Fiscal and clinical evaluation of home parenteral nutrition

S. H. Dzierba, J. M. Mirtallo, D. W. Grauer, Philip J Schneider, C. J. Latiolais, P. J. Fabri

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Abstract

The clinical management activities performed by nonphysician members of a home parenteral nutrition (HPN) service were evaluated, and the costs of providing a home-care service with a hospital-based supply were projected. The nutrition support service team included two pharmacists, one nurse, one dietitian, one social worker, and two physicians. The clinical activities of the nonphysician members of the service were documented for a one-year period involving 13 patients. Inventory data for items dispensed were obtained from the commercial vender supplying the patients during the study. Projected charges for the hospital pharmacy to deliver supplies were based on actual contrarily assigned markup of 40% was used to calculate break-even data. The clinical management of the HPN patients required 203 hours of the nonphysician health-care professionals' time. For the initial fiscal year, the fixed and variable costs were projected as $253,360, which amounted to $89.82 per calendar day of home therapy. The hospital would have to provide 1416 calendar days of home parenteral nutrition before revenues equalled expenses at $168,504. The projected annual savings for a patient receiving parenteral nutrition at home rather than in the hospital was $651,651. Supply alternatives for HPN should be evaluated according to specific institutional needs.

Original languageEnglish (US)
Pages (from-to)285-291
Number of pages7
JournalAmerican Journal of Hospital Pharmacy
Volume41
Issue number2
Publication statusPublished - 1984
Externally publishedYes

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ASJC Scopus subject areas

  • Pharmaceutical Science
  • Leadership and Management

Cite this

Dzierba, S. H., Mirtallo, J. M., Grauer, D. W., Schneider, P. J., Latiolais, C. J., & Fabri, P. J. (1984). Fiscal and clinical evaluation of home parenteral nutrition. American Journal of Hospital Pharmacy, 41(2), 285-291.