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Table 3 Economic cost analysis: comparison pre and post implementation of the Let Me Decide Advanced Care Planning (LMD-ACP) programme (gross costings)

From: Economic (gross cost) analysis of systematically implementing a programme of advance care planning in three Irish nursing homes

Unit of analysis

Parameter

Pre implementation (Jan 2010–Jun 2012)

Post implementation (July 2013–Jun 2015)

Difference

 

Probability of Hospitalisation per residenta

0.28

0.15

 

Total Hospitalisation Episodes Nationallyb

9186

4824

4362

 

Length of Stay LMD-ACP

7.02

9.07

2.05

a. Episode of care

€4081/Episodec

€37,487,265

€19,686,419

€17,800,847

b. Length of stay

€491/day DRGd

€31,630,876

€21,472,704

€10,158,173

Ambulance transfers

€97/transfere

€891,761

€468,308

€423,453

  1. aBased on data from this LMD-ACP study
  2. bBased on 33,000 nursing home beds nationally
  3. cBased on average inpatient case mix cost across common diagnosis related groups (DRGs)
  4. dDaily average from inpatient case mix cost across common DRGs
  5. eGannon et al. [32]