Prospective study of cost of care at multidisciplinary ALS centers adhering to American Academy of Neurology (AAN) ALS practice parameters

Kevin Boylan, Todd Levine, Catherine Lomen-Hoerth, Mary Lyon, Kimberly Maginnis, Peter Callas, Celeste Gaspari, Rup Tandan

Research output: Contribution to journalArticle

10 Citations (Scopus)

Abstract

Multidisciplinary care in ALS is associated with longer survival, improved quality of life, and reduced hospital admissions, but there are no published data on institutional costs associated with multidisciplinary ALS care at U.S. centers. We prospectively examined institutional costs, adherence to AAN Practice Parameters and patient satisfaction in multidisciplinary ALS clinics at 18 U.S. ALS centers. Centers reported patient volumes; direct costs for staff salary/benefits, supplies and equipment; and institutional non-salary and overhead costs over a three-month period. In 1117 patients seen during this period, mean age was 61.5 years (range 25-91 years), 56% were male, and mean ALSFRS-R score was 29. Mean total salary/benefit cost per clinic day for all providers was $2964 (range $1692-$5236 across centers). Mean salary/benefit cost per patient per clinic was $507 (range $258-$806 across centers). Differences among centers in reporting non-salary costs prevented meaningful analysis. Practice parameter adherence and patient satisfaction were high. This prospective collaborative study demonstrates the direct financial burden of evidence-based multidisciplinary ALS care in the U.S.; more refined non-salary and overhead cost data are needed to evaluate the full cost impact of care. These data may be useful in supporting evidence-based models of patient centered care for ALS.

Original languageEnglish (US)
Pages (from-to)119-127
Number of pages9
JournalAmyotrophic Lateral Sclerosis and Frontotemporal Degeneration
Volume17
Issue number1-2
DOIs
StatePublished - Feb 17 2016

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Prospective Studies
Costs and Cost Analysis
Salaries and Fringe Benefits
Patient Satisfaction
Cost-Benefit Analysis
Guideline Adherence
Patient-Centered Care
Neurology
Quality of Life
Equipment and Supplies
Survival

Keywords

  • Amyotrophic lateral sclerosis
  • health care economics
  • multidisciplinary care

ASJC Scopus subject areas

  • Clinical Neurology
  • Neurology

Cite this

Prospective study of cost of care at multidisciplinary ALS centers adhering to American Academy of Neurology (AAN) ALS practice parameters. / Boylan, Kevin; Levine, Todd; Lomen-Hoerth, Catherine; Lyon, Mary; Maginnis, Kimberly; Callas, Peter; Gaspari, Celeste; Tandan, Rup.

In: Amyotrophic Lateral Sclerosis and Frontotemporal Degeneration, Vol. 17, No. 1-2, 17.02.2016, p. 119-127.

Research output: Contribution to journalArticle

Boylan, Kevin ; Levine, Todd ; Lomen-Hoerth, Catherine ; Lyon, Mary ; Maginnis, Kimberly ; Callas, Peter ; Gaspari, Celeste ; Tandan, Rup. / Prospective study of cost of care at multidisciplinary ALS centers adhering to American Academy of Neurology (AAN) ALS practice parameters. In: Amyotrophic Lateral Sclerosis and Frontotemporal Degeneration. 2016 ; Vol. 17, No. 1-2. pp. 119-127.
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