Trauma service cost : The real story. Discussion.
Annual Scientific Session of the Southern Surgical Association. Hot Springs, VA, USA, 1997/11/30.
Objective The objective was to define and characterize the costs associated with trauma care at a level I trauma center.
Once the costs were identified, attending physician-led teams were designed to reduce costs within each cost center.
Background Data The location and magnitude of the costs on a trauma service remain largely unknown.
Focused cost-containment strategies remain difficult to implement because the expected return on these interventions is unknown.
Methods Cost center data were reviewed for the 40 major DRGs admitted for the first 6 months of the fiscal years 1996 and 1997.
Data were obtained from the hospital finance department using the Transition Systems Inc. accounting system.
We focused on variable direct costs, those that vary with patient volume (e.g., staff nursing expense and medical/surgical supplies).
To address issues of inflation, pay raises, and changing costs, a proxy value was created for 1996 and costs were held constant for the 1997 calculation.
The major services that constitute cost centers identified in the system were nursing, surgical, pharmacy, laboratory, radiology, and emergency services.
Attendings were assigned to develop and oversee customized cost-reduction modalities specific to each cost center. (...)
Mots-clés Pascal : Organisation, Service hospitalier, Traumatologie, Définition, Coût, Distribution, Réduction, Résultat, Homme, Economie santé, Politique sanitaire
Mots-clés Pascal anglais : Organization, Hospital ward, Traumatology, Definition, Costs, Distribution, Reduction, Result, Human, Health economy, Health policy
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 98-0322537
Code Inist : 002B30A04B. Création : 27/11/1998.