This paper presents comparative financial ratios that can be adopted by health system administrators and policy analysts to begin to evaluate the performance of acute care hospitals. We combined financial, statistical and clinical information for 73 acute care hospitals in Manitoba for fiscal 1997/98 to calculate 15 indicators of financial performance. Our findings suggest that there is variability between hospital types in their average costs per weighted case, cost structure and financial performance.
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References
1.
Institute for Health Information (a). Hospital Report 2001: Acute Care; 2001.
2.
Canadian Institute for Health Information (b).Hospital Report 2001: Acute Care-Hospital Specific Results; 2001.
3.
FinlaysonGNowickiDRoosNShanahanMBlackCD. Hospital Case-Mix Costing Project: Using the Manitoba Management Information System-A First Step. Winnipeg: Manitoba Centre for Health Policy and Evaluation. University of Manitoba; July 1999.
4.
LewisS. The bog, the fog, the future: 5 strategies for new federalism in healthcare. CMAJ2002; 166(11): 1421–1422.
5.
HayGroup.Benchmarking Comparisons of Canadian Teaching Hospitals; 1998.
6.
HelyarCFlettJHundertMFallonGMosherGCrawfordR. Benchmarking comparisons of the efficiency and quality of care of Canadian teaching hospitals. Hospital Quarterly1998; 1(3): 14–25.
7.
JacobsPHallE. Key Operating and Financial Ratios for Alberta Hospitals. Healthcare Management Forum1994; 7(1): 19–23.
8.
PinkGMcKillopISchraaEChaudhryMMacDonaldS. Measures of Financial Performance and Condition: In Hospital Report '98—A System-Wide Review of Ontario's Hospitals. Toronto: Ontario Hospital Association; 1998.
9.
FinlaysonGRoosNJacobsPWatsonD. Using the Manitoba Hospital Management Information System: Comparing Average Cost Per Weighted Case and Financial Ratios of Manitoba Hospitals. Winnipeg: Manitoba Centre for Health Policy and Evaluation. University of Manitoba; January 2001.
10.
BlackCRoosNBurchillCA. Utilization of Hospital Resources. Volume 1: Key Findings. Winnipeg: Manitoba Centre for Health Policy and Evaluation. University of Manitoba; December 1993.
11.
BernsteinCNBlanchardJFRawsthornePWajdaA. Epidemiology of Crohn's disease and ulcerative colitis in a central Canadian province: A population-based study. Am J of Epidem1999; 149(10): 916–924.
12.
RobinsonJRYoungTKRoosLLGelskeyDE. Estimating the burden of disease. Medical Care1997; 35: 932–947.
13.
PinkGHBolleyHB. Physicians in healthcare management. Case mix groups and resource intensity weights: An overview for physicians. CMAJ1994; 150(6): 889–894.
14.
Canadian Institute for Health Information.DAD Resource Indicators for Use with Complexity 1997. Ottawa; 1997.
15.
StewartDBlackCMartensPPetersonSFriesenD. Assessing the Performance of Rural and Northern Hospitals in Manitoba: A First Look. Winnipeg: Manitoba Centre for Health Policy and Evaluation; 2000.
16.
FinlaysonFJacobsPWatsonDBogdanovicB. A Comparison of Preliminary and Adjusted Cost per Weighted Case Determinations for Manitoba Hospitals: Impact for Evaluation and Report Cards. Winnipeg: Manitoba Centre for Health Policy University of Manitoba; November 2001.
17.
ShanahanMLoydMRoosNPBrownellM. Hospital Case Mix Costing Project 1991/92. Winnipeg: Manitoba Centre for Health Policy and Evaluation. University of Manitoba; December 1994.
18.
ShanahanM. Update Hospital Case Mix Costing Project 1993/94. Winnipeg: Manitoba Centre for Health Policy and Evaluation. University of Manitoba; March 1996.
19.
BakerGPinkG. A balanced scorecard for Canadian hospitals. Healthcare Management Forum1995; 8(4): 7–13.
20.
BakerGAndersonGBrownAMcKillonIMontgomeryCMurrayM. The hospital report '99: A balanced scorecard for Ontario acute care hospitals. Toronto, Ontario: Department of Health Administration. University of Toronto; 2000.
21.
JacobsPBachynskyJ. An Alberta standard cost list for health economics evaluations. Edmonton: Institute of Health Economics, Working paper 97–5; 1997.
22.
Institute of Health Economics.A national list of provincial costs for healthcare: Canada 1997/8. Edmonton: Institute of Health Economics, Version 1.0; July 10, 2000.
23.
LadekN. Methodology used to calculate 1998/9 adjustment factors funding model. Toronto, Ontario: Joint Policy and Planning Committee of the Ontario Ministry of Health and Ontario Hospital Association; 2001.
24.
LaveJRJacobsPMarkelF. Ontario's Hospital Transitional Funding Initiative: An Overview and Assessment. Healthcare Management Forum1991; 4(4): 3–11.
25.
Metropolitan Toronto Joint Health Council.Directions for change: Toward a coordinated hospital system for Metro Toronto: Final Report. Toronto, Ontario: Metropolitan Toronto District Health Council; 1995.