MP22-09 ANALYSIS OF DISPOSABLE EQUIPMENT UTILIZATION ON THE COST OF URETEROSCOPY

2020 ◽  
Vol 203 ◽  
pp. e330-e331
Author(s):  
Kevin Parikh* ◽  
Raymond Pak
Keyword(s):  
Equipment Utilization ◽  
The Cost ◽  
Disposable Equipment

OP42 Cost-Benefit Of Computed Tomography In Secondary Hospitals In China

2017 ◽  
Vol 33 (S1) ◽  
pp. 19-19
Author(s):  
Hui Sun ◽  
Yingyao Chen ◽  
Jian Ming ◽  
Yan Wei ◽  
Luyang He
Keyword(s):  
Computed Tomography ◽  
Detection Rate ◽  
Cost Benefit ◽  
Economic Benefits ◽  
Cost Recovery ◽  
Utilization Rate ◽  
Effective Utilization ◽  
Equipment Utilization ◽  
The Cost ◽  
Benefit Cost

INTRODUCTION:With the promotion of a tiered medical service system, secondary hospitals will play a more important role in the future. This study aims to explore the cost-benefit of computed tomography (CT) in secondary hospitals in China, with a view to providing information for overall economic management in hospitals as well as for regional planning of medical equipment in different areas.METHODS:Fifty-eight secondary hospitals from six provinces located in the eastern, central, and western regions of China were selected as the study sample. Questionnaires were used to collect information on the cost structure, efficiency, and benefits of CT in the secondary hospitals in the past 5 years. Cost analysis was conducted from the perspective of the hospitals, which mainly referred to direct fixed costs and variable costs. We analyzed the investment recovery years a, cost recovery rate b, and benefit-cost ratio to evaluate the economic benefits of CT. We also analyzed the technological benefits of CT based on its effective utilization rate c and positive detection rate. a:Investment recovery years = total original investment / (annual net income + annual depreciation expense)b:Cost recovery rate = average income per check / average cost per checkc:Effective utilization rate = single equipment utilization rate * positive detection rate(Single equipment utilization rate = actual working time / rated working time)RESULTS:Depreciation costs (36.3 percent) were the largest proportion of all costs over the 5-year period, followed by material costs (22.2 percent), maintenance costs (18.2 percent), labor costs (17.1 percent), and electricity consumption (1.2 percent). The investment recovery periods of CT in the eastern, central, and western regions were 2.5, 2.8, and 3.1 years, respectively; the cost recovery rates were 186.5 percent, 172.0 percent, and 174.1 percent, respectively; the benefit-cost ratios were 1.9, 1.7, and 1.7, respectively; the effective utilization rates were 46.1 percent, 58.3 percent, and 71.2 percent, respectively; and the positive detection rates were 52.3 percent, 60.5 percent, and 73.3 percent, respectively.CONCLUSIONS:The current study indicates that the cost-benefit of CT is good in secondary hospitals, especially in terms of economic benefits. But to achieve greater technological benefits in all three regions, more appropriate utilization of CT is needed.

scholarly journals Laparoscopic Appendicectomy: Calculating the Cost

2009 ◽  
Vol 91 (7) ◽  
pp. 606-608 ◽  
Author(s):  
PJ Needham ◽  
KA Laughlan ◽  
ID Botterill ◽  
NS Ambrose
Keyword(s):  
Operative Time ◽  
Cost Benefit ◽  
Laparoscopic Appendicectomy ◽  
Teaching Hospitals ◽  
Institutional Costs ◽  
Recovery Protocols ◽  
Operative Costs ◽  
The Cost ◽  
Disposable Equipment ◽  
Median Operative Time

INTRODUCTION Laparoscopic appendicectomy is a commonly performed procedure presenting a considerable cost burden. Given the additional operative costs of laparoscopic versus open appendicectomy, it is not clear whether the national tariffs are appropriate for laparoscopic appendicectomy. We conducted a study to establish the institutional costs, and to determine whether re-imbursement according to the national tariffs was sufficient. PATIENTS AND METHODS Data were collected prospectively on patients undergoing laparoscopic appendicectomy within Leeds Teaching Hospitals Trust. Theatre and bed costs were obtained. Cost analysis was performed, and costs were compared to the re-imbursement due. RESULTS Fifty laparoscopic appendicectomies were performed. Median operative time was 60 min. The median total operative cost of laparoscopic appendicectomy was £906. Median equipment cost for laparoscopically completed cases was £254. Median total in-patient cost was £1617 (range, £880–£3360). This compared with a mean re-imbursement of £1981 representing a cost benefit of £233 per case (P = 0.0009). CONCLUSIONS Despite a liberal use of disposable equipment, laparoscopic appendicectomy can still be performed within the confines of the national tariffs. There is a considerable variation in the cost of this procedure, and it may be possible to reduce costs by more stringent use of disposable equipment and standardising recovery protocols.

scholarly journals Enforcing Quality Metrics over Equipment Utilization Rates as Means to Reduce Centers for Medicare and Medicaid Services Imaging Costs and Improve Quality of Care

2011 ◽  
Vol 1 ◽  
pp. 28 ◽  
Author(s):  
Amit Sura ◽  
Alexander Ho
Keyword(s):  
Quality Of Care ◽  
Quality Metrics ◽  
Utilization Rate ◽  
Improve Quality ◽  
Appropriateness Criteria ◽  
Cost Cutting ◽  
Equipment Utilization ◽  
The Cost ◽  
Fee Schedule

Radiology has been the focus of efforts to reduce inefficiencies while attempting to lower medical costs. The 2010 Medicare Physician Fee Schedule has reduced Centers for Medicare and Medicaid Services’ (CMS) reimbursements related to the technical component of imaging services. By increasing the utilization rate, the cost of equipment spreads over more studies, thus lowering the payments per procedure. Is it beneficial for CMS to focus on equipment utilization as a cost-cutting measure? Can greater financial and quality of care rewards be made by improving metrics like appropriateness criteria and pre-authorization? On examining quality metrics, such as appropriateness criteria and pre-authorization, promising results have ensued. The development and enforcement of appropriateness criteria lowers overutilization of studies without requiring unattainable fixed rates. Pre-authorization educates ordering physicians as to when imaging is indicated.

Anderson Memorial Lecture: On the Navigation of London Taxis and Certain Flying Machines

1986 ◽  
Vol 39 (3) ◽  
pp. 394-400
Author(s):  
J. E. D. Williams
Keyword(s):  
Product Quality ◽  
Operating Costs ◽  
Memorial Lecture ◽  
Taxi Drivers ◽  
Maintenance And Repair ◽  
Wear And Tear ◽  
Equipment Utilization ◽  
The Cost

Whereas the proper object of all commercial transportation is profit-making, the navigational objectives of taxis and of airliners differ remarkably. In airlines navigation only affects product quality and operating costs but in taxis the revenue (the fare on the meter) is a function of the navigation. Regularity of service is meaningless to taxis whereas regularity of schedule keeping is an imperative of airline navigation because it is only possible to offer air fares a full order lower than taxi fares on aeroplanes costing up to $200,000 a seat by achieving high equipment utilization. Many taxi drivers hire their cabs at a weekly rate which includes maintenance and repair but not fuel. They therefore have a direct interest in the cost of fuel but not in wear and tear of machinery. Finally, taxi drivers are self-employed businessman whose income depends entirely on their navigational skills.

scholarly journals Two-Arm Robotic-Assisted High Anterior Resection: a Cost-Effective Way to Perform Robotic Surgery

2021 ◽  
Author(s):  
Vivek Sharma ◽  
Thusitha Hettiarachchi ◽  
Dhiraj Sharma ◽  
Irshad Shaikh
Keyword(s):  
Laparoscopic Surgery ◽  
Robotic Surgery ◽  
Colorectal Surgery ◽  
Anterior Resection ◽  
Cost Effective ◽  
Robotic Assisted ◽  
Novel Method ◽  
Standard Laparoscopic Surgery ◽  
The Cost ◽  
Disposable Equipment

AbstractIn the era where laparoscopic colorectal surgery is well established, robotic- assisted colorectal surgery is gaining increasing popularity and acceptability. Stable camera platform, superior 3D views, and articulating instruments help to overcome difficulties associated with standard laparoscopic surgery. However, a significant drawback of robotic surgery is the cost of the robotic system and relevant disposable equipment compared to conventional laparoscopic surgery. This image series depicts a novel method to perform laparoscopic high anterior resection in a more cost-effective way.

scholarly journals Cost-Effective Laparoscopic Cholecystectomy

2009 ◽  
Vol 91 (8) ◽  
pp. 670-672 ◽  
Author(s):  
M Slater ◽  
MI Booth ◽  
TCB Dehn
Keyword(s):  
Laparoscopic Cholecystectomy ◽  
Cost Effective ◽  
Ease Of Use ◽  
Hospital Data ◽  
Grand Total ◽  
Additional Costs ◽  
Disposable Instruments ◽  
The Cost ◽  
Disposable Equipment ◽  
Upper Gastrointestinal

INTRODUCTION There is wide variation in costs, both theatre and ward, for the same operation performed in different hospitals. The aim of this study was to compare the true costs for a large number of consecutive laparoscopic cholecystectomy (LC) cases using re-usable equipment with those from an adjacent trust in which the policy was to use disposable LC equipment. PATIENTS AND METHODS Data were collected prospectively between January 2001 and December 2007 inclusive for all consecutive patients undergoing LC by two upper gastrointestinal (UGI) consultants at the Royal Berkshire Hospital. Data were collected for all the instruments used, in particular any additional disposable instruments used at surgeons' preference. Sterilisation costs were calculated for all re-usable instruments. Costs were also obtained from an adjacent NHS trust which adopted a policy of using disposable ports and clip applicators. Disposable equipment such as drapes, insufflation tubing, and camera sheath were not considered as additional costs, since they are common to both trusts and not available in a re-usable form. RESULTS Over 7 years, a total of 1803 LCs were performed consecutively by two UGI consultants at the Royal Berkshire Hospital. The grand total for 1803 LC cases for the re-usable group, including initial purchasing, was £89,844.41 (an average of £49.83 per LC case). The grand total for the disposable group, including sterilisation costs, was £574,706.25 (an average of £318.75 per LC case). Thus the saving for the trust using re-usable trocars, ports and clip applicators was £268.92 per case, £69,265.98 per annum and £484,861.84 over 7 years. CONCLUSIONS This study has demonstrated that considerable savings occur with a policy of minimal use of disposable equipment for LC. Using a disposable set, the instrument costs per procedure is 6.4 times greater than the cost of using re-usable LC sets. It behoves surgeons to be cost-effective and to reduce unnecessary expenditure and wastage. There is no evidence to support use of once-only laparoscopic instruments on grounds of patient safety, ease of use or transmission of infection. If the savings identified in this study of two surgeons' work (savings of £484,861.84 in a 7-year period) was extended not only across the hospital but across the NHS, large savings could be made for laparoscopic cholecystectomy. Even greater savings would accrue if the results were extrapolated to cover all laparoscopic surgery of whatever discipline.

scholarly journals Comparing the Estimated and Actual Cost of Disposable Surgical Equipment

2012 ◽  
Vol 94 (3) ◽  
pp. 1-3 ◽  
Author(s):  
P Vasudev ◽  
R Lowe ◽  
C Maxwell-Armstrong
Keyword(s):  
Cost Effective ◽  
Actual Cost ◽  
Budget Cuts ◽  
Surgical Equipment ◽  
Real Cost ◽  
Financial Climate ◽  
The Difference ◽  
Cost Efficient ◽  
The Cost ◽  
Disposable Equipment

In the current financial climate the NHS faces budget cuts. A good knowledge of the costs of the equipment used in theatres will allow more cost-efficient allocation of resources. The equipment used is dependent on the consultant surgeon leading the operation, with individual surgeons having their own preferences. For the efficient running of a department one would assume that the surgeons would have a working knowledge of the cost of equipment. This study looked at the awareness of surgeons of the cost of disposable equipment. It aimed to highlight the difference between the estimated and actual cost of disposable items, providing feedback to the surgeons so they become more aware of the real cost of their choices in order to help optimise use of equipment. This will hopefully lead to more cost-effective theatres.

The IBM-PC in electron microscopy

1996 ◽  
Vol 54 ◽  
pp. 612-613
Author(s):  
James F. Mancuso
Keyword(s):  
Head Start ◽  
Image Acquisition ◽  
Cost Effective ◽  
Financial Applications ◽  
Number Of Factors ◽  
Instrument Control ◽  
The Cost ◽  
Training And Support ◽  
Control Image ◽  
Ibm Pc

IBM PC compatible computers are widely used in microscopy for applications ranging from control to image acquisition and analysis. The choice of IBM-PC based systems over competing computer platforms can be based on technical merit alone or on a number of factors relating to economics, availability of peripherals, management dictum, or simple personal preference.IBM-PC got a strong “head start” by first dominating clerical, document processing and financial applications. The use of these computers spilled into the laboratory where the DOS based IBM-PC replaced mini-computers. Compared to minicomputer, the PC provided a more for cost-effective platform for applications in numerical analysis, engineering and design, instrument control, image acquisition and image processing. In addition, the sitewide use of a common PC platform could reduce the cost of training and support services relative to cases where many different computer platforms were used. This could be especially true for the microscopists who must use computers in both the laboratory and the office.

New Feasible Concepts of Aberration Correction for Realizing High-Resolution Electron Microscopes

1990 ◽  
Vol 48 (1) ◽  
pp. 202-203
Author(s):  
H. Rose
Keyword(s):  
Spherical Aberration ◽  
Wave Length ◽  
Electron Wave ◽  
Optical Lens ◽  
Resolution Electron ◽  
Rotationally Symmetric ◽  
Electron Microscopes ◽  
The Cost ◽  
Imaging Performance ◽  
Acceleration Voltage

The imaging performance of the light optical lens systems has reached such a degree of perfection that nowadays numerical apertures of about 1 can be utilized. Compared to this state of development the objective lenses of electron microscopes are rather poor allowing at most usable apertures somewhat smaller than 10-2 . This severe shortcoming is due to the unavoidable axial chromatic and spherical aberration of rotationally symmetric electron lenses employed so far in all electron microscopes.The resolution of such electron microscopes can only be improved by increasing the accelerating voltage which shortens the electron wave length. Unfortunately, this procedure is rather ineffective because the achievable gain in resolution is only proportional to λ1/4 for a fixed magnetic field strength determined by the magnetic saturation of the pole pieces. Moreover, increasing the acceleration voltage results in deleterious knock-on processes and in extreme difficulties to stabilize the high voltage. Last not least the cost increase exponentially with voltage.

An application: the cost of clinic care by undergraduate dental students and its relationship to clinic fees

1994 ◽  
Vol 58 (11) ◽  
pp. 832-835 ◽  
Author(s):  
ES Solomon ◽  
TK Hasegawa ◽  
JD Shulman ◽  
PO Walker
Keyword(s):  
Dental Students ◽  
The Cost
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