Amrita D. Karambelkar MD, Juan P. Uribe MD, Alichia Paton ACNP-BC, Mihir S. Parikh MD, Jason A. Beattie MD, Chenchen Zhang MD, PhD, Adnan Majid MD
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The financial value of this program is important to assess to develop a feasible and sustainable plan for providing this service in the future.</div></div><div><h3>Research Question</h3><div>Can a BLVR program bring value to a medical center in terms of patient referrals, revenue, and contribution margin?</div></div><div><h3>Study Design and Methods</h3><div>We retrospectively reviewed the charts of patients who were referred for BLVR to the interventional pulmonology clinic at Beth Israel Deaconess Medical Center (BIDMC). Patient demographics were obtained. Outpatient services used to determine candidacy for endobronchial valve placement were analyzed and revenue was estimated. For patients who had valve placement, revenue from the bronchoscopic procedure and subsequent inpatient hospitalization was calculated and the contribution margin of the procedure was estimated.</div></div><div><h3>Results</h3><div>An estimated total of $1 to 1.4 million in revenue was generated in the workup and placement of endobronchial valves for 37 patients. The total revenue for the care of 52 patients deemed not to be candidates for the valve procedure was $144,000 to $170,000. The contribution margin for the procedure was estimated to be 25%. The median length of stay was 3 days. Among all 89 patients referred for BLVR, 26 referrals were made to other specialties at BIDMC during workup. Of these patients, 69.6% were new patients referred to BIDMC for BLVR.</div></div><div><h3>Interpretation</h3><div>In addition to the established therapeutic benefit of BLVR for patients with COPD, a BLVR program in a dedicated, specialized center is economically valuable and sustainable, attracts referrals from other medical centers and health care systems, and generates internal referrals within the medical center.</div></div>","PeriodicalId":94286,"journal":{"name":"CHEST pulmonary","volume":"3 1","pages":"Article 100095"},"PeriodicalIF":0.0000,"publicationDate":"2024-08-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"The Value of a High-Volume Bronchoscopic Lung Volume Reduction Program for Patients With Severe Emphysema\",\"authors\":\"Amrita D. Karambelkar MD, Juan P. Uribe MD, Alichia Paton ACNP-BC, Mihir S. Parikh MD, Jason A. Beattie MD, Chenchen Zhang MD, PhD, Adnan Majid MD\",\"doi\":\"10.1016/j.chpulm.2024.100095\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<div><h3>Background</h3><div>Bronchoscopic lung volume reduction (BLVR) has emerged as a promising therapeutic option for patients with COPD. The development of a dedicated BLVR program requires significant resources, both from an interventional pulmonology (IP) team and from the medical center. The financial value of this program is important to assess to develop a feasible and sustainable plan for providing this service in the future.</div></div><div><h3>Research Question</h3><div>Can a BLVR program bring value to a medical center in terms of patient referrals, revenue, and contribution margin?</div></div><div><h3>Study Design and Methods</h3><div>We retrospectively reviewed the charts of patients who were referred for BLVR to the interventional pulmonology clinic at Beth Israel Deaconess Medical Center (BIDMC). Patient demographics were obtained. Outpatient services used to determine candidacy for endobronchial valve placement were analyzed and revenue was estimated. For patients who had valve placement, revenue from the bronchoscopic procedure and subsequent inpatient hospitalization was calculated and the contribution margin of the procedure was estimated.</div></div><div><h3>Results</h3><div>An estimated total of $1 to 1.4 million in revenue was generated in the workup and placement of endobronchial valves for 37 patients. The total revenue for the care of 52 patients deemed not to be candidates for the valve procedure was $144,000 to $170,000. The contribution margin for the procedure was estimated to be 25%. The median length of stay was 3 days. Among all 89 patients referred for BLVR, 26 referrals were made to other specialties at BIDMC during workup. 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引用次数: 0
摘要
背景：支气管镜下肺减容术（BLVR）已成为COPD患者的一种有前景的治疗选择。一个专门的BLVR项目的开发需要大量的资源，无论是从介入肺科（IP）团队还是从医疗中心。评估该项目的财务价值对于制定未来提供这项服务的可行和可持续的计划非常重要。研究问题：BLVR项目能否在病人转诊、收入和贡献利润方面为医疗中心带来价值？研究设计和方法我们回顾性地回顾了转介至Beth Israel Deaconess Medical Center （BIDMC）介入肺科诊所进行BLVR的患者的病历。获得患者的人口统计数据。用于确定支气管内瓣膜置入术候选资格的门诊服务进行了分析，并估计了收入。对于瓣膜置换术的患者，计算支气管镜手术和随后的住院治疗的收入，并估计手术的贡献幅度。结果在37例患者的随访和支气管内瓣膜放置中，估计总共产生了100万至140万美元的收入。护理52名被认为不适合瓣膜手术的患者的总收入在14.4万美元到17万美元之间。该程序的贡献幅度估计为25%。中位住院时间为3天。在所有转诊BLVR的89例患者中，26例在随访期间转诊到BIDMC的其他专科。在这些患者中，69.6%是因BLVR而转介BIDMC的新患者。除了BLVR对COPD患者的既定治疗效益外，在专门的专业中心开展BLVR项目具有经济价值和可持续性，可吸引其他医疗中心和卫生保健系统的转诊，并在医疗中心内部产生转诊。
The Value of a High-Volume Bronchoscopic Lung Volume Reduction Program for Patients With Severe Emphysema
Background
Bronchoscopic lung volume reduction (BLVR) has emerged as a promising therapeutic option for patients with COPD. The development of a dedicated BLVR program requires significant resources, both from an interventional pulmonology (IP) team and from the medical center. The financial value of this program is important to assess to develop a feasible and sustainable plan for providing this service in the future.
Research Question
Can a BLVR program bring value to a medical center in terms of patient referrals, revenue, and contribution margin?
Study Design and Methods
We retrospectively reviewed the charts of patients who were referred for BLVR to the interventional pulmonology clinic at Beth Israel Deaconess Medical Center (BIDMC). Patient demographics were obtained. Outpatient services used to determine candidacy for endobronchial valve placement were analyzed and revenue was estimated. For patients who had valve placement, revenue from the bronchoscopic procedure and subsequent inpatient hospitalization was calculated and the contribution margin of the procedure was estimated.
Results
An estimated total of $1 to 1.4 million in revenue was generated in the workup and placement of endobronchial valves for 37 patients. The total revenue for the care of 52 patients deemed not to be candidates for the valve procedure was $144,000 to $170,000. The contribution margin for the procedure was estimated to be 25%. The median length of stay was 3 days. Among all 89 patients referred for BLVR, 26 referrals were made to other specialties at BIDMC during workup. Of these patients, 69.6% were new patients referred to BIDMC for BLVR.
Interpretation
In addition to the established therapeutic benefit of BLVR for patients with COPD, a BLVR program in a dedicated, specialized center is economically valuable and sustainable, attracts referrals from other medical centers and health care systems, and generates internal referrals within the medical center.
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