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Process-based costing.

Robert H Lee1, Marjorie J Bott, Sarah Forbes

  • 1Department of Health Policy and Management, School of Medicine, University of Kansas Medical Center, 3901 Rainbow Blvd, Kansas City, KS 66160, USA. rlee2@kumc.edu

Journal of Nursing Care Quality
|October 15, 2003
PubMed
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This study introduces process-based costing, a new, reliable method for measuring healthcare costs. It helps nursing managers assess the financial impact of quality improvement initiatives effectively.

Area of Science:

  • Healthcare Management
  • Health Economics
  • Quality Improvement

Background:

  • Accurate cost measurement is crucial for evaluating quality improvement initiatives.
  • Existing methods for measuring direct costs are often expensive or unreliable.
  • There is a need for accessible and dependable costing strategies in healthcare.

Purpose of the Study:

  • To develop and present a low-cost, reliable costing strategy based on process improvement principles.
  • To demonstrate the applicability of this new costing method in long-term care settings.

Main Methods:

  • The proposed strategy, process-based costing, involves four key steps: flowchart development, resource use estimation, resource valuation, and direct cost calculation.
  • The method was applied to cost the care planning process in three long-term care facilities.

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Main Results:

  • Process-based costing proved to be easy to implement across the studied facilities.
  • The technique generated reliable and valid data for cost assessment.
  • Nursing managers can utilize this method to evaluate the costs associated with new or modified processes.

Conclusions:

  • Process-based costing offers a practical and effective solution for measuring direct healthcare costs.
  • This approach empowers healthcare managers to make informed decisions regarding quality improvement and resource allocation.