scholarly journals How to optimize personnel costs: three steps of one strategy

2022 ◽  
Vol 20 (4) ◽  
pp. 90-93
Author(s):  
N. Pracheva
Keyword(s):  
Personnel Costs

Feasibility and Evaluation of Automated Methods for Radiolabeling of Radiopharmaceutical Kits with Gallium-68

2019 ◽  
Vol 12 (3) ◽  
pp. 229-237 ◽  
Author(s):  
Alban Revy ◽  
François Hallouard ◽  
Sandrine Joyeux-Klamber ◽  
Andrea Skanjeti ◽  
Catherine Rioufol ◽  
...  
Keyword(s):  
The European Union ◽  
Preparation Time ◽  
Limit Of Quantification ◽  
Manual Method ◽  
Personnel Costs ◽  
Automated Method ◽  
Gallium 68 ◽  
The Right ◽  
First Time ◽  
Automated Methods

Objective: Recent gallium-68 labeled peptides are of increasing interest in PET imaging in nuclear medicine. Somakit TOC® is a radiopharmaceutical kit registered in the European Union for the preparation of [68Ga]Ga-DOTA-TOC used for the diagnosis of neuroendocrine tumors. Development of a labeling process using a synthesizer is particularly interesting for the quality and reproducibility of the final product although only manual processes are described in the Summary of Product (SmPC) of the registered product. The aim of the present study was therefore to evaluate the feasibility and value of using an automated synthesizer for the preparation of [68Ga]Ga-DOTA-TOC according to the SmPC of the Somakit TOC®. Methods: Three methods of preparation were compared; each followed the SmPC of the Somakit TOC®. Over time, overheads, and overexposure were evaluated for each method. Results: Mean±SD preparation time was 26.2±0.3 minutes for the manual method, 28±0.5 minutes for the semi-automated, and 40.3±0.2 minutes for the automated method. Overcost of the semi-automated method is 0.25€ per preparation for consumables and from 0.58€ to 0.92€ for personnel costs according to the operator (respectively, technician or pharmacist). For the automated method, overcost is 70€ for consumables and from 4.06€ to 6.44€ for personnel. For the manual method, extremity exposure was 0.425mSv for the right finger, and 0.350mSv for the left finger; for both the semi-automated and automated method extremity exposure were below the limit of quantification. Conclusion: The present study reports for the first time both the feasibility of using a [68Ga]- radiopharmaceutical kit with a synthesizer and the limits for the development of a fully automated process.

At what cost is performance-based financing implemented? Novel evidence from Malawi

2019 ◽  
Vol 34 (4) ◽  
pp. 282-288 ◽  
Author(s):  
Manuela De Allegri ◽  
Chris Makwero ◽  
Aleksandra Torbica
Keyword(s):  
Low Income ◽  
Economic Cost ◽  
Personnel Cost ◽  
Cost Category ◽  
Implementation Phase ◽  
Personnel Costs ◽  
Performance Based Financing ◽  
Implementation Costs ◽  
The Cost ◽  
Low Income Setting

Abstract Our study estimated the full economic cost of implementing performance-based financing [PBF, the Support for Service Delivery Integration Performance-Based Incentives (SSDI-PBI) programme], as a means of first introducing strategic purchasing in a low-income setting, Malawi. Our analysis distinguished design from implementation costs and traces costs across personnel and non-personnel cost categories over the 2012–15 period. The full cost of the SSDI-PBI programme amounted to USD 3 402 187, equivalent to USD 6.46 per targeted beneficiary. The design phase accounted for about one-third (USD 1 161 332) of the total costs, while the incentives (USD 1 140 436) represented about one-third of the total cost of the intervention and about half the cost of the implementation phase. With a cost of USD 1 605 178, personnel costs represented the dominant cost category. Our study indicated that the introduction of PBF entailed consumption of a substantial amount of resources, hence representing an important opportunity cost for the health system.

ANALYTICAL SUPPORT OF THE PROJECT COMPONENT CONTEXT IN THE CONTEXT OF THE INTEGRATED ASSESSMENT OF HUMAN RESOURCES BY TYPES OF ECONOMIC ACTIVITY

2017 ◽  
Author(s):  
Valeriya Yesina ◽  
◽  
Natalya Matvieieva ◽  
Dmitriy Novikov ◽  
◽  
...  
Keyword(s):  
Human Resources ◽  
Human Development ◽  
Economic Activity ◽  
Integrated Assessment ◽  
Professional Training ◽  
System Development ◽  
Research Area ◽  
The State ◽  
Industrial Complex ◽  
Personnel Costs

The article focuses on such a research area as human resources of the state. And their integrated assessment. The results obtained by type of economic activity are quite high, which is fully consistent with the dynamics of actual and future indicators. According to the Strategy of the state personnel policy, their content consists in: defining the tasks of the national personnel management system; development and implementation of a human development monitoring system; increasing labor productivity; calculation of efficiency and return on investment in human development; improving the national system of professional training taking into account the real needs of staff in the field of public administration, social and humanitarian sphere, key sectors of the economy, industry and agro-industrial complex. The procedure for analyzing human resources should begin with the choice of indicators. The final stage of the integrated long-term assessment of human resources is to determine the appropriate integrated indicator as a project component. The trends of each of the selected indicators for the calculation of the integrated indicator of human resources are constructed in the researched. Below are the equations of trends for the indicator "personnel costs of economic entities by type of economic activity", characterize, respectively, industry and construction and are presented in the form of exponential and linear relationships. This choice of trend equations is due to the dynamics of actual indicators.

scholarly journals Staff cost in direct nursing care at an intensive care unit

2007 ◽  
Vol 15 (5) ◽  
pp. 1005-1009 ◽  
Author(s):  
Sandra Cristina Ribeiro Telles ◽  
Valéria Castilho
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Nursing Staff ◽  
Work Load ◽  
Direct Care ◽  
Personnel Cost ◽  
Simple Method ◽  
Personnel Costs ◽  
Staff Cost ◽  
The Cost

This quantitative case study aimed to learn and analyze the personnel cost in nursing direct care in the intensive care unit. We opted to use a therapeutic intervention score index, TISS-28, for the analysis of the indirect gravity of patients and the dimension of the nursing staff working time. Evaluating the cost by a gravity score presented to be a logical and relatively simple method to allocate costs per patient in the intensive care unit. In this exploratory and descriptive study, the average TISS-28 per patient was 31 points, requiring a daily expenditure of care hours of R$ 298.69. It was evidenced in this study that personnel costs are variable since there are patients with different complexities. Therefore is possible to estimate the nursing staff cost by assessing its work load.

Cost-utilization of peripheral intravenous cannulation in hospitalized adults: An observational study

2020 ◽  
Vol 21 (5) ◽  
pp. 687-693 ◽  
Author(s):  
Fredericus HJ van Loon ◽  
Tina Leggett ◽  
Arthur RA Bouwman ◽  
Angelique TM Dierick-van Daele
Keyword(s):  
Catheter Insertion ◽  
International Standards ◽  
Personnel Costs ◽  
Peripheral Intravenous Catheter ◽  
Nurses And Physicians ◽  
Supply Costs ◽  
Cost Utilization ◽  
The Cost ◽  
Hospital Protocols ◽  
Mean Time

Aim: In modern healthcare there is increased focus on optimizing efficiency for every treatment or performed procedure, of which reduction of costs is an important part. With this study, authors aimed to calculate the cost of peripheral intravenous cannulation including all components that influence its price. Methods: This observational cost-utilization study was conducted between May and October 2016. Hospitalized adults were included in this study, who received usual care. Peripheral intravenous cannulation was carried out according to current hospital protocols, based on international standards for peripheral intravenous catheter insertion. Device costs were assumed equal to the number of attempts multiplied by the fixed supply costs and applicable costs for additional attempts, whereas personnel costs for both nurses and physicians were based on their hourly salary. Results: A total of 1512 patients were included in this study, with a mean of 1.37 (±0.77) attempts and a mean time of 3.5 (±2.7) min were needed for a successful catheter insertion. Adjusted mean costs for peripheral intravenous cannulation were estimated to be €11.67 for each patient, but costs increase as the number of attempts for successful cannulation increases. The cost for patients with a successful first attempt was lower, at approximately €9.32 but increased markedly to €65.34 when five attempts were needed. Conclusion: Prevention of multiple attempts may lower the costs, and furthermore, additional technologies applied by nurses to individual patients based on predicted difficult intravenous access will make the application of these additional technologies, in turn, more efficient.

scholarly journals Different Charging Strategies for Electric Vehicle Fleets in Urban Freight Transport

2021 ◽  
Vol 13 (23) ◽  
pp. 13080
Author(s):  
Bram Kin ◽  
Meike Hopman ◽  
Hans Quak
Keyword(s):  
Electric Vehicle ◽  
Freight Transport ◽  
Urban Freight ◽  
Personnel Costs ◽  
Urban Freight Transport ◽  
Feasible Alternative ◽  
Reservation System ◽  
Operational Constraints ◽  
Charging Stations ◽  
Charging Strategy

The transition from diesel-driven urban freight transport towards more electric urban freight transport turns out to be challenging in practice. A major concern for transport operators is how to find a reliable charging strategy for a larger electric vehicle fleet that provides flexibility based on different daily mission profiles within that fleet, while also minimizing costs. This contribution assesses the trade-off between a large battery pack and opportunity charging with regard to costs and operational constraints. Based on a case study with 39 electric freight vehicles that have been used by a parcel delivery company and a courier company in daily operations for over a year, various scenarios have been analyzed by means of a TCO analysis. Although a large battery allows for more flexibility in planning, opportunity charging can provide a feasible alternative, especially in the case of varying mission profiles. Additional personnel costs during opportunity charging can be avoided as much as possible by a well-integrated charging strategy, which can be realized by a reservation system that minimizes the risk of occupied charging stations and a dense network of charging stations.

scholarly journals Effect of Newer Anaesthetics on Duration of Stay in Postanaesthesia Care Unit in Patients Undergoing Major Abdominal Surgery

2005 ◽  
Vol 33 (3) ◽  
pp. 356-360 ◽  
Author(s):  
C. Gonano ◽  
C. Sitzwohl ◽  
U. Leitgeb ◽  
H. T. Landsteiner ◽  
M. Zimpfer ◽  
...  
Keyword(s):  
Abdominal Surgery ◽  
Major Abdominal Surgery ◽  
Post Anaesthesia Care Unit ◽  
Personnel Costs ◽  
Anaesthetic Agents ◽  
Group Time ◽  
Acquisition Costs ◽  
Anaesthesia Care ◽  
Fentanyl Group ◽  
Postanaesthesia Care Unit

Newer anaesthetic agents, such as remifentanil and sevoflurane, are more expensive than conventional anaesthetics, such as isoflurane and fentanyl. However, newer anaesthetics might outweigh their higher acquisition costs by reducing length of stay in the postanaesthesia care unit and thereby reducing personnel costs. We retrospectively investigated the influence of newer anaesthetics on time to eligibility for discharge from the postanaesthesia care unit in consecutive patients undergoing major abdominal surgery. Using a chart review, patients undergoing major abdominal surgery with three different anaesthetic regimens (isoflurane/fentanyl (n=80), sevoflurane/fentanyl (n=40), and sevoflurane/remifentanil (n=42)) were compared regarding duration of anaesthesia, surgery, time till extubation, and time to eligibility for discharge from the post-anaesthesia care unit. Extubation times were shorter in patients in the sevoflurane/fentanyl and the sevoflurane/remifentanil groups compared to patients in the isoflurane/fentanyl group. Time to eligibility to discharge from the postanaesthesia care unit was similar in isoflurane/fentanyl and sevoflurane/fentanyl group. In the sevoflurane/fentanyl group, time to eligibility for discharge from the unit showed a tendency to be increased (P=0.08), however these patients were significantly older compared to the other groups. Sevoflurane and remifentanil did not appear to reduce time to eligibility to discharge from the postanaesthesia care unit in our patients undergoing major abdominal surgery compared to isoflurane and fentanyl. This study highlighted the necessity for carefully planned transition from remifentanil to other longer-acting analgesia in our patients.

scholarly journals Advantages of IT-based clinical pathways in surgical treatment of non-specific spondylodiscitis

2016 ◽  
Vol 5 (6) ◽  
pp. 19
Author(s):  
N. Homagk ◽  
T. Jarmuzek ◽  
H.J. Meisel ◽  
G.O. Hofmann ◽  
L. Homagk
Keyword(s):  
Surgical Therapy ◽  
Clinical Pathway ◽  
Clinical Pathways ◽  
Total Duration ◽  
Infectious Agent ◽  
Cost Effective ◽  
Control Group ◽  
Personnel Costs ◽  
Treatment Regimens ◽  
Cost Effective Treatment

Objective: The German health care system increasingly incorporates clinical pathways as a tool to organize surgical, intervention or conservative therapies. Does a computerized clinical pathway offer advantages in severity-based surgical therapy of spondylodiscitis?Methods: A hospital has adopted a computerized system based on three severity grades of spondylodiscitis. From 01/01/2012 to 12/31/2013, 32 patients with spondylodiscitis were randomly chosen at admission and prospectively analysed with regard to duration, costs of treatment, pain level and inflammatory markers.Results: Of the 32 patients treated for spondylodiscitis who had not been transferred from another facility, 17 (53%) were treated according to a clinical pathway based on three well-established treatment regimens dependent on severity. The SponDT, as a parameter for the course of disease, was initially slightly higher in the pathway patient’s group (6.82) than in the control group (6.2). Compared to a control group (n = 15) there were differences in the total duration of stay (17.2 vs. 26.0) and the number of blood samples taken (7 vs. 10). No differences could be shown for the extent of documentation, the physical and neurological outcome, the level of pain and or the course of inflammatory markers. The most prevalent germ was Staphylococcus aureus (18.8%). In 43.8% of the patients, no infectious agent could be detected. Material costs and personnel-costs were significantly reduced in the pathway group (12,076 €) compared to 21,341 € in the control group.Conclusions: An IT-based clinical pathway is preferable for surgical therapy of spondylodiscitis based on three grades of severity and offers various advantages as a clinical and administrative regulative mechanism. The cost-effective treatment particularly stands out.

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