Utilizing Visually Guide Urinary Catheterization through the use of DirectVision® lower costs and increase savings to the hospitals in four ways including:
- Cost savings by avoiding many current blind placement procedures for Difficult Urinary Catheterizations (DUC).
- Reduction of catastrophic events and future corrective surgeries.
- Positive net incremental revenue per procedure.
- Can help reduce HAC score and avoid future penalties.
Cost Savings by Reducing Blind Placement Procedures for DUC
The state-of-the-art algorithm to resolve blind DUC is expensive, time consuming, and involves several providers, multiple procedures and a variety equipment, and numerous supplies.
Current steps include:
- 1st attempt/procedure: First Nurse attempt with standard catheter and kit
- 2nd attempt/procedure: Second Nurse attempt with a second standard catheter and kit, and coudé (specialty catheter)
- 3rd attempt/procedure: Resident/urologist with coudé and kit
- 4th attempt/procedure: Resident/urologist with flexible cystoscope (assessment)
- Flexible cystoscope, guidewire and council tip coudé catheter (placement)
- 5th attempt/procedure: Urologist with rigid cystoscope in the operating room and or alternatively
- 6th attempt/procedure: Resident/urologist/radiologists places a suprapubic catheter
If the injuries caused during blind insertions at the first two stages could be eliminated, urologist uniformly agree that many urological procedures (stages 3-6) are avoidable. These procedures involving urologists are the most expensive. In contrast to the traditional expensive multi-provider, multi-step process for blind DUC placements, DirectVision® is typically a one-provider, one-procedure solution.
Avoiding Catastrophic Events and Future Corrective Surgeries
Avoiding just one balloon inflation in the urethra or one urosepsis per year, which can cost $40,000 to $50,000 per case (assuming the hospital does not face a mortality event), easily pays for the DirectVision® System and all supplies for a year. Further cost savings can be realized by avoiding future corrective surgeries caused from injuries during blind placement (instrumentation). Corrective surgeries can range from $8,000 to $17,000.
For more information, see Incidence of Foley Catheterr Related Urethral Injury, Scott and White, Temple TX.
Positive Net Incremental Revenue per Procedure of approximately $300 per procedure.
As one example, within the Emergency Department, cost of goods for the hospital to place a DirectVision® catheter is $248, which is less than half of the national unadjusted CMS facility fee of $548. This difference yields net incremental revenue per procedure of $300. In addition, there is the physician professional fee of $129, with mid-levels billing at 85% when the professionals are employed by the hospital. The third component of revenue is the applicable E/M consultation fee, which is approximately $85.
For more information on DirectVision Reimbursement see the Hospital Reimbursement Snapshot.
Prevent Future Hospital Acquired Conditions (HAC) Penalties
The CMS penalizes hospital that have a Hospital Acquired Condition (HAC) score of 7 or more. As part of the penalty program, hospitals are fined one percent of their Medicare net patient revenue which can cost hospitals millions annually. CAUTI is about 32% of the HAC formula and with DirectVision®, providers have the ability to avoid trauma and injury, which is one of the highest risk factors for CAUTI.