TABLE 3

High-Cost Inpatient Cost Drivers

Cost DriverPatients
Complications, %49
Futile treatment, %6
Failure to identify family’s preference of care, %9
System errors, %65
 Delay in the next step of care33
 Inappropriate inpatient service14
 Attending variability24
 Inadequate care coordination5
 Higher level of care than necessary31
Preventable admissions, %22
Complex family dynamics, %11 (2 families with both subthemes)
 Disruptive family behavior7
 Lack of adherence6
Expensive diagnosis with no other cost driver, %15
No. of cost drivers per patient
 No. of cost drivers
  Expensive diagnosis only15
  136
  233
  312
  42
  52