alexa The Cost-Benefit from the Perspective of the Hospital of a Proactive Psychiatric Consultation Service on Inpatient General Medicine Services | OMICS International | Abstract
ISSN: 2471-268X

Health Economics & Outcome Research: Open Access
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Research Article

The Cost-Benefit from the Perspective of the Hospital of a Proactive Psychiatric Consultation Service on Inpatient General Medicine Services

Sledge WH1*, Bozzo J2, White-McCullum BA2 and Lee H1

1Department of Psychiatry, Yale School of Medicine, 300 George Street, Suite 901, New Haven, USA

2Yale New Haven Health, 20 York Street, New Haven, USA

*Corresponding Author:
Sledge WH
Department of Psychiatry, Yale School of Medicine
300 George Street, Suite 901, New Haven, CT 06511-6662, USA
Tel: (203) 214-3002
E-mail: [email protected]

Received date: October 05, 2016; Accepted date: November 04, 2016; Published date: November 11, 2016

Citation: Sledge WH, Bozzo J, White McCullum BAW, Lee H (2016) The Cost-Benefit from the Perspective of the Hospital of a Proactive Psychiatric Consultation Service on Inpatient General Medicine Services. Health Econ Outcome Res Open Access 2:122. doi: 10.4172/2471-268x/1000122

Copyright: © 2016 Sledge WH, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.


Objective: Co-occurring mental illness and substance abuse disorders, highly prevalent in general medical inpatients, are associated with longer Lengths of Stay (LOS) and higher costs. We examined the increased financial costs and benefits associated with a proactive multidisciplinary intervention, the Behavioral Intervention Team (BIT) relative to the fiscal benefit.

Methods: Costs and benefits associated with a Conventional Consultation Liaison (CCL) model and the BIT on three general inpatients units of a tertiary care hospital in a before-and-after design.

Results: Inpatients seen by the BIT had reduced LOS, resulting in lower per-case costs and incremental revenue from new cases. Total financial benefit when offset by additional BIT personnel costs resulted in a return of investment of 1.7:1.

Conclusion: Compared to the reactive CCL model, the proactive BIT resulted in significant financial benefit. Further study is needed to examine the impact of BIT model on quality of patient care and staff satisfaction.


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