In multiple studies, HELP has been demonstrated to be effective for prevention of many adverse outcomes of hospitalization:
- Delirium prevention and quality improvement (Zaubler 2013)
- Prevention of delirium (Rubin 2011, Chen 2011, Caplan 2007, Rubin 2006, Inouye 1999)
- Prevention of functional decline (Inouye 2000)
- Prevention of cognitive decline (Inouye, 2000)
- Decreased hospital length of stay (Rubin 2011, Caplan 2007, Rubin 2006)
- Reduced nursing home placement (Caplan 2007)
- Decreased rate of hospital falls (Inouye 2009, Caplan 2007)
- Decreased sitter use (Caplan 2007)
HELP is also cost saving across multiple studies. The savings more than offset the cost of the intervention, thus, the program is actually cost-saving.
- HELP saves >$7.3 million per year in hospital costs for 7,000 patients; >$1,000 savings per patient (Rubin 2011)
- HELP saves $831 per person-year in hospital costs (Rizzo 2001)
- HELP saves $9,446 per person-year in long-term nursing home costs (Leslie 2005)
- HELP saves $121, 425 per year in sitter costs across 111 patients (Caplan 2007)
Based on the evidence, HELP saves about $10,000 per patient per year in healthcare costs. Extrapolated nationally, the cost savings from implementing HELP would be over $20 billion per year.
HELP has been demonstrated to be effective at multiple dissemination sites (Inouye, 2006); thus, HELP can be the solution to improve eldercare at your hospital!
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