Patient Level Activity Based Costing the cornerstone of Service Line Reporting

Healthcost are market leaders in Service Line Reporting solutions and have pioneered Patient Level Costing in the UK. We have successfully implemented our solution in over 25 UK based NHS Trusts and helped our clients identify significant efficiency gains.

With our costing software you are able to have a clear view of what is the cost of each individual patient at a variety of expenditure groups such as:

· Nursing

· Medical

· Operating theatre

· Pharmacy

· Medical supplies

We also report on the resources that each patient has consumed such as:

· Days on Ward (with name).

· Pathology tests (with name).

· Radiology tests (with name).

· Drugs consumed by patient (with name).

· Theatre minute utilisation (Total minutes, Knife to skin, Anaesthetic and Recovery).

· Prosthetic consumption by patient.

· Consultant daily cost.

(The above shows a patients detailed resource breakdown or "Patient Bill" in end user report screen).

Our method of reporting is based on the patient interactions and specifically identifying on a patient level what are the costs associated. You can look at each patient, each consultant, procedure, theatre, in fact any area of the business that currently has a cost associated with it and we can help focus on cost savings.

Unlike other products on the market, our solution was built to help hospitals manage their business, not just meet the annual reference cost return.

The power of patient level costing data is that it puts the costing agenda firmly back into the hands of Trusts, who under PbR need accurate, reliable cost data to support business decisions, understand service line profitability and minimise waste.

We employ our knowledge, skill and experience to connect the dots for Trusts. We take the individual patient level feeder systems and link the resources consumed directly to patients. This process sees us carry out data quality checks, these help focus a Trust on the improvements to data they need to undertake. This key piece of work is by necessity, a bespoke solution for all of our sites and one which sees, in many Trusts, millions of transactions mapped to hundreds of thousands of patients on a basis that is replicable and reliable.

We provide dashboards that help managers understand areas that need to investigated and remove the need for paper based reports, which take time and money to produce.

(Above is an example of a top level dashboard view available to end users).

 

(Above is an example of the EBITDA table produced for managers to understand how services are performing).

Clinicians may not be aware of the cost implications of their actions, with a patient costing solution in place they can get an idea of their current costs, where they rank in terms against peers, on a patient by patient level, also the processes and procedures they are undergoing and view the cost of each of these areas. This will ultimately allow you to have more control over who does what and how much resources patients consume.

A major cost driver in any patients stay is theatre related resources, from our output Trusts are able to better understand that use of theatre by surgeons. This in turn helps to drive efficient theatre minute usage throughout Trusts

(Above is an example of the theatre usage reports produced for surgeons to understand how they are utilising theatres).

Healthcost is recognised as being a casemix expert, whose services are sought in many countries around the world. We have provided expert advice on all casemix related issues, from coding reviews, to assisting with funding policy development. We have worked with organisations such as the World Bank, and government departments and health insurers in Australia, Ireland, Slovenia and Turkey. One of our strengths is that we are completely health focused - and our management team has worked exclusively in the health sector for the past 15 years.