A comparison of intensive care unit physician staffing costs at the 3 Mayo Clinic sites

Eric L. Bloomfield, Gavin D. Divertie, Charles Dwayne Burger, Joel S. Larson, Daniel R. Brown, Bhavesh M. Patel, Mohamed Y. Rady, Margaret Johnson, Michael J. Murray

Research output: Contribution to journalArticle

2 Citations (Scopus)

Abstract

OBJECTIVES: To determine the provider cost of administering intensive care unit (ICU) services, computing 3 different staffing models for ICU coverage, and to compare the costs of using house staff vs nonphysician providers (NPPs). METHODS: Data were collected on total staff composition and number of beds in ICUs from January 1, 2004, through December 31, 2004, at the 3 Mayo Clinic sites: Rochester, Minn; Jacksonville, Fla; and Scottsdale, Ariz. Institutional or national average staff salaries were used to determine total staffing costs per ICU bed per year at each site. Medicare medical education reimbursements were also taken into account. RESULTS: Costs per ICU bed for physician staffing were $18,630 in Rochester, $37,515 in Jacksonville, and $38,010 in Scottsdale. When NPPs were substituted for house staff, the costs per bed were $72,466 in Rochester, $61,291 in Jacksonville, and $49,909 in Scottsdale. Incremental costs per ICU bed using NPPs were $53,836 in Rochester, $23,776 in Jacksonville, and $11,899 in Scottsdale. CONCLUSION: Use of residents and fallows in ICU staffing at a major tertiary health center is more cost-efficient than use of NPPs. This finding could have implications for the cost of physician services in nonteaching community hospitals and the methods by which care is provided.

Original languageEnglish (US)
Pages (from-to)1457-1461
Number of pages5
JournalMayo Clinic Proceedings
Volume81
Issue number11
DOIs
StatePublished - 2006

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Intensive Care Units
Physicians
Costs and Cost Analysis
Internship and Residency
Salaries and Fringe Benefits
Community Hospital
Medicare
Medical Education
Health

ASJC Scopus subject areas

  • Medicine(all)

Cite this

Bloomfield, E. L., Divertie, G. D., Burger, C. D., Larson, J. S., Brown, D. R., Patel, B. M., ... Murray, M. J. (2006). A comparison of intensive care unit physician staffing costs at the 3 Mayo Clinic sites. Mayo Clinic Proceedings, 81(11), 1457-1461. https://doi.org/10.4065/81.11.1457

A comparison of intensive care unit physician staffing costs at the 3 Mayo Clinic sites. / Bloomfield, Eric L.; Divertie, Gavin D.; Burger, Charles Dwayne; Larson, Joel S.; Brown, Daniel R.; Patel, Bhavesh M.; Rady, Mohamed Y.; Johnson, Margaret; Murray, Michael J.

In: Mayo Clinic Proceedings, Vol. 81, No. 11, 2006, p. 1457-1461.

Research output: Contribution to journalArticle

Bloomfield, EL, Divertie, GD, Burger, CD, Larson, JS, Brown, DR, Patel, BM, Rady, MY, Johnson, M & Murray, MJ 2006, 'A comparison of intensive care unit physician staffing costs at the 3 Mayo Clinic sites', Mayo Clinic Proceedings, vol. 81, no. 11, pp. 1457-1461. https://doi.org/10.4065/81.11.1457
Bloomfield, Eric L. ; Divertie, Gavin D. ; Burger, Charles Dwayne ; Larson, Joel S. ; Brown, Daniel R. ; Patel, Bhavesh M. ; Rady, Mohamed Y. ; Johnson, Margaret ; Murray, Michael J. / A comparison of intensive care unit physician staffing costs at the 3 Mayo Clinic sites. In: Mayo Clinic Proceedings. 2006 ; Vol. 81, No. 11. pp. 1457-1461.
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