Documenting Effectiveness

These selected publications contain information on the benefits of HELP and include data that may be helpful to you during your presentation to your administration. Some selected program highlights are listed below.

HELP is cost-effective for both hospital and long-term costs

Through prevention of delirium and falls, for each hospital HELP saves $800 per patient or $1.3 million per year. Additional cost savings of over $2.0 million per year are anticipated through reducing lawsuits for iatrogenic complications. See table below for more references on cost-savings from HELP.

Reference Results Summary
Rubin FH (2011) Journal of the American Geriatrics Society >$7.3 million per year savings in hospital costs (>$1000 savings/patient)
Rizzo JA (2001) Medical Care $831 savings per person-year in hospital costs 
Leslie DL (2005) Journal of the American Geriatrics Society $9,446 per person-yr in nursing home costs
Caplan GA (2007) Internal Medicine Journal $121,425 per year savings in sitter costs, decreased delirium incidence
Inouye (2006) Journal of the American Geriatrics Society Enhances patient satisfaction and improves nursing job satisfaction, serves as training resource, improves public relations and community outreach

HELP offers many advantages to sites

In addition to improving quality of care and outcomes for older persons, HELP serves as an educational and training resource; improves nursing job satisfaction and retention; enhances patient and family satisfaction with care, creates a center of excellence in geriatrics at the institution, and improves public relations and community outreach. See table below for references about how HELP can impact hospital outcomes.

Reference Results Summary
Rubin 2011 23% reduced delirium incidence, decreased hospital length of stay by .7 days. 
Chen 2011 17% reduced delirium incidence
Caplan 2007 32% reduced delirium incidence, decreased hospital length of stay by 4.3 days, reduced institutionalization by 23%, decreased falls by 13%, decreased sitter use by 314 hours
Rubin 2006 15% reduced delirium incidence, decreased hospital length of stay by .3 days
Inouye 1999 5% reduced delirium incidence
Inouye 2000 18% reduction in cognitive decline, 19% reduction in functional decline
Inouye 2009 2% reduction in falls