Promoting Excellence : Chart Review Cost Data Collection Form

Name:
Cardinal Glennon Footprints: Chart Review Cost Data Collection Form

Definition:
This form is used for determining costs of care and/or service utilization.

Category:
Evaluation Tools - Cost/Utilization

Source:
SSM Cardinal Glennon Children's Hospital
1465 South Grand Boulevard
St. Louis, MO 63104
www.footprintsatglennon.org

Contact:
Mary Ann Collins, MHA
[email protected]

How the grantee used this instrument:
The form was used in collecting data from 1998 records of all inpatient visits of children who have died.

Keywords:
pediatrics, costs of care form, cost analysis, utilization data

To use this tool:
You may print and copy this tool for your own use from this site. Please credit source.

References:
Developed specifically for this project by the project team. Copyright 2001 Footprints at SSM Cardinal Glennon Children's Hospital. All Right Reserved.

To view this tool:
To view the tool in your browser left-click on the link below or to download to your computer right-click on the link.
pdf PDF 112 KB / 4 pages

Posted June 30, 2003

SSM Cardinal Glennon Children's Hospital overview page


# GLEN10, type:cost/utilization

Promoting Excellence in End-of-Life Care was a national program of the Robert Wood Johnson Foundation dedicated to long-term changes in health care institutions to substantially improve care for dying persons and their families. Visit PromotingExcellence.org for more resources.

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