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Health economic a nalysis of the one s top Haematuria Clinic at Fremantle Hospital

No. 205. Health economic a nalysis of the one s top Haematuria Clinic at Fremantle Hospital. Callum LOGAN†*, Ian LI", Cynthia HAWKS† º, Claire JOHNSON", Fran LEE† and Dickon HAYNE†* º

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Health economic a nalysis of the one s top Haematuria Clinic at Fremantle Hospital

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  1. No. 205 Health economic analysis of the one stop Haematuria Clinic at Fremantle Hospital Callum LOGAN†*, Ian LI", Cynthia HAWKS† º, Claire JOHNSON", Fran LEE† and Dickon HAYNE†* º † Fremantle Hospital, Urology Department , Fremantle, Western Australia, Australia; * University of Western Australia, School of Surgery, Western Australia, Australia; º Western Australian Urologic Research Organisation, Perth, Western Australia, Australia; " University of Western Australia, School of Population Health, Perth, Western Australia, Australia Posters Proudly Supported by: Introduction We have previously reported on the clinical outcomes of the first 500 patients (May 2008 – February 2011) from the One Stop Haematuria Clinic (OSHC) at Fremantle Hospital.1 This is a rapid access/diagnostic clinic for the investigation of haematuria. This is a report of a preliminary economic analysis that has been conducted comparing the OSHC and a conventional public hospital outpatient clinic (OPC) model of care. • Results • Direct personnel salary savings (1000) patients to date seen by the OSHC = $73 000 • The above savings of $73 per patient reflect only direct personnel costs (UC/NP/RN). • It does not reflect additional $ savings such as: • Infrastructure and staffing costs involved in two additional outpatient appointments with the OPC model • Additional Patient Assisted Transport Scheme (PATS) costs for rural patients with the OPC model due to additional outpatient appointments Aim Our aim was to evaluate the direct economic cost savings using the OSHC model compared with a conventional outpatient model of care at a tertiary teaching hospital. Methods UC (Urology Consultant) NP (Nurse Practitioner) RN (Registered Nurse) Conclusions The OSHC model of care is an efficient and effective method in the prompt assessment of haematuria, the rapid diagnosis of urologic pathology and subsequent streamlining of further treatment in a public tertiary hospital setting. The economic analysis has also demonstrated that there are substantial cost savings by using the OSHC in comparison to the standard OPC model of care. Acknowledgements References Ooi WL, Lee F, Wallace DMA and Hayne D. 'One stop' haematuria clinic in Fremantle Hospital, Western Australia: a report of the first 500 patients. BJU Int. 2011 Nov;108 Suppl. 2:62-6.

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