This site is not optimized for Internet Explorer 8 (or older).

Please upgrade to a newer version of Internet Explorer or use an alternate browser such as Chrome or Firefox.

Cost Analysis of Physician Assistant Home Visit Program to Reduce Readmissions After Cardiac Surgery

Tuesday, August 23, 2016

Submitted by


Source Name: Annals of Thoracic Surgery


John P. Nabagiez, MD, Masood A. Shariff, MD, William J. Molloy, PA-C, MPH, Seleshi Demissie, DrPH, Joseph T. McGinn Jr., MD

This retrospective study analyzed the relative cost-effectiveness of a physician assistant home care (PAHC) program in terms of readmission rates, length of stay, and health care cost.  The study hospital switched from a conventional discharge treatment plan (control) in September 2010 to a PAHC program.  A total of 1,185 patients who were discharged home after cardiovascular surgery were included in the analysis.

The authors found the following:

  • Readmission rates decreased by 41% for propensity-matched patients.
  • There was no signifiant difference in LOS.
  • Institution of the PAHC program saved $39 for every incremental dollar spent on the program.  

Comment:  Accordingly, this single center study suggests that the institution of a PA (or NP) home visit program may be extremely cost-effective.  This is a strategy that may make a great deal of sense of bundling of payments for cardiovascular services becomes mainstream.


Add comment

Log in or register to post comments