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Is there a business case for magnet hospitals? Estimates of the cost and revenue implications of becoming a magnet. | LitMetric

Is there a business case for magnet hospitals? Estimates of the cost and revenue implications of becoming a magnet.

Med Care

*Department of Health Policy and Management, College of Public Health, The University of Georgia, Athens, GA †College of Nursing ‡Department of Health Systems, Management and Policy, University of Colorado-Anschutz Medical Campus, Aurora, CO.

Published: May 2014

AI Article Synopsis

  • Magnet hospitals (MHs) provide better nursing care environments, but it's unclear if they do so at a higher or lower cost compared to non-MHs and if they generate more net patient revenue over time.
  • The study analyzed data from various health organizations between 1998 and 2006 to understand the relationship between achieving Magnet status and subsequent inpatient costs and revenues.
  • Results indicated that MH status leads to an increase in both inpatient costs (2.46%) and net inpatient revenues (3.89%), with MHs averaging an additional $104-$127 in income per discharge, which can total over $1.2 million annually.

Article Abstract

Background: Although Magnet hospitals (MHs) are known for their better nursing care environments, little is known about whether MHs achieve this at a higher (lower) cost of health care or whether a superior nursing environment yields higher net patient revenue versus non-MHs over an extended period of time.

Objective: To examine how achieving Magnet status is related to subsequent inpatient costs and revenues controlling for other hospital characteristics.

Data And Methods: Data from the American Hospital Association Annual Survey, Hospital Cost Reporting Information System reports collected by Centers for Medicare & Medicaid Services, and Magnet status of hospitals from American Nurses Credentialing Center from 1998 to 2006 were combined and used for the analysis. Descriptive statistics, propensity score matching, fixed-effect, and instrumental variable methods were used to analyze the data.

Results: Regression analyses revealed that MH status is positively and significantly associated with both inpatient costs and net inpatient revenues for both urban hospitals and all hospitals. MH status was associated with an increase of 2.46% in the inpatient costs and 3.89% in net inpatient revenue for all hospitals, and 2.1% and 3.2% for urban hospitals.

Conclusions: Although it is costly for hospitals to attain Magnet status, the cost of becoming a MH may be offset by higher net inpatient income. On average, MHs receive an adjusted net increase in inpatient income of $104.22-$127.05 per discharge after becoming a Magnet which translates to an additional $1,229,770-$1,263,926 in income per year.

Download full-text PDF

Source
http://dx.doi.org/10.1097/MLR.0000000000000092DOI Listing

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