Process Cost Management of Alzheimer’s Disease

Abstract

Summary: Determining the cost of healthcare and social care for patients is a crucial issue for many parties; therefore, both public and private payments play a decisive role in patient care. The article deals with the analysis of the possibilities of the simulation of costs related to Alzheimer’s disease. This disease is highly variable, and the cost items vary considerably. Therefore, it is necessary to use simulation methods. The results of simulation models can then be implemented in sophisticated methods working with activity costs. Findings: Models for health and social care are specific. No significant re-engineering is expected in this area, so the models must be unambiguous and easy to understand for all representatives involved. Modeling of business processes is thus a suitable means for analysis in this area. The process cost calculation is built on two simulation models. The first model is the Business Process Model and Notation (BPMN), the results of which are verified in the system dynamics model created in the stock and flow diagram. The simulations results give us appropriate values for calculating the total activity-based costs of AD. Applications: The practical part of this article deals with the identification of costs related to Alzheimer’s disease and their allocation concerning remedies. Based on this information, models for Alzheimer’s disease process cost management are developed. Results: The BPMN simulation was performed for 100 passes through a fixed-length phase process. The duration of each phase was set at 48, 108, and 40 months. Five simulations were set up, each Mini-Mental State Examination (MMSE) score set, which affected the passage through the process. Software Stella Professional was used for simulations for constant MMSE score values for the home and facility options. The values are as follows: MMSE 5 = 1331 . 26 ( 1627 . 72 ); MMSE 15 = 1202 . 72 ( 1102 . 02 ); MMSE 25 = 1051 . 24 ( 848 . 91 ). Conclusions: Both AD models created in this article produce comparable results, although each of them works on a different principle. The results are based on the selection of original data, and at the same time, these models point to the processes and subprocesses that lead to the costs. The description, specifications, and possible values of partial costs are crucial knowledge for persons in the management functions of public administration and self-government in the area of finance and management not in the field of specific diseases.

Using a Process Approach to Pandemic Planning: A Case Study

“…Cimler and others [4] analyzed suitable simulation models for population prediction, and finally, Cimler et al [79] predicted Alzheimer's disease treatment and care costs in European countries using a simulation model. Simultaneously, Kopecky and Tomášková [80] linked costs and process approach, and Tomášková, Kopecký, and Marešová [81] compiled the Alzheimer's disease process cost management model.…”

The Business Process Model and Notation Used for the Representation of Alzheimer’s Disease Patients Care Process

“…There are cost values for some activities and some items in the healing and nursing process, but there is no overall view or simulation environment. Therefore, our group developed a simulation model using BPMN and linked it to activity-based costing (ABC) in a simulation model [8,9]. However, the preparation of this model demonstrated how few scientific papers are devoted to the description and modeling of treatment and care for Alzheimer's patients.…”

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“…• Lean management Graphic business architecture is currently one of the essential tools that a company should address to improve its current market situation. However, visual mapping also has its drawbacks, especially the time-consuming modelling and the low availability of aggregate materials from which to draw [16], [17], [18], [19], [20], [21], [22]. Many decisionmaking or simulation approaches can be used to support decision-making and process optimization.…”