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
Mary_Ann_Collins@ssmhc.com
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
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 is 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.