← Back to Pogosh CDS

    Pogosh CDS — Budget Impact Model

    Estimate the clinical and financial impact of structured decision support on missed orders, escalation time, and nursing throughput.

    Annual Net Benefit
    —
    ROI Multiple
    —
    (monthly benefit ÷ cost)
    Payback
    —
    days
    Monthly Pogosh Cost
    —

    🔬
    Module 1: Missed Order Recovery

    Total patient visits per day across your facility
    Encounters with at least one missed high-yield lab, imaging study, or escalation trigger
    Percentage of those misses Pogosh would surface — scenario-adjusted
    Downstream cost: repeat visit, delayed diagnosis, adverse event, liability
    Annual value of recovered orders
    —

    ⚡
    Module 2: Escalation Time Savings

    ICU transfers, rapid responses, or specialist escalation criteria triggers
    Percentage of delayed escalations resulting in an adverse event
    Reduction in adverse events from earlier identification — scenario-adjusted
    Extended stay, ICU transfer, readmission, liability — varies widely
    Annual escalation savings
    —

    ⏱
    Module 3: Nursing Throughput

    Nursing staff, NPs, PAs who would use Pogosh during encounters
    Time not spent looking up guidelines, cross-checking orders — scenario-adjusted
    Total nurse shifts per month (e.g. 8 nurses x 20 shifts)
    Salary + benefits + overhead per hour
    Annual throughput savings
    —

    Pogosh CDS — Monthly Cost

    Clinic $149/mo • Practice $299/mo • Enterprise: custom

    Sensitivity Analysis — Top Drivers

    Summary Breakdown

    Model type: Deterministic budget impact model, single-year horizon, monthly cost comparison.

    Perspective: Practice / health system operational budget.

    • Module 1 — Missed orders: Annual missed orders = daily encounters × 260 workdays × miss rate. Recovery = missed × catch rate × cost per miss. Defaults are conservative estimates from published CDS literature (Kawamoto et al., BMJ 2005; Roshanov et al., Syst Rev 2011).
    • Module 2 — Escalation: Annual adverse events avoided = monthly escalations × 12 × adverse rate × CDS improvement. Cost avoidance = events avoided × cost per event. Default adverse event cost ($8,500) represents a blended average of extended stay and readmission costs.
    • Module 3 — Throughput: Hours saved = total monthly encounters (shifts × pts/shift) × minutes saved ÷ 60. Annual cost = hours × 12 × hourly rate. Captures cognitive load reduction — redeployed time improves quality and reduces burnout.

    Scenario adjustment: Conservative/Base/Optimistic presets adjust uncertain inputs (catch rate, escalation improvement, minutes saved) — not outputs. Base values snapshotted; switching scenarios applies percentage deltas.

    Sensitivity: ±20% perturbation on each input. Top 5 drivers ranked by absolute impact on annual benefit.

    Limitations: Single-site, single-year. No discounting. Does not model downstream clinical outcome improvements beyond cost avoidance. Does not account for implementation costs or training time.

    These estimates are based on your inputs. Every assumption is editable and transparent.