Reducing a peritoneal dialysis program's cost by changing from a vendor-provided to a program-provided system for general medical supplies: significant savings in CCPD

American Journal of Kidney Diseases : the Official Journal of the National Kidney Foundation
J L HolleyN Caswell

Abstract

An examination of the costs associated with outpatient chronic peritoneal dialysis prompted us to investigate the charges for general medical supplies used by patients on continuous ambulatory peritoneal dialysis (CAPD) and continuous cycling peritoneal dialysis (CCPD) in our hospital-owned, not-for-profit peritoneal dialysis program. The items used by patients to perform their dialysis exchanges and daily exit site care included 4 x 3 and 2 x 2 sterile gauze pads, antibacterial soap, masks, tape, and betadine swabsticks. The charges for these supplies when purchased from the dialysis vendor were compared with charges for the same items if purchased directly from hospital stores by the peritoneal dialysis program and then distributed to the patients. This initial analysis suggested a considerable savings if the peritoneal dialysis program provided the supplies. Based on this estimated savings, in July 1995, the peritoneal dialysis program changed from a vendor-provided to a program-provided system for general supplies used by CAPD and CCPD patients. This study examined the differences in charges expressed as $/patient-month for two periods: July 1994 to June 1995 (when all general medical supplies were provided by dialysis vend...Continue Reading

Citations

Nov 20, 2002·Seminars in Dialysis·Jimmy Wilson, Allen R Nissenson
Apr 27, 1999·Behavioral Sciences & the Law·H M Berven, P D Blanck
Jun 3, 2021·Peritoneal Dialysis International : Journal of the International Society for Peritoneal Dialysis·Klara PaudelNishanthe Nanayakkara

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