Economic (gross cost) analysis of systematically implementing a programme of advance care planning in three Irish nursing homes

Table 4 Scenario analysis: comparison pre and post implementation of the Let Me Decide Advanced Care Planning (LMD-ACP) programme (gross costings)

Scenario	Pre implementation (January 2010–June 2012)	Post implementation (July 2013–June 2015)	Difference
1. LOS—reference hospital data^a and €491/day^c	€44,594,350	€20,304,890	€24,289,461
2. LOS—LMD-ACD data^b and €857/day^d	€55,232,926	€37,495,017	€17,737,909
3. LOS—reference hospital data and €857/day^d	€77,869,371	€35,455,814	€42,413,557

^aBased on reference hospital length of stay (LOS) data
^bBased on LMD-ACD LOS data
^cDaily average from inpatient case mix cost across common diagnosis related groups (DRGs)
^dBDO International auditors’ data [33]

ISSN: 1756-0500