scholarly journals 994 The Cost of Testicular Torsion Care in Ireland 2009-2018: A Novel Cost Estimation Model Using a National Database

2021 ◽  
Vol 108 (Supplement_2) ◽  
Author(s):  
D Sugrue ◽  
A Driessen
Keyword(s):  
Direct Cost ◽  
Cost Estimation ◽  
Testicular Torsion ◽  
Hospital Admissions ◽  
Incidence Rates ◽  
Public Hospitals ◽  
National Database ◽  
Estimation Model ◽  
Cost Estimates ◽  
Cost Estimation Model

Abstract Introduction Activity-Based Funding (ABF) is a new reimbursement model for public hospitals in Ireland. Little data exists regarding cost estimates for acute surgical admissions in Ireland. This study presents a novel method of direct-cost estimation for Testicular Torsion (TT) care in Ireland. Method Hospital In-Patient Enquiry (HIPE) data, covering all public hospital admissions in Ireland, were analysed to derive annual incidence rates for TT between 2009-2018. The monetary cost of each case was calculated by cross-referencing the Diagnosis-Related Group (DRG) with reference prices for inpatients and day-cases in public hospitals in 2019. Annual cost was adjusted using the Consumer Price Index for Health (Ireland) Results N = 1,746 patients under 25 years underwent orchidectomy or orchidopexy for TT between 2009 and 2018. The direct cost of TT care in public hospitals between 2009 and 2018 was €6,331,402. Costs increased 54% over 10 years, from €513,232 in 2009 to €788,700 in 2018 (2019 Euros). Just over two-thirds of cases (70%, n = 1,230) were reimbursed with public funding Conclusions This novel cost-estimation model may serve as a template for future direct-cost estimates for surgical interventions in Ireland. This will improve the accuracy of future economic evaluation for healthcare interventions in Ireland.

scholarly journals Hospital services and casemix in Western Australia

2002 ◽  
Vol 25 (1) ◽  
pp. 173 ◽  
Author(s):  
Delia Hendrie ◽  
Duncan Boldy
Keyword(s):  
Health Services ◽  
Cost Estimation ◽  
Diagnosis Related Groups ◽  
Health Department ◽  
Hospital Performance ◽  
Public Hospitals ◽  
Hospital Services ◽  
Funding Policy ◽  
Estimation Model ◽  
Cost Estimation Model

The Health Department of WA currently operates as a single integrated funder and purchaser of health services for the State. Health Service Agreements defining the level of health provision are negotiated with the various health services in WA. During the latter part of the 1990s, the funding of public hospitals for acute inpatient care moved away froma historical basis to output-based funding using a casemix approach based on Diagnosis Related Groups (DRGs).Other hospital services are still mainly purchased using historical funding levels, negotiated block funding or bedday payments, with output-based funding mechanisms under investigation. WA has developed its own approach toclassifying admitted patients that recognises differences in complexity of care among episodes grouped to the same DRG. WA also has a unique cost estimation model for calculating DRG cost weights, which is based on a linear estimate of the relationship between nights of stay in hospital and the cost of hospital care for each DRG. Another emerging trendin the provision of public hospital services in WA has been the greater involvement of the private sector through the contracting of private providers to operate public hospitals. While no close examination has been undertaken of the outcomes of these changes in terms of their effect on efficiency or other relevant indicators of hospital performance,current purchasing arrangements are being reviewed following recommendations made in a report by the HealthAdministrative Review Committee. No decision has yet been made as to future changes to the funding policy of WA public hospitals.

Insights on Cost Estimation Methods and its Uses in Software Project Design

2020 ◽  
pp. 166-169
Author(s):  
Aravindhan K
Keyword(s):  
Project Management ◽  
Cost Estimation ◽  
Estimation Methods ◽  
Software Project ◽  
Estimation Model ◽  
Software Projects ◽  
Software Applications ◽  
Software Companies ◽  
Cost Estimation Model ◽  
The Cost

Cost estimation of software projects is risky task in project management field. It is a process of predicting the cost and effort required to develop a software applications. Several cost estimation models have been proposed over the last thirty to forty years. Many software companies track and analyse the current project by measuring the planed cost and estimate the accuracy. If the estimation is not proper then it leads to the failure of the project. One of the challenging tasks in project management is how to evaluate the different cost estimation and selecting the proper model for the current project. This paper summarizes the different cost estimation model and its techniques. It also provides the proper model selection for the different types of the projects.

Decreasing incidence of subarachnoid hemorrhage

2018 ◽  
Vol 11 (3) ◽  
pp. 320-322 ◽  
Author(s):  
Patrick Nicholson ◽  
Alan O’Hare ◽  
Sarah Power ◽  
Seamus Looby ◽  
Mohsen Javadpour ◽  
...  
Keyword(s):  
Subarachnoid Hemorrhage ◽  
Population Data ◽  
Incidence Rates ◽  
Public Hospitals ◽  
National Database ◽  
Irish Hospital ◽  
Acute Subarachnoid Hemorrhage ◽  
Adjusted Rate ◽  
Using Data ◽  
Adjusted Incidence

ObjectiveTo determine the incidence and trends in subarachnoid hemorrhage in Ireland using data from a national database.Materials and methodsWe performed a retrospective nationwide query of the Irish Hospital In-patient Enquiry System (HIPE). This is a national database of all in-patient activity in acute public hospitals in Ireland. Each HIPE entry records one episode of in-patient care. The study period ranged from 1997 to 2015. Population data was obtained from the Irish Central Statistics Office, and the annual prevalence of smoking from the Irish National Tobacco Control Office. We were therefore able to calculate both crude annual acute subarachnoid hemorrhage (SAH) incidence rates, as well as population-standardized rates, and compared them with trends in the annual smoking rates.ResultsThe mean number of SAH cases per year is 549, with 465 cases in 1997 and 517 in 2015 (range: 465–624). The absolute incidence of SAH, therefore, remained relatively stable. Due to population increases over time, the population-adjusted rate of SAH therefore decreased, from 126.9/million people/year in 1997 to 111.5/million people/year in 2015. Nationally, there was a decrease in smoking prevalence, from 31% in 1998 to 19.2% in 2015. There was a statistically significant correlation between decreasing smoking rates and decreasing population-adjusted incidence of SAH (P=<0.0001).ConclusionsOur data suggests that the incidence of non-traumatic subarachnoid hemorrhage in our population appears to be decreasing, a decrease which is correlated with decreasing smoking rates. This provides important data both in terms of the epidemiology of SAH, as well as the possible role of public-health interventions in tackling both smoking and declining rates of SAH.

Development of a hybrid cost estimation model in an iterative manner

2006 ◽  
Author(s):  
Adam Trendowicz ◽  
Jens Heidrich ◽  
Jürgen Münch ◽  
Yasushi Ishigai ◽  
Kenji Yokoyama ◽  
...  
Keyword(s):  
Cost Estimation ◽  
Estimation Model ◽  
Cost Estimation Model
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