scholarly journals Financial cost of elective day of surgery cancellations

2018 ◽  
Vol 7 (5) ◽  
pp. 30
Author(s):  
Elina Turunen ◽  
Merja Miettinen ◽  
Leena Setälä ◽  
Katri Vehviläinen-Julkunen
Keyword(s):  
Healthcare Services ◽  
University Hospital ◽  
Financial Loss ◽  
Financial Cost ◽  
Total Cost ◽  
Operative Care ◽  
Time Period ◽  
Cancellation Rate ◽  
The Cost

Operative care is one of the major areas of healthcare services as over 310 million surgeries are conducted yearly. Surgery cancellations is a widely used indicator when evaluating the quality of preoperative care. Cancellations cause financial lost for organizations, however there is only limited research about the costs. The aim of this study was to evaluate the cost of elective day of surgery (DOS) cancellations in 13 operative specialties at a university hospital in Finland between September 1, 2015 and May 31, 2016 after a structured preoperative protocol was implemented to practice and a cancellation rate of 4.7% was recognized. Procedure prices conducted the data for the research and were collected from the hospital’s invoicing system. Financial loss and savings of cancellations were calculated from the total cost of procedures. As a result the total cost of DOS cancellations during the nine-month time period was 953,374.27 euros and mean loss of a single cancelled operation was 2,459.91 euros. The total of material savings for the hospital were 106,917.33 euros. As a conclusion, DOS cancellations cause unnecessary wastage, and financial aspects should be followed and evaluated systematically by setting goals and providing continuing developments.

Introduction to this special section: Acquisition and sensing

2019 ◽  
Vol 38 (9) ◽  
pp. 670-670
Author(s):  
Margarita Corzo ◽  
Tim Brice ◽  
Ray Abma
Keyword(s):  
Special Section ◽  
Seismic Survey ◽  
Ocean Bottom ◽  
Total Cost ◽  
Small Boat ◽  
Air Gun ◽  
Seismic Acquisition ◽  
The Cost ◽  
Seismic Images

Seismic acquisition has undergone a revolution over the last few decades. The volume of data acquired has increased exponentially, and the quality of seismic images obtained has improved tremendously. While the total cost of acquiring a seismic survey has increased, the cost per trace has dropped precipitously. Land surveys have evolved from sparse 2D lines acquired with a few dozen receivers to densely sampled 3D multiazimuth surveys. Marine surveys that once may have consisted of a small boat pulling a single cable have evolved to large streamer vessels pulling multiple cables and air-gun arrays and to ocean-bottom detectors that require significant fleets to place the detectors, shoot the sources, and provide support. These surveys collect data that are wide azimuth and typically fairly well sampled.

scholarly journals Do We Get What We Pay For? Examining the Relationship Between Payments and Clinical Outcomes in High-Volume Elective Surgery in a Commercially-Insured Population

2020 ◽  
Vol 57 ◽  
pp. 004695802096878
Author(s):  
Madison Arenchild ◽  
Anaeze C. Offodile ◽  
Lee Revere
Keyword(s):  
Elective Surgery ◽  
High Volume ◽  
Quality Of Healthcare ◽  
Healthcare Services ◽  
Care Provision ◽  
Quality Outcomes ◽  
Prolonged Length ◽  
The Cost ◽  
The Relationship

Studies evaluating the cost and quality of healthcare services have produced inconsistent results. We seek to determine if higher paid hospitals have higher quality outcomes compared to those receiving lower payments, after accounting for clinical and market level factors. Using inpatient commercial claims from the IBM® MarketScan® Research Databases, we used an ordinal logistic regression to analyze the association between hospital median payments for elective hip and knee procedures and 3 quality outcomes: prolonged length of stay, complication rate, and 30-day readmission rate. Patient-level and market factor covariates were appropriately adjusted. Hospital-level payments were found to be not significantly correlated with hospital quality of care. This research suggests that higher payments cannot predict higher quality outcomes. This finding has implications for provider-payer negotiations, value-based insurance designs, strategies to increase high-value care provision, and consumer choices in an increasingly consumer-oriented healthcare landscape.

scholarly journals ANALISIS USAHA HOME INDUSTRI KERUPUK RAMBAK

2017 ◽  
Vol 11 (1) ◽  
pp. 35-45
Author(s):  
Syarifah Aini ◽  
Erlin Widya Fatmawati
Keyword(s):  
Variable Cost ◽  
Fixed Cost ◽  
Business Activity ◽  
Total Cost ◽  
Total Variable Cost ◽  
Cost Of Production ◽  
The Government ◽  
The Cost ◽  
Breakeven Point

The purpose of this research is to know the amount of cost, acceptance, profit, profitability, and R / C Ratio from home industry crackers rambak in Sembon Village Satreyan District Kanigoro Blitar District. The result of this research shows that the total variable cost at rambak cracker agroindustry center is equal to Total variable cost Rp 1,139,783, - per day, total fixed cost Rp 4,953, - per day. So the total total cost of production is Rp 1,144,076, - per month. The breakeven point or BEP unit is 3 units. BEP Rp for RP 16,017, -. BEP revenue of Rp 16,017, - per day. Received revenue of Rp 1.650.000, - so the profit earned by employers is amounted to Rp 505,924, -. While the profitability of business is 44% which means this business is profitable. Home industry that run during this efficiency has been shown with R / C ratio of more than 1 that is equal to 1.44. Based on the criteria used, this business has been efficient because the efficiency value of more than 1. This means that every Rp 1.00 issued by the entrepreneur at the beginning of the business activities will get 1.44 times revenue from the cost incurred at the end of the business activity. This can be interpreted that home industry crackers rambak said Eligible to run. From this research it is suggested that entrepreneurs do creations by adding a sense of the product, so that the quality of the product can be increased and not less competitive with similar entrepreneurs from other regions. For the government, the Government of Blitar Regency through the Department of Industry and Trade and other related agencies should try to help develop the business crackers rambak by providing low-interest capital loans to entrepreneurs agro-industry crackers rambak.

scholarly journals Current aspects of risk management in clinical trials

2020 ◽  
pp. 45-52
Author(s):  
E. A. Polozova
Keyword(s):  
Clinical Trial ◽  
Risk Management ◽  
Clinical Trials ◽  
Cost Savings ◽  
Pharmaceutical Companies ◽  
Main Task ◽  
Legal Requirements ◽  
Financial Cost ◽  
The Cost

Improving the quality of drugs is the main task of the pharmaceutical industry as a whole. Getting safe and eff ective medications is directly related to minimizing the risks of conducting clinical trials. Maintaining the quality of clinical research based on risk management is a continuous, constant and dynamic process ensuring the success of the study, which in turn leads to the integrity of the data collected, the safety of subjects and compliance with legal requirements, as well as to the financial cost savings of pharmaceutical companies. The cost of research is growing inexorably, and the quality of their research is rapidly declining, so it is important to use a risk-based approach when developing the upcoming clinical trial project.

scholarly journals The Cost Potential of Shallot in Rasi Salai District, Sisaket Province

2021 ◽  
Vol 58 (1) ◽  
pp. 3905-3908
Author(s):  
Piyachat Thongpaeng, Jeeranan Wongwatanyoo, Apinya Bhumsaidon
Keyword(s):  
General Information ◽  
The Other ◽  
Average Price ◽  
Average Income ◽  
Educational Levels ◽  
Total Cost ◽  
Primary Level ◽  
Research Findings ◽  
The Cost

This research aimed to study the cost potential of shallot in Rasi Salai District, Sisaket Province in order to lead to planning on pricing, marketing, improving the quality of shallot and analyzing data of farmers and shallot production. The research findings on the general information of shallot farmers revealed that they consisted of 75% of males and 25% of females with 40-49 years of age or 50%. Most of their educational levels were 55% of primary level or lower. They grew shallot together with other crops. The Bang Chang varieties (local shallot varieties of Sisaket Province) were grown most of 75% and the other 25% of local northern verities called Hom Bua. The 70% of planting shallots were harvested from the last season and the other 30% were purchased from other farmers in the market.  The shallot productivity per rai was uncertain depending on the caring, fertilizing and disturbing disease. Approximately 35% of the farmers harvested 1,200-1,500 kilograms per rai or 25%. Regarding the production cost of shallot, it was found that the average mount was 8,151.5 baht per rai with the highest amount of verities of 3,250 baht per rai or 15.2%. The cost of insecticide was 1,000 baht or 10.2% of the total cost. In addition, the least cost was transportation for 3.3% only because most merchants bought shallots at the farming sites.  According to sale data, 70% of the farmers sold local verieties of Sisaket Province with average price of 30 baht per kilogram, followed by 15% of Hom Bua with an average price of 45 baht per kilogram. The average income earned by farmers in each household was different at 20,001-25,000 baht per rai

Causes and Associated factors of Operation Cancellation at Cardiothoracic Ain-Shams University Hospital

QJM ◽  
2021 ◽  
Vol 114 (Supplement_1) ◽  
Author(s):  
Shaymaa M El Bokl ◽  
Aisha M Aboul-Fotouh ◽  
Ehab S Habil ◽  
Ahmed A Saleh ◽  
Azza M Hassan
Keyword(s):  
Operating Room ◽  
Health Care Providers ◽  
Clinical Status ◽  
Cross Sectional Study ◽  
University Hospital ◽  
Care Providers ◽  
Cross Sectional ◽  
Pareto Chart ◽  
Cancellation Rate

Abstract Background Cancellation of elective operations is a sensitive indicator of operating room management. It results in loss of time, resources and affects quality of care. Operating room cancellation of elective operations is defined as cases that appeared in the definitive operative room list that ultimately were not performed on that day. Objectives To measure cancellation rate at Cardiothoracic Ain-Shams University hospital, Egypt and to identify causes and factors associated to cancellations. Methods Cross-sectional study that included 254 operations in all operating rooms of Cardiothoracic Ain Shams university hospital which provides specialized tertiary level of care. Results The overall cancellation rate is 21.7%, The most frequent cause of cancellation is standby operations accounting for 29.4%. Pareto chart shows that vital few causes are “patient prepared as stand by”, “previous long operation”, “change in Patient’s clinical status”, “equipment failure” and “ICU bed unavailable”. These causes are responsible for 80% of cancellations. Conclusion and Recommendation The avoidable causes of the problem should be addressed. Policy changes are recommended as well as continuous documentation and analysis of cancellation and its causes. Periodic awareness lectures for health care providers are suggested.

The Optimal Workforce Staffing Solutions With Random Patient Demand in Healthcare Settings

2018 ◽  
pp. 3711-3724
Author(s):  
Alexander Kolker
Keyword(s):  
Quality Of Care ◽  
Planning Process ◽  
Accurate Assessment ◽  
Specific Time ◽  
Staffing Level ◽  
Total Cost ◽  
Healthcare Settings ◽  
Time Period ◽  
Cost Efficient

Staffing planning is paramount for cost-efficient workforce management. An accurate assessment of the required staffing level for the specific time period is an integral part of the hospital budgeting and planning process. Daily fluctuations of patient census create staffing planning challenges to many organizations. There is a growing trend for hospitals to use data analytics for determining the optimal staffing solutions. The dynamic nature of the staffing process creates two types of issues: (1) overstaffing vs. the planned budgeted level, which hurts operations margins; or (2) understaffing, which requires costly overtime and/or premium pay that also hurts margins and causes substandard quality of care. The goal of this chapter is providing an overview and examples of application of the methodology called the “newsvendor” framework. This methodology helps developing the optimal nursing and other skill mix staffing solutions that minimize the total cost of over- and understaffing occurrences within the specified time period for the units with random patient census fluctuations.

The Optimal Workforce Staffing Solutions With Random Patient Demand in Healthcare Settings

2019 ◽  
pp. 158-174
Author(s):  
Alexander Kolker
Keyword(s):  
Quality Of Care ◽  
Planning Process ◽  
Accurate Assessment ◽  
Specific Time ◽  
Staffing Level ◽  
Total Cost ◽  
Healthcare Settings ◽  
Time Period ◽  
Cost Efficient

Staffing planning is paramount for cost-efficient workforce management. An accurate assessment of the required staffing level for the specific time period is an integral part of the hospital budgeting and planning process. Daily fluctuations of patient census create staffing planning challenges to many organizations. There is a growing trend for hospitals to use data analytics for determining the optimal staffing solutions. The dynamic nature of the staffing process creates two types of issues: (1) overstaffing vs. the planned budgeted level, which hurts operations margins, or (2) understaffing, which requires costly overtime and/or premium pay that also hurts margins and causes substandard quality of care. The goal of this chapter is providing an overview and examples of application of the methodology called the “newsvendor” framework. This methodology helps to develop the optimal nursing and other skill mix staffing solutions that minimize the total cost of over- and understaffing occurrences within the specified time period for the units with random patient census fluctuations.

Psychiatric inpatient care planning via telemedicine

2000 ◽  
Vol 6 (3) ◽  
pp. 152-157 ◽  
Author(s):  
Marja-Leena Mielonen ◽  
Arto Ohinmaa ◽  
Juha Moring ◽  
Matti Isohanni
Keyword(s):  
Inpatient Care ◽  
Response Rate ◽  
Psychiatric Inpatient ◽  
University Hospital ◽  
Care Planning ◽  
Face To Face ◽  
Remote Areas ◽  
Conventional Alternative ◽  
The Cost

We assessed the costs of psychiatric inpatient care-planning consultations to remote areas using videoconferencing, instead of the conventional face-to-face consultations at a hospital. The data were collected from all wards at the department of psychiatry of Oulu University Hospital over 11 months. A total of 14 videoconferences were conducted with two primary-care centres located 220 km and 160 km from Oulu. During the same period, 20 conventional consultations at the Oulu University Hospital were also assessed. A questionnaire was completed by a total of 124 patients, relatives and health-care personnel; the response rate was about 90%. Of the respondents, 90% were satisfied with the quality of communication afforded by videoconferencing. At a workload of 20 patients per year, the cost of the videoconferences was FM2510 per patient; the cost of the conventional alternative was FM4750 per patient. At 50 care consultations per year, a remote municipality would save about FM117,000.

Costs and Benefits of Measures to Prevent Needlestick Injuries in a University Hospital

1999 ◽  
Vol 20 (9) ◽  
pp. 614-617 ◽  
Author(s):  
Françoise Roudot-Thoraval ◽  
Olivier Montagne ◽  
Annette Schaeffer ◽  
Marie-Laure Dubreuil-Lemaire ◽  
Danièle Hachard ◽  
...  
Keyword(s):  
Preventive Measures ◽  
Tertiary Care ◽  
University Hospital ◽  
Actual Number ◽  
Costs And Benefits ◽  
Needlestick Injuries ◽  
Total Cost ◽  
Number Of Patients ◽  
The Cost

AbstractObjective:To document the costs and the benefits (both in terms of costs averted and of injuries averted) of education sessions and replacement of phlebotomy devices to ensure that needle recapping did not take place.Design:The percentage of recapped needles and the rate of needlestick injuries were evaluated in 1990 and 1997, from a survey of transparent rigid containers in the wards and at the bedside and from a prospective register of all injuries in the workplace. Costs were computed from the viewpoint of the hospital. Positive costs were those of education and purchase of safer phlebotomy devices; negative costs were the prophylactic treatments and follow-up averted by the reduction in injuries.Setting:A 1,050-bed tertiary-care university hospital in the Paris region.Results:Between the two periods, the proportion of needles seen in the containers that had been recapped was reduced from 10% to 2%. In 1990, 127 needlestick (12.7/100,000 needles) and 52 recapping injuries were reported versus 62 (6.4/100,000 needles) and 22 in 1996 and 1997. When the rates were related to the actual number of patients, the reduction was 76 injuries per year. The total cost of information and preventive measures was $325,927 per year. The cost-effectiveness was $4,000 per injury prevented.Conclusion:Although preventive measures taken to ensure reduction of needlestick injuries appear to have been effective (75% reduction in recapping and 50% reduction in injuries), the cost of the safety program was high.

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