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Thesis Help: PICC Line Costs In Hospitals

Thought this would be one great resource for the Thesis help I need.  Please help with direct input & insights as well as resource/reference (article) suggestions.


I am trying to answer 2 questions:

1. What is the actual cost of 'PICC Line Insertions' in a hospital.

2. Do hospitals routinely lose money on PICC Line insertions.



This sounds like a perfect
This sounds like a perfect question for Kathy Kokotis.
Try these for a start: 1.

Try these for a start:

1. Robinson,Malcolm K. MD, Mogensen,K, Grudinskas,G, Kohler,S, Jacobs,D. Improved care and reduced costs for patients requiring peripherally inserted central catheters: the role of bedside ultrasound ans a dedicated team. Journal of Parenteral and Enteral Nutrition 2005:29 (374-379)

2. David,J, Kokotis,K. A new perspective for PICC line insertions: Cost effectiveness associated with an independent PICC service. Journal of the Association of Vascular Access Vol 9,No. 2 June 2004 (93-98)

. Hornsby,S,Matter,K, Beets,B, Casey,S,Kokotis,K. Cost losses associated with the "PICC,stick and run team" concept. Journal of Intravenous Nursing Vol 28(1),Jan/Feb 2005 (45-53)

7. Kokotis,K. Cost containment and infusion services. Journal of Infusion Nursing Vol 28,No3S May/June 2005 (S22-32)


Hospitals do not loose money
Hospitals do not loose money by inserting PICCs, when they are chosen for the correct placements. Consider this- the operational cost of placing a PIV is around $35 to $40 and a PICCs operational cost of insertion is $330 (new figure reported by Jamie Bowen at AVA this year). The average number of attempts reported to insert 1 PIV is 2.18 (2.35 for peds). So this means that it will cost the hospital about $78.30 to get 1 PIV established. If the patient requires more than 4 sites, they have exceeded the cost of PICC insertion. These are not patient charges, but hospital operational costs. So when therapy is indicated for more than a week or when the patients veins are terrible, a PICC can save money for the hospital. But this is not about what money is going to be reimbursed to the hospital. It is about cost-containment so the hospital can retain a greater portion of the capitated fee (DRG, HMO, etc) that they are receiving. Lynn

Lynn Hadaway, M.Ed., RN, BC, CRNI

Lynn Hadaway Associates, Inc.

126 Main Street, PO Box 10

Milner, GA 30257


Office Phone 770-358-7861

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