The development of cost information by DRG - experience in a Barcelona hospital

Ibern, Pere; Bisbel, Josep; Casas, Mercè

doi:10.1016/0168-8510(91)90053-z

Cited by 8 publications

(2 citation statements)

References 4 publications

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“…The downside is that the less precise the patient or cost identification used in the modelling, the more the real distribution of costs will be obscured. However, many jurisdictions started planning for case-based payments using cost modelling (see Ibern et al, 1991;Palmer et al, 1991). Australia used patient-level costing information for its initial implementation (Jackson, 2001).…”

Section: Policy and Implementation Capacitymentioning

confidence: 99%

Case-based Payment Systems for Hospital Funding in Asia

2015

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The designations employed and the presentation of the material in this publication do not imply the expression of any opinion whatsoever on the part of the World Health Organization concerning the legal status of any country, territory, city or area or of its authorities, or concerning the delimitation of its frontiers or boundaries. Dotted lines on maps represent approximate border lines for which there may not yet be full agreement.The mention of specific companies or of certain manufacturers' products does not imply that they are endorsed or recommended by the World Health Organization in preference to others of a similar nature that are not mentioned. Errors and omissions excepted, the names of proprietary products are distinguished by initial capital letters.All reasonable precautions have been taken by the World Health Organization to verify the information contained in this publication. However, the published material is being distributed without warranty of any kind, either expressed or implied. The responsibility for the interpretation and use of the material lies with the reader. In no event shall the World Health Organization be liable for damages arising from its use.

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Section: Policy and Implementation Capacitymentioning

confidence: 99%

Case-based Payment Systems for Hospital Funding in Asia

2015

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“…Mit ihr lassen sich die ökonomischen Auswirkungen von kurzfristigen Leistungsmengenänderungen innerhalb einer Fachabteilung überwachen und die Frage nach dem förderungswürdigsten Produkt in einer Engpasssituation beantworten. Die Deckungsbeitragsrechnung ist damit gut geeignet, um typische Behandlungsfälle einer klinischen Abteilung in Hinblick auf ihre Wirtschaftlichkeit zu bewerten und Entwicklungstendenzen innerhalb definierter Zeitfenster abzusehen [9][10][11] 1, 4). Das relative Verhältnis von invasiven und konservativen Behandlungsfällen blieb davon weitgehend unberührt und stellte sich im direkten Vergleich der Jahre 2007 und 2011 sogar rückläufig dar (68,9 vs. 65,5 % Anteil invasiver Fälle an der Gesamtzahl).…”

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Vergleich der Kosten- und Erlössituation invasiver und konservativer kardiologischer Behandlungsfälle: Modell einer Deckungsbeitragsrechnung

Plehn

Oernek

Vormbrock³

et al. 2015

Gesundheitswesen

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Direct costing is a specialized form of cost analysis well suited for medical areas with DRG-orientated flat rate payments. By comparing case-related variable costs and payments, it is possible to compare the economic benefits of different medical treatments. This aim was pursued by developing a direct costing concept and by its application to invasively and non-invasively treated cardiac patients. The entire database comprised 7 330 cases of a tertiary cardiac center between 2007 and 2011. It was derived from databases of the hospital information system, the materials management department and the catheter laboratory. On the revenue side, DRG payments were included. Costs related to heart catheterization such as material, personnel and maintenance expenses were considered to be variable costs. Contribution margins and relative contribution margins were calculated by introducing the length of hospital stay as a time reference. During the observation period, caseload and annual revenues increased by about 20 percent. Contribution margins were higher in invasively than in non-invasively treated patients (2 097±1 590 vs. 1 614±1 105 €; p<0,001). However, the relative relation of both patient groups was not altered during the observation period. A remarkable shortening of the duration of catheter laboratory examinations was observed between 2007 and 2011 (46,2±39,1 auf 36,7±33,5 min; p<0,001). In the same period, relative contribution margins increased from 461±306 to 530±335 € (p<0,001). Within existing supply structures, direct costing is a useful tool for economic comparison of different treatment services. Furthermore, temporal constraints of an economic bottleneck can be easily monitored and tackled with the help of time management tools.

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DRGs: How Well Do They Define Hospital Products in Europe?

Sanderson¹

1993

Diagnosis Related Groups in Europe

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The development of cost information by DRG - experience in a Barcelona hospital

Cited by 8 publications

References 4 publications

Case-based Payment Systems for Hospital Funding in Asia

Case-based Payment Systems for Hospital Funding in Asia

Vergleich der Kosten- und Erlössituation invasiver und konservativer kardiologischer Behandlungsfälle: Modell einer Deckungsbeitragsrechnung

DRGs: How Well Do They Define Hospital Products in Europe?

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