Observation unit economics

Heart Fail Clin. 2009 Jan;5(1):101-11, vii. doi: 10.1016/j.hfc.2008.08.008.


With an aging population, the United States health care delivery system is struggling to handle an onslaught of chronic disease burden. The current process of regulatory oversight and pay-for-performance reimbursement is a reality in today's health care delivery system. To maintain profitability, facilities must be willing to implement new strategies that marry operational redesign, quality care, and cost-effective treatment. As payers increasingly favor outpatient strategies for patient management, inpatient facilities must develop effective strategies to shift inpatient care into ambulatory settings. This article presents a model, based on acute heart failure, that offers a solution that is fixed on process improvement techniques that levy positive economic impact.

MeSH terms

  • Cardiovascular Diseases / economics
  • Cost of Illness
  • Cost-Benefit Analysis
  • Emergency Service, Hospital / economics*
  • Emergency Service, Hospital / organization & administration
  • Heart Failure / economics
  • Heart Failure / epidemiology
  • Heart Failure / therapy*
  • Hospitalization / statistics & numerical data*
  • Humans
  • Length of Stay / statistics & numerical data
  • Medicare / economics
  • Models, Organizational
  • United States / epidemiology