title: Outlier management. Influencing the highest resource-consuming areas in acute and critical care.
abstract: Outliers account for a large amount of technology utilization and resources consumed in acute care, despite accounting for only a small portion of the total patient population. Most current efforts to reduce costs, such as re-engineering and downsizing, are nonspecific methods of controlling costs. Focusing efforts in high-cost areas, such as outlier management, is much more likely to improve patient care and improve the use of technology while achieving real advances in cost control. Most hospitals will have to build an infrastructure to support outlier management, which includes developing clinical staff. These processes will take time and careful planning, but they are essential for the effective management of technology utilization and outliers. The failure to employ focused efforts like outlier management will result in the superficial treatment of high costs in acute care. The benefit to employing these methods leads to the best use of technology and the improved management of a difficult patient population.
authors.affiliation: Department of Critical Care, Barnes-Jewish Hospital, Washington University Medical Center, St. Louis, Missouri, USA.
authors.forename: T
authors.initials: T
authors.lastname: Ahrens
mesh_terms: D000208:Acute Disease / Q000191:economics*; D003422:Critical Care / Q000191:economics*; D015276:Health Care Rationing / Q000191:economics; D006295:Health Resources / Q000191:economics*; D017721:Hospital Costs / Q000706:statistics & numerical data*; D006801:Humans; D016311:Outliers, DRG / Q000191:economics*; D013675:Technology, High-Cost / Q000191:economics