
      – PersonEntity:
          Name:
            NameFull: Elkin PL
      – PersonEntity:
          Name:
            NameFull: Liebow M
      – PersonEntity:
          Name:
            NameFull: Bauer BA
      – PersonEntity:
          Name:
            NameFull: Chaliki S
      – PersonEntity:
          Name:
            NameFull: Wahner-Roedler D
      – PersonEntity:
          Name:
            NameFull: Bundrick J
      – PersonEntity:
          Name:
            NameFull: Lee M
      – PersonEntity:
          Name:
            NameFull: Brown SH
      – PersonEntity:
          Name:
            NameFull: Froehling D
      – PersonEntity:
          Name:
            NameFull: Bailey K
      – PersonEntity:
          Name:
            NameFull: Famiglietti K
      – PersonEntity:
          Name:
            NameFull: Kim R
      – PersonEntity:
          Name:
            NameFull: Hoffer E
      – PersonEntity:
          Name:
            NameFull: Feldman M
      – PersonEntity:
          Name:
            NameFull: Barnett GO
      – PersonEntity:
          Name:
            NameFull: Elkin, Peter L
      – PersonEntity:
          Name:
            NameFull: Liebow, Mark
      – PersonEntity:
          Name:
            NameFull: Bauer, Brent A
      – PersonEntity:
          Name:
            NameFull: Chaliki, Swarna
      – PersonEntity:
          Name:
            NameFull: Wahner-Roedler, Dietlind
    IsPartOfRelationships:
      – BibEntity:
          Dates:
            – D: 01
              M: 11
              Text: Nov2010
              Type: published
              Y: 2010
          Identifiers:
            – Type: issn-print
              Value: 13865056
          Numbering:
            – Type: volume
              Value: 79
            – Type: issue
              Value: 11
          Titles:
            – TitleFull: International Journal of Medical Informatics
              Type: main
ResultId 1