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Nutrition in Clinical Practice
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Nutrition Support Team Recommendations Can Reduce Hospital Costs

Margot F. Roberts, MSN, RN, CNSN

Division of Gastroenterology and Nutrition, Department of Medicine, Albert Einstein Medical Center and Temple University School of Medicine, Philadelphia

Gary M. Levine, MD

Division of Gastroenterology and Nutrition, Department of Medicine, Albert Einstein Medical Center and Temple University School of Medicine, Philadelphia

Providing nutrition support may be costly to hospitals under the prospective payment system. A nutrition support team, however, can be effective in controlling costs. To demonstrate the importance of the nutrition support team and to quantify the potential cost savings that can be achieved, a retrospective review of the effect of our team on hospital costs was conducted for the 12-month period of October 1989 to September 1990. The team supervises but does not regulate the use of total parenteral nutrition (TPN). During this time period, 176 patients received TPN. In 14 patients, the use of TPN was inappropriate, representing $65,349 in excess costs. After the cost of providing enteral nutrition to these patients (estimated at $2,430) was deducted, a net loss of $62,919 occurred. Nutrition support team action saved an additional $45,186 in hospital charges when recommendations to discontinue TPN were eventually heeded. Nutrition support team approval before TPN is initiated would achieve cost savings.

Nutrition in Clinical Practice, Vol. 7, No. 5, 227-230 (1992)
DOI: 10.1177/0115426592007005227
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This article has been cited by other articles:


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 Nutr Clin PractHome page
T. A. Fessler
Appropriateness of Adult Parenteral Nutrition Use in a Large Hospital
Nutr Clin Pract, June 1, 2001; 16(3): 153 - 157.
[Abstract] [PDF]

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 Nutr Clin PractHome page
E. S. Dodds, J. D. Murray, K. M. Trexler, and J. P. Grant
Metabolic Occurrences in Total Parenteral Nutrition Patients Managed by a Nutrition Support Team
Nutr Clin Pract, April 1, 2001; 16(2): 78 - 84.
[Abstract] [PDF]