Abc Applied To Hospital

ACTIVIY BASED COSTING APOLLO HOSPITAL GROUP 9 EFFORT

Methodology • In Patient – Patient in Ward • Type 1 : Less critical / Less Dependent • Type 2 : More Critical / More Dependent

– Patient in ICU – CT Scan and OT

• Out Patient – As per Cambridge (WO Interpretive Service)

Resources – In Patient Doctor Gen Doctor Oxyge Cateri Nurs Medicin Speciali Doctor n ng es e st Intern ltr

day 200

400

hr 300

hr

hr 1000

hr 1500

500

Air Patient House Temp, Nurse Support Keepin Cleric Billin Hum, Intern Staff g al g ppm hr hr hr hr bill day 100 100 100 200 1000 700

No. of Admission T1 admissions No. of Admission T2 admissions Oxygen T1

Oxygen ltrs

Oxygen T2 Patient T1 observations Patient T2 observations Patient T1 shifting Patient T2 shfting Patient T1

Oxygen ltrs

food Patient T2 food Patient T1 cleaning

Stay days

Stay days Stay No. ofdays investiations (1) of No. investiations (2) Stay days Stay days

Activities & Activity Cost PatientDrivers T2 cleaning Stay days Doctor visit T1 Stay days Doctor visit T2 Stay days Specialist visit T1 Specialist visit Stay days T2 Stay days T1 Administer medicines Stay days T2 Administer medicines Stay days Room service Stay days Documenttati on T1 Stay days Documenttati on T2 Stay days Discharge Num

Infrastructure Cost Allocation R W   Area Special Bed Oxygen Infrastructu re ECG Status & Other Monitor

Unit Sq ft

ate ard

ICU

day Num day

10 200

150 1

40 1

Num day Num day

50 100

1 0

1 1

Num day 3000 0 1 3 Infrastructure Costs 1750 750

octo D Te r oct Do Nu Pati Ho mp, Ov C Gen or cto rse ent use C Hu era T1 T2 Activit Ox ate Nu Med Spe r Int Supp Kee ler B m, ll Pa Pa Activiti y Cost yg rin rs icin ciali Int er ort pin ica illi pp Rat tie tie es Driver en g es e st ern n Staff g l ng m e nt nt No. of Admissio admissio n T1 ns     No. of Admissio admissio n T2 ns     Oxygen Oxygen 4  T1 ltrs Oxygen Oxygen 10  T2 ltrs Patient T1 observati Stay ons days     Patient T2 observati Stay ons days     Patient No. of T1 investiat shifting ions (1)     Patient No. of T2 investiat shfting ions (2)     Patient Stay     T1 food days

1

1 

2

1

1

1 0.2 

 

2    

   

1 0.2         

     

 

 

 

600

 

1 200 

 

3 000

   

   

   

2     

2 

 

 

 

   

4  1 2 0.5 

1

1 

2 040 1  4 440  1 800 2 1  1 000 

 

 

2  3

1 1

 

  1

2  

 

2  

  1 

     

     

2 

 

 

 

6 500 

0.5 

 

 

 

200

1  1 1  1 1 

D Air octo D Te r oct Do Nu Pati Ho mp, Ov C Gen or cto rse ent use C Hu era T1 T2 Activit Ox ate Nu Med Spe r Int Supp Kee ler B m, ll Pa Pa Activiti y Cost yg rin rs icin ciali Int er ort pin ica illi pp Rat tie tie es Driver en g es e st ern n Staff g l ng m e nt nt Patient Stay T2 food days Patient T1 Stay cleaning days Patient T2 Stay cleaning days Doctor Stay visit T1 days Doctor Stay visit T2 days Specialist Stay visit T1 days Specialist Stay T1 visit T2 days Administ er medicine Stay T2 s days Administ er medicine Stay s days

 

 

2 

 

 

 

0.5 

 

 

 

650 

1

 

 

1 

 

 

 

1 

 

 

 

400

 

 

1 

 

 

 

1 

 

 

 

400 

 

 

 

0.5 

0.5 

0.5 

 

 

 

 

 

 

1 

1 

0.5 

 

 

 

800 1  1 550  1

 

 

 

 

0.1 

 

 

 

 

 

 

150

 

 

 

 

0.5 

 

 

 

 

 

 

750 

 

 

0.5 

 

 

 

 

 

 

 

 

150

 

 

1 

 

 

 

 

 

 

 

 

300 

1  1

1  1 1  1

octo D Te r oct Do Nu Pati Ho mp, Ov C Gen or cto rse ent use C Hu era T1 T2 Activit Ox ate Nu Med Spe r Int Supp Kee ler B m, ll Pa Pa Activiti y Cost yg rin rs icin ciali Int er ort pin ica illi pp Rat tie tie T2 es Driver en g es e st ern n Staff g l ng m e nt nt Administ er medicine Stay days s Room Stay service days Documen ttation Stay T1 days Documen ttation Stay T2 days Discharg Num e

 

 

 

 

 

 

1 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

1 

 

 

   

0.5 

 

300  1 800

 

100

1 1

1

1 

                0.5    100  1 2                 1 2  200 1 1 Doctor Nurs Air Gen Doctor Docto e Patient House Temp, Oxyg Cater Nurs Medici Special r Inter Support Keepi Cleri Billi Hum, en ing es ist Intern n Staff ng cal ng ppm ne ltr day hr hr hr hr hr hr hr hr bill 1 day 200 400 300 1000 1500 500 100 100 100 200 000 700

T1 Patient T2 Patient day day 11240 20890

Ward and ICU Costs  

 

 Ward

Infrastructure Costs

ICU

1750

Running Costs T1

11240 

Running Costs T2

20890 

3750

Total Costs T1 12990  Total Costs T2 22640  Running ICU Costs 

20540

Total ICU Costs 

24290

CT Scan & OT Infrastructure Costs Units & Rate Costs CT CT Unit Scan OT Scan OT

  Area Sq ft hr 10 10 800 1000 Eqpt Duration hr 10000 10000 2 4 Infrastructure Num 1000 1000 1 1 Electricity hr 700 800 2 4 Support Staff hr 200 200 4 4 Nursing Staff hr 300 300 1 8 Analysis Num 2000 0 1 0 5 Report Num 1000 1000 3450 1 840 1 Total Infrastructure Costs 0 0