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Related Experiment Videos

Comprehensive approach to utilization review based on patient-specific costing data.

K A Potvin1, M C Leclair

  • 1Ottawa General Hospital, Ontario, Canada.

Healthcare Management Forum
|December 4, 1995
PubMed
Summary

Ottawa General Hospital implemented a cost accounting system to track patient-specific costs. This enables targeted resource use reviews, supporting quality care amid funding challenges.

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Leadership in health services = Leadership dans les services de santeยท1995
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Area of Science:

  • Health Services Research
  • Hospital Administration
  • Healthcare Management

Background:

  • Hospitals face funding challenges, necessitating efficient resource allocation.
  • Cost accounting systems offer patient-specific data for resource utilization review.
  • Ottawa General Hospital (OGH) adopted a cost accounting system to address these issues.

Purpose of the Study:

  • To describe a comprehensive approach for analyzing patient-specific cost data.
  • To identify opportunities for detailed review with practitioners to optimize resource use.
  • To support a targeted cost-reduction strategy while maintaining quality of care.

Main Methods:

  • Implemented a cost accounting system to gather patient-specific financial data.
  • Accumulated one full fiscal year of cost data for analysis.

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  • Developed a method to identify homogeneous patient populations with significant practice pattern variances among physicians.

    • Main Results:

    • The review process identified specific patient groups for in-depth analysis.
    • Significant practice pattern variances were observed between physicians for certain patient populations.
    • The data facilitated a targeted approach to resource utilization review.

    Conclusions:

    • Cost accounting systems are valuable tools for understanding and managing hospital resources.
    • Identifying patient groups with practice pattern variations allows for focused quality improvement initiatives.
    • The described methodology provides a template for other institutions to analyze cost data and improve patient care delivery.