IOPI Dysphagia Cost Tool

This tool is designed to assist with assessing the current financial burden of dysphagia care. It has been specifically created for inpatient facilities such as SNF, LTCAH, and IRF.

The tool assists in quantifying current costs associated in caring for patients with dysphagia based on data specific to your facility. The resulting monthly and yearly estimated cost may then be compared to the purchase of IOPI products.

This comparison highlights critical return on investment (ROI) information for facility decision makers, thereby suppporting that integration of the IOPI into a comprehensive swallowing program has the potential to reduce or eliminate the identified current cost of care.

When this data is submitted you will receive an emailed report that is useful when advocating for the purchase of an IOPI. The yearly cost may also be entered into the Benefits of IOPI for Dysphagia Program PowerPoint in order to make a formal presentation quick and easy.

Advocay PowerPoint (Click to Download)

REFERENCES

1Pneumonia is a common side effect of dysphagia

  • Marik, P., Kaplan, D. (2003). Aspiration pneumonia in dysphagia in the elderly. Chest 124:328-336.
  • Eisenstadt, E. (2010). Dysphagia and aspiration pneumonia in older adults. Journal of the American Academy of Nurse Practitioners. 22:1 17-22.
  • Almirall, J., Rofes, L., Serra-Prat. M., Icart, R., Palomera, E., Arreola, V., Clave, P. (2013) Oropharyngeal dysphagia is a risk factor for community-acquired pneumonia in the elderly. European Respiratory Journal 41:923-928

2Thickened liquids are associated with dehydration

  • Castellanos, V. H., Butler, E., Gluch, L., & Burke, B. (2004). Use of thickened liquids in skilled nursing facilities. J Am Diet Assoc, 104(8), 1222-1226
  • Bennett, J. A. (2000). Dehydration: hazards and benefits. Geriatr Nurs, 21(2), 84-88.
  • Lippert, W., Chadha, R., Sweigart, J., (2019) Things we do for no reason: The use of thickened liquids in treating hospitalized adult patients with dysphagia. J. Hosp. Med, 5:315-317.
  • Cichero, J., (2013). Cichero, J. A. (2013). Thickening agents used for dysphagia management: effect on bioavailability of water, medication and feelings of satiety. Nutr J, 12, 54.
  • Bratlund, C., O’Donoghue C., Rocchiccioli, J. (2010). Dehydration and dysphagia: Challenges in the older adult. Journal of Medical Speech-Language Pathology, 10(3).
  • Wang CH, Charlton B, Kohlwes J. (2016). The horrible taste of nectar and honey—inappropriate use of thickened liquids in dementia: A teachable moment. JAMA Intern Med.176(6):735–736.

3Altered diets are associated with malnutrition

  • Saunders, J., & Smith, T. (2010). Malnutrition: causes and consequences. Clin Med (Lond), 10(6), 624-627.
    Sura, L., Madhavan, A., Carnaby, G., & Crary, M. A. (2012). Dysphagia in the elderly: management and nutritional considerations. Clin Interv Aging, 7, 287-298.
  • Vigano, C., Silva, P., Cremonezi, J., Vannucchi, P., Guilhereme, C. (2011). Variation in the energy and macronutrient contents of texture modified hospital diets. Revista Chilena de Nutricion, 38(4), 451-457.
  • Wright, L., Cotter, D., Hickson, M., & Frost, G. (2005). Comparison of energy and protein intakes of older people consuming a texture modified diet with a normal hospital diet. J Hum Nutr Diet, 18(3), 213-219.

4Altered diets are associated with increased requirement for meal supplements

  • Wright, L., Cotter, D., Hickson, M., & Frost, G. (2005). Comparison of energy and protein intakes of older people consuming a texture modified diet with a normal hospital diet. J Hum Nutr Diet, 18(3), 213-219.