Abstract 20308: Impact of Standardized Clinical Assessment and Management Plans on Resource Utilization in Children With Aortic Regurgitation
Introduction: Standardized Clinical Assessment and Management Plans (SCAMPs) are a quality improvement initiative designed to reduce unnecessary utilization, decrease practice variation and improve patient (pt) outcomes. The Aortic Regurgitation (AR) SCAMP algorithms focused on the outpatient management of patients with isolated AR. Using multiple longitudinal encounters, we sought to assess the impact of the AR SCAMP on total costs compared to a historical control cohort.
Methods: All AR SCAMP pts (enrollment dates 9/09-7/15) were compared to a historical control group (1/01-8/09). Pts ≥ 2 yrs old were included in the analysis. A SCAMP managed episode of care (SMEOC) was defined as 3 years in length. Utilization during a SMEOC included all cardiology visits, diagnostic tests, and procedures. Standardized costs were applied to each unit of utilization.
Results: There were 88 SCAMP and 80 historical pts. There was no significant difference in the frequency of pts with ≥ moderate AR (p=0.09). Resource utilization by cohort is shown in the table. SCAMPs reduced average outpatient clinic visits by 34%, chest radiographs by 57%, and echocardiograms by 32%. Similar savings were realized in outpatient clinic visits and echocardiograms when dichotomized by patients with ≥ moderate AR. There was no difference in number of deaths or surgeries between the historical and SCAMP cohorts. Including all expenditures, the AR SCAMP reduced utilization by 34% and saved $338,865 during the first 6 years of the SCAMP.
Conclusions: SCAMPs can reduce resource utilization and costs in pts with AR without affecting outcomes.
Author Disclosures: R.H. Rathod: None. B. Jurgen: None. L.A. Sleeper: None. M. Lu: None. K.G. Friedman: None. J.E. Lock: None. S.D. Colan: None.
- © 2016 by American Heart Association, Inc.