This article compares resource intensity weight costs with case costs for selected patient groups at St. Paul's Hospital, British Columbia. Analysis found that average case costs for surgical patients were 23.9% higher than their resource intensity weight costs, whereas case costs for non-surgical patients were 14.8% lower. Average case costs for patients receiving surgical implants were 32.8% higher than resource intensity weight costs. For patients receiving internal defibrillators average case costs were three times higher.
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References
1.
ReidRJOverhaulsLForrestCB. Comparing Apples with Apples in Clinical Populations: Applications of the Adjusted Clinical Group System in British Columbia. Healthcare Management Forum Summer2002; 15(2): 11–16.
2.
MittonCDonaldsonCHalmaLGallN. Program budgeting and marginal analysis: A priority-setting framework for Canadian Regional Health Authorities. Healthcare Management Forum Winter2000; 13(4): 24–31.
3.
BarnetPGRodgersJH. Use of Decision Support Systems for VA Cost-Effectiveness Research. Medical Care April1999; 37(4): AS 63–70.
4.
PoweNRGriffiithsRI. The Clinical Economic Trial: Promise, Problems and Challenges. Controlled Clinical Trials December1999; 16(6): 377–94.
5.
PetryshunPNagleLM. Establishing a Meaningful Relationship: Case Costing and Clinical Practice. MEDINFO1995; 8(2): 1331–4.
6.
KohliRTanJKPiotekFAZiegeDEGrootH. Integrating Cost Information with Health Management Support Systems: An Enhanced Methodology to Assess Health Care Quality Drivers. Topics in Health Information Management August1999; 20(1): 80–94.
7.
SutherlandJBenoitDGallantVMitchellS. Analysis of the Impact of Using Canadian Cost Data as the Sole Source to Develop Canadian Cost Weights. Casemix Quarterly December2001; 3(4): 109–13.
8.
RamseyRH. Activity-Based Costing for Hospitals. Hospital and Health Services Administration Fall1994; 39(3): 385–96.
9.
UpdaS. Activity Cost Analysis: A Tool to Cost Medical Services and Improve Quality of Care. Managed Care Quarterly Fall2001; 9(3): 34–41.
10.
CareyKBurgessJF. Hospital Costing: Experience from the VHA. Financial Accountability & Management November2000; 16(4): 289–308.
11.
JacksonT. Data Compatibility in Patient Level Clinical Costing. Casemix Quarterly March1999; 1(1): 36–45.
12.
JacksonT. Using computerized patient-level costing data for setting DRG weights: The Victorian (Australian) cost weight studies. Health Policy May2001; 56(2): 149–63.
ChanY-CL. Improving hospital cost accounting with activity-based costing. Health Care Management Review Winter1993; 18(1): 71–7.
16.
KeeganAJ. The Need to Integrate Clinical and Financial Information. Healthcare Financial Management July1995; 49(7): 74–9.
17.
DrummondMFO'BrienBJStoddartGLTorranceGW. Methods for the Economic Evaluation of Health Care Programmes (2nd Ed.). New York: Oxford University Press; 1997.
18.
St-HilareCCrepeauPK. Hospital and Unit Cost Allocation Methods. Healthcare Management Forum Summer2000; 13(2): 12–32.
19.
MarrinCASJohnsonLCBeggsVLBataldenPB. Clinical Process Cost Analysis. Annals of Thoracic Surgery Sept1997; 64: 690–4.
20.
MeyerJWFeingoldMG. Integrating Financial Modeling and Patient Care Reengineering. Healthcare Financial Management February1995; 49(2): 33–41.
21.
DawsonDGoddardMStreetA. Improving performance in public hospitals: A role for comparative costs. Health Policy. September2001; 57(3): 235–48.
22.
BrootenD. Methodological Issues Linking Costs and Outcomes. Medical Care November1997; 35(11) Supplement: NS87–95.
23.
Canadian Institute for Health Information (CIHI).DAD Resource Intensity Weights and Expected Length of Stay; 2002. Ottawa, ON. PDF available free of charge to Canadian healthcare institutions at: http://ecomm.cihi.ca/ec/.
24.
BenoitDSkeaWMitchellS. Developing Cost Weights with Limited Cost Data — Experiences Using Canadian Cost Data. Casemix Quarterly September2000; 2(3): 88–96.
25.
Hospital Report 2002: Acute Care.A joint initiative of the Ontario Hospital Association and the Ontario Government produced by CIHI. January 9, 2003. Available at: http://secure.cihi.ca/hreports2002/toc2002.html