Pneumonia – Diagnosis

In 2014, US healthcare spending exceeded $3.0 trillion with nearly 1/3 spent on hospitalizations. Informed by real-world data from an Electronic Health Record (EHR) database of clinical and administrative records spanning 273 million encounters for 60 million patients in 600+ hospitals across the US, Boston Strategic Partners (BSP) Real World data report, Hospital-Treated Pneumonia: Diagnosis, estimates 30% of all hospital discharges involve treatment of infectious organisms. Pneumonia is responsible for an estimated 12% of all hospital stays. At an average cost of $15,500 per occurrence, we estimate that hospitalizations for severe infections account for around $212 billion in annual spending or 7% of total healthcare expenditure. In this report, we conduct an in-depth analysis of pneumonia patient characteristics, costs, and laboratory testing.

Hospital-Treated Pneumonia: Diagnosis

Gram-negative bacteria are the likely causative agents of most pneumonia infections. From 2010-2015, drug resistant organisms caused a surprising 20% of bacterial pneumonia infections. Hospital-Treated Pneumonia: Diagnosis is part one of a two-part series on hospital-treated sepsis. This report provides quantitative, objective data using real-world patient encounters and reflects real physician diagnostic decisions and encounter characteristics (e.g. admissions and lab testing) in key areas, such as antibiotic resistant pathogens.

Diagnosis: Table of Contents 

  1. Patient Flow
  2. Executive Summary
  3. Incidence and Impact of Disease
    • Incidence
    • Length of Stay
    • Total Cost
  4. Patient Demographics
    • Age
    • Insurance type
    • Gender
    • Region
    • Mortality
    • Comorbid Conditions
  5. Patient Segmentation by Diagnostic Testing
    • Causative Etiologic Agent
  6. Length of Stay and Cost by Patient Segment
    • Age at Admission
    • APACHE II Score
    • First Care Setting
  7. Patient Flow through the Hospital
    • Admission Site
    • Lab Testing
    • Lab TAT
    • Results
    • Etiology
  8. Drug Resistant Pneumonia
    • Current Trends
    • Costs
    • Comorbidity
    • LOS
    • Mortality
  9. Database Overview
  10. Methodology

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