Variations in Hospital Administrative Costs

McKay, Niccie L.; Lemak, Christy Harris; Lovett, Annesha

doi:10.1097/00115514-200805000-00005

Cited by 7 publications

(4 citation statements)

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“…Teaching hospitals also see a higher proportion of patients transferred from other hospitals for more advanced care, and appear to use guideline-recommended therapies more consistently across conditions than non-teaching institutions (O'Brien et al, 2014). Finally, cost of care across all service lines has historically been higher at teaching hospitals; many recent studies suggest these costs have been trending upward since 2009 (Burke, Frakt, Khullar, Orav, & Jha, 2017); location, which the empirical evidence shows impacts hospital performance (McKay, Lemak, & Lovett, 2008;Younis, 2003). There are several key differences in patient population finances, and operations between rural and urban hospitals that justify separate consideration.…”

Section: Efficiency Variablesmentioning

confidence: 99%

Does efficiency and quality of care affect hospital closures?

2017

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In recent decades, a large number of hospitals in Pennsylvania and across the United States have been forced to close entirely, or to transform their beds for alternative uses including outpatient care. Hospital closures have severe repercussions for the stakeholders. A better understanding of hospital closures could help take corrective measures to alleviate the adverse impact closures have on communities. Using Pennsylvania Department of Health data compiled from various sources, we address the following questions: Are less efficient hospitals less likely to survive in the long run? What are the effects of quality of care on hospital closures? Does teaching status and location (urban or rural) have any impact on the probability of hospital closure? The result demonstrates several factors of varying significance affect hospital closures/survivals. Hospitals with higher ratio of registered nurses per bed, higher operating margin, lower percentage of revenues from Medicare and Medicaid, and lower competition were less likely to close. Efficiency measures such as DEA efficiency, cost per patient day, and cost per discharge were not found to have a significant impact on hospital closures. The results suggest that hospital administrators may focus more on quality of care and less on cost reduction and efficiency.

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Section: Efficiency Variablesmentioning

confidence: 99%

Does efficiency and quality of care affect hospital closures?

2017

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“…They also stated that administrative costs, as a percentage of total operating costs, were far higher in smaller hospitals than in larger hospitals. 38 Managers seem to be able to reduce inefficiencies in hospital costs by correcting simple management practices. Overall, the studied hospitals do not have optimal conditions in terms of cost performance.…”

Section: Discussionmentioning

confidence: 99%

Economic Performance Analysis of Selected Military Hospitals Using Hospital Indicators and Inpatient Bed-Day Cost

et al. 2019

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Background: Hospitals, the main providers of healthcare services, are costly centers which account for about 80% of the health sector budget and have a huge share of resources. Objective: This study aimed to analyze the economic performance of selected military hospitals in Tehran using hospital indicators and inpatient bed-day costs. Methods: This descriptive, cross-sectional, retrospective study conducted in hospitals affiliated with a military medical university. Data was collected with forms completed by referring to the hospitals’ finance and accounting, medical records, staffing, and logistics departments. The extracted data converted to hospital indicators using the appropriate formulas and analyzed using Excel and SPSS software with the T-test. Results: The average bed occupancy rate (BOR) was 71%, the average length of stay (ALOS) was 2.5 days, the average bed turnover (BT) was 31 times, and the average bed turnover interval (BTI) was one day. The comparison of means of all the above-mentioned indicators other than BOR with the national standards was statistically significant (P < 0.05). Inpatient bedday costs with and without capital costs were calculated to be 3312353 IRR and 12253775 IRR, respectively. Conclusion: Higher BOR and BT and lower ALOS and BTI indicators were appropriate compared with the national standards, but the cost performance was not appropriate. An unreasonable increase in inpatient bed-day cost revealed that there were unused beds and that hospitals had no monitoring systems for revenues and expenditures. Therefore, serious attention must be given to the scientific criteria and principles of health economics to improve resource productivity.

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“…3) Simulation modelling: Simulation models tests different scenarios and identify potential outcomes before making changes in the real world. For example, simulation modelling tests different staffing levels or resource allocations to identify the most efficient and effective approach (Mckay & Degenholtz) [33].…”

Section: Model and Methodsmentioning

confidence: 99%

Data-Driven Approaches to Hospital Capacity Planning and Management

2023

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Data-driven approaches to hospital capacity planning and management involve using historical and real-time data to identify patterns and trends in patient demand, resource utilization, and other key metrics. This information provides to develop predictive models, forecast patient demand, optimize staffing levels, and improve patient outcomes. Electronic health record systems and Internet of Things devices can also be used to monitor hospital operations in real-time and identify areas of inefficiency. Hospital capacity planning and management are critical to ensuring that healthcare facilities have enough resources to meet the needs of their patients. Data-driven approaches can be helpful in addressing these challenges by providing insights into patient demand, resource utilization, and other key metrics. This article discusses the various data-driven approaches to hospital capacity planning and management and their potential benefits. It also highlights the importance of having the right infrastructure and expertise effectively collect, analyse, and act on this data.

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Variations in Hospital Administrative Costs

Cited by 7 publications

References 0 publications

Does efficiency and quality of care affect hospital closures?

Does efficiency and quality of care affect hospital closures?

Economic Performance Analysis of Selected Military Hospitals Using Hospital Indicators and Inpatient Bed-Day Cost

Data-Driven Approaches to Hospital Capacity Planning and Management

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