000010128 001__ 10128
000010128 005__ 20240124114338.0
000010128 0247_ $$2DOI$$a10.6083/ww72bc32z
000010128 037__ $$aETD
000010128 245__ $$aCost savings when nuclear medicine pulmonary flow scan eliminated from surveillance  in pediatric pulmonary vein stenosis management
000010128 260__ $$bOregon Health and Science University
000010128 269__ $$a2023
000010128 336__ $$aFinal project
000010128 502__ $$bD.N.P.
000010128 520__ $$a Pulmonary vein stenosis (PVS) in children is challenging to treat and requires close surveillance to determine disease progression and need for intervention. Despite advances in care for patients with PVS in recent years, evidence-based practices for surveillance have not yet been established. Thus, a lack of consensus in surveillance and variation in surveillance screening practices persists. The standard surveillance at one PVS center is echocardiogram (ECHO) and nuclear medicine pulmonary flow scan (NMPFS). To decrease cost and risk associated with NMPFS, the expert opinion at this PVS center at an academic center explored novel ECHO reading in comparison with NMPFS of 12 pediatric patients retrospectively. This project determined the annual cost savings per year when routine NMPFS was eliminated for pediatric patients (n = 12) with PVS was $51,502.00. There was a significant savings between pediatric patients and their families who traveled more frequently to the PVS center at the academic center (n = 7) to those pediatric patients and their families who traveled only one time per year to the PVS center (n = 5); t (5) = 2.02, p = 0.0002. To decrease healthcare costs and eliminate unnecessary procedures for children with PVS, this quality improvement project provided a cost-savings analysis when NMPFS is eliminated from standard surveillance. 
000010128 650__ $$aHealth Care Costs$$029646
000010128 650__ $$aUnnecessary Procedures$$031694
000010128 650__ $$aMedical Overuse$$011385
000010128 650__ $$aCosts and Cost Analysis$$017146
000010128 6531_ $$apulmonary vein stenosis
000010128 6531_ $$aprevention and control
000010128 691__ $$aSchool of Nursing$$041370
000010128 7001_ $$aLaBarge, Sara K.
000010128 7001_ $$uOregon Health and Science University$$041354
000010128 8564_ $$966d9f6af-79df-4359-99ba-5b1f914c6329$$s704024$$uhttps://digitalcollections.ohsu.edu/record/10128/files/LaBarge.Sara.2023.pdf
000010128 905__ $$a/rest/prod/ww/72/bc/32/ww72bc32z
000010128 909CO $$ooai:digitalcollections.ohsu.edu:10128$$pstudent-work
000010128 980__ $$aTheses and Dissertations