Journal of Medical Toxicology

, Volume 4, Issue 4, pp 221–224 | Cite as

Poison control centers decrease emergency healthcare utilization costs

  • Frank LoVecchio
  • Steven C. Curry
  • Kathleen Waszolek
  • Jane Klemens
  • Kimberly Hovseth
  • Diane Glogan
Toxicology Investigations

Abstract

Introduction

Patient home management by a regional poison control center has potential to save public healthcare dollars by preventing unnecessary utilization of emergency department services. We wished to conservatively quantify such savings at a large regional poison center and compare savings to funds received in state support.

Methods

Banner Poison Control Center (BPCC) serves a population of about four million in central AZ. A telephone survey of callers who were managed at home in February and March of 2007 after nontoxic exposures was used to calculate what percentage of such callers would have sought unnecessary medical care in emergency departments. Twelve emergency departments geographically dispersed in the region were surveyed, and a state database of hospital charges was queried to determine hospital charges and physician professional charges for conservative management of a patient who would have been advised to remain at home by BPCC.

Results

BPCC managed 28,883 callers at home in 2007. Seventy percent of home-managed patients would have sought unnecessary care in emergency departments. Using most conservative assumptions, a median of $33 million [range $18 million to $45 million] in unnecessary health care charges were prevented by BPCC home-management in 2007. A median of about $36 in unnecessary health care charges were prevented for each dollar of state funding BPCC received.

Conclusions

Home management by BPCC provides large dollar savings to residents compared to dollars received in state support.

Keywords

Poison control centers health care utilization cost savings 

References

  1. 1.
    Miller TR, Lestina DC. Costs of poisonings in the United States and savings from poison control centers: a benefit-cost analysis.Ann EmergMed 1997; 29: 239–245.CrossRefGoogle Scholar
  2. 2.
    Chafee-Bahamon C, Lovejoy FH: Effectiveness of a regional poison center in reducing excess emergency room visits for children’s poisonings.Pediatrics 1983; 72: 164–169.PubMedGoogle Scholar
  3. 3.
    Kearney TE, Olson KR, Bero LA, Heard SE, Blanc PD: Health care cost effects of public use of a regional poison control center.Western J Med 1996; 162: 449–504.Google Scholar
  4. 4.
    King WD, Palmisano PA: Poison control centers: Can their value be measured?South Med J 1991; 84: 722–726.PubMedGoogle Scholar

Copyright information

© American College of Medical Toxicology 2008

Authors and Affiliations

  • Frank LoVecchio
    • 1
    • 3
  • Steven C. Curry
    • 1
    • 2
    • 3
  • Kathleen Waszolek
    • 3
  • Jane Klemens
    • 3
  • Kimberly Hovseth
    • 3
  • Diane Glogan
    • 3
  1. 1.Department of Medical ToxicologyBanner Good Samaritan Medical CenterPhoenix
  2. 2.Department of MedicineBanner Good Samaritan Medical CenterPhoenix
  3. 3.Banner Poison Control Center, Banner Good Samaritan Medical CenterPhoenix

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