A comparison of the direct cost of care in an open-bay and single-family room NICU

Journal of Perinatology

Volumn 34, Issue 11, 2014, Pages 830-835

  Stevens, D C ^a,b   Thompson, P A ^b,c   Helseth, C C ^a,b   Hsu, B ^a,b   Khan, M Akram ^a,b   Munson, D P ^a,b  

^a Sanford Children's Hospital   (United States)

^b UNIVERSITY OF SOUTH DAKOTA   (United States)

^c SANFORD RESEARCH   (United States)

Author keywords

[No Author keywords available]

Indexed keywords

ARTICLE; ASSISTED VENTILATION; BIRTH WEIGHT; COHORT ANALYSIS; COMPARATIVE STUDY; CONTROLLED STUDY; DELIVERY; FEMALE; GESTATIONAL AGE; HEALTH CARE COST; HOSPITAL DESIGN; HOSPITAL PURCHASING; HUMAN; LENGTH OF STAY; MALE; MULTIPARA; NEWBORN; NEWBORN INTENSIVE CARE; OPEN BAY NEWBORN INTENSIVE CARE UNIT; SINGLE FAMILY ROOM NEONATAL INTENSIVE CARE UNIT; ECONOMICS; HEALTH CARE FACILITY; PATIENT CARE; STATISTICAL MODEL;

COHORT STUDIES; HOSPITAL DESIGN AND CONSTRUCTION; HUMANS; INTENSIVE CARE UNITS, NEONATAL; LENGTH OF STAY; LINEAR MODELS; PATIENT CARE; PATIENTS' ROOMS;

EID: 84908576001     PISSN: 07438346     EISSN: 14765543     Source Type: Journal    
DOI: 10.1038/jp.2014.178     Document Type: Article

References (34)

1. Fischer N, Steurer MA, Adams M, Berger TM. Survival rates of extremely preterm infants (gestational age o26 weeks) in Switzerland: impact of the Swiss guidelines for the care of infants born at the limit of viability. Arch Dis Child Fetal Neonatal Ed 2009; 94(6): F407-F413
2. Als H. Toward a synactive theory of development: promise for the assessment and support of infant individuality. Infant Mental Health Journal 1982; 3: 229-243
3. Als H, Lawhon G, Duffy FH, McAnulty GB, Gibes-Grossman R, Blickman JG. Individualized developmental care for the very low-birth-weight preterm infant. Medical and neurofunctional effects. JAMA 1994; 272(11): 853-858
4. Peters KL, Rosychuk RJ, Hendson L, Cote JJ, McPherson C, Tyebkhan JM. Improvement of short- and long-term outcomes for very low birth weight infants: Edmonton NIDCAP trial. Pediatrics 2009; 124(4): 1009-1020
5. Elander G, Hellstrom G. Reduction of noise levels in intensive care units for infants: evaluation of an intervention program. Heart Lung 1995; 24(5): 376-379
6. Gray L, Philbin MK. Effects of the neonatal intensive care unit on auditory attention and distraction. Clin Perinatol 2004; 31(2): 243-260
7. Graven SN. Early neurosensory visual development of the fetus and newborn. Clin Perinatol 2004; 31(2): 199-216
8. Schaal B, Hummel T, Soussignan R. Olfaction in the fetal and premature infant: functional status and clinical implications. Clin Perinatol 2004; 31(2): 261-285
9. Rivkees SA. Emergence and influences of circadian rhythmicity in infants. Clin Perinatol 2004; 31(2): 217-228
10. Institute for Patient and Family-Centered Care 2009, http://www.ipfcc.org/ Accessed 3/08/2011, 2011.
11. White RD. Mothers' arms-the past and future locus of neonatal care? Clin Perinatol 2004; 31(2): 383-387
12. White RD. Recommended standards for the newborn ICU. J Perinatol 2007; 27 (Suppl 2): S4-S19
13. White R, Whitman T. Design of ICUs. Pediatrics 1992; 89(6 Pt 2): 1267.
14. Hauser C. For the tiniest babies, the closest thing to a cocoon. New York Times 2007.
15. Feldman L. Patient safety. Private rooms becoming the standard in NICUs. Hosp Health Netw 2009; 83(11): 10.
16. Stevens DC, Khan MA, Munson DP, Reid EJ, Helseth CC, Buggy J. The impact of architectural design upon the environmental sound and light exposure of neonates who require intensive care: an evaluation of the Boekelheide Neonatal Intensive Care Nursery. J Perinatol 2007; 27(Suppl 2): S20-S28
17. Stevens DC, Helseth CC, Khan MA, Munson DP, Smith TJ. Neonatal intensive care nursery staff perceive enhanced workplace quality with the single-family room design. J Perinatol 2010; 30(5): 352-358
18. Stevens DC. A prospective assessment of parent satisfaction comparing open-bay and single-family room neonatal intensive care unit (nicu) design 2008 Facilities Design Conference 2008, http://www.childrenshospitals.net/AM/Template.cfm? Section= Site-Map3&CONTENTID= 35292&TEMPLATE= /CM/ContentDisplay.cfm Accessed 10/22/2009, 2009.
19. Sneve J, Kattelmann K, Ren C, Stevens DC. Implementation of a multidisciplinary team that includes a registered dietitian in a neonatal intensive care unit improved nutrition outcomes. Nutr Clin Pract 2008; 23(6): 630-634
20. Stevens DC, Akram Khan M, Munson DP, Reid EJ, Helseth CC, Buggy J. The impact of architectural design upon the environmental sound and light exposure of neonates who require intensive care: an evaluation of the Boekelheide Neonatal Intensive Care Nursery. J Perinatol 2007; 27(Suppl 2): S20-S28
21. Stevens D, Thompson PA, Helseth CC, Pottala JV, Khan MA, Munson DP. A comparison of outcomes of care in an open-bay and single-family room neonatal intensive care facitlity. J Neonatal Perinatal Med 2011; 4: 189-200
22. Stevens DC, Helseth CC, Thompson PA, Pottala JV, Khan MA, Munson DP. A comprehensive comparison of open-bay and single-family-room neonatal intensive care units at Sanford Children's Hospital. HERD 2012; 5(4): 23-39
23. Petryshen P, Stevens B, Hawkins J, Stewart M. Comparing nursing costs for preterm infants receiving conventional vs developmental care. Nurs Econ 1997; 15(3): 138-145
24. Stevens B, Petryshen P, Hawkins J, Smith B, Taylor P. Developmental versus conventional care: a comparison of clinical outcomes for very low birth weight infants. Can J Nurs Res 1996; 28(4): 97-113
25. Altimier LB, Eichel M, Warner B, Tedeschi L, Brown B. Developmental care: changing the nicu physically and behaviorally to promote patient outcomes and contain costs. Neonatal Intensive Care 2005; 18(4): 12-16
26. White RD. Individual rooms in the NICU - an evolving concept. J Perinatol 2003; 23 (Suppl 1): S22-S24
27. Stevens DC, Li R, Helseth CC, Pottala JV, Ren C, Munson DP, Khan MA. Reduced total cost of care in the single-family room neonatal intensive care unit compared with an open-by facility. 25th Annual Gravens Conference on the Physical and Developmental Environment of the High Risk Infant 2010, Clearwater Beach, FL.
28. Burns AK Cost of ICU Care. Intensive Care Units (ICUs): Clinical Outcomes, Costs and Decision Making 1996, http://www.princeton.edu/ ~ ota/disk3/1984/8417 /841705.PDF Accessed 1/15/2014, 2014.
29. Releases USDoLBoLSE. Databases, Tables & Calculators by Subject: Healthcare. Bureau of Labor Statistics 2005; Web Page. Available at http://data.bls.gov/time series/CUUR0000SAM?output-view= pct-12mths Accessed 11/26/2013, 2013.
30. Akaike H. A new look at the statistical model identification. IEEE Trans Automat Contr 1974; 19: 716-723
31. The CRIB (clinical risk index for babies) score: a tool for assessing initial neonatal risk and comparing performance of neonatal intensive care units. The International Neonatal Network. Lancet 1993; 342(8865): 193-198
32. Richardson DK, Zupancic JA, Escobar GJ, Ogino M, Pursley DM, Mugford M. A critical review of cost reduction in neonatal intensive care. II. Strategies for reduction. J Perinatol 2001; 21(2): 121-127
33. Pineda R, Neil J, Dierker D, Smyser C, Kidokoro H, Reynolds L, Rogerset al. The impact of different neonatal intensive care environments on brain development and function in preterm infants. Pediatric Academic Societies Annual Meeting 2013, Washington, DC.
34. Pineda RG, Neil J, Dierker Det al. Alterations in brain structure and neurodevelopmental outcome in preterm iInfants hospitalized in different neonatal intensive care unit environments. J Pediatr 2014; 164(1): 52-60