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A clinical care costing method.

Virginia K Saba1, Jean M Arnold

  • 1Georgetown University, USA. vsaba@att.net

Studies in Health Technology and Informatics
|September 14, 2004
PubMed
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The Clinical Care Costing Method (CCCM) offers a novel approach to calculating nursing care costs using the Home Health Care Classification (HHCC) System. This method links nursing actions and outcomes to costs, aiding in reimbursement determination.

Area of Science:

  • Healthcare Management
  • Nursing Informatics
  • Health Economics

Background:

  • Accurate cost determination for clinical nursing practice is essential for healthcare management.
  • Existing methods may not fully capture the nuances of nursing interventions and their resource utilization.
  • The Home Health Care Classification (HHCC) System provides a framework for classifying nursing care.

Purpose of the Study:

  • To introduce and describe the Clinical Care Costing Method (CCCM) for determining the cost of clinical nursing practice.
  • To demonstrate how the CCCM utilizes the HHCC System and Clinical Care Pathways (CCP).
  • To explore the application of the CCCM for retrospective and prospective reimbursement of nursing care services.

Main Methods:

  • The CCCM employs three key nursing indicators: Care Components, Actions, and Outcomes.

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  • Clinical Care Pathways (CCP) are used to document, track, and code clinical care within the HHCC System.
  • Costs are derived from the time and frequency of specific nursing interventions (Action Types) aimed at achieving defined Outcomes and resolving Care Components.

    • Main Results:

    • The CCCM provides a structured methodology to quantify the resources and costs associated with nursing interventions.
    • Clinical Pathway data offer evidence of the effectiveness of nursing interventions in achieving desired patient Outcomes.
    • The method facilitates both retrospective and prospective determination of reimbursement for nursing care.

    Conclusions:

    • The CCCM offers an innovative and evidence-based approach to costing clinical nursing practice.
    • This methodology enhances the ability to accurately determine reimbursement for nursing care services.
    • The integration of CCP data strengthens the link between nursing interventions, outcomes, and costs.