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Financial Benefits of a Hepatopancreaticobiliary Program
Alexander S Rosemurgy1, Carrie E Ryan, Richard L Klein
1Southeastern Center for Digestive Disorders and Pancreatic Cancer, Advanced Minimally Invasive and Robotic Surgery, Florida Hospital Tampa, Tampa, Florida, USA.
Insights
Developing a hepatopancreaticobiliary (HPB) center can significantly increase hospital income. Core HPB operations generate triple the net income of general surgery procedures, demonstrating financial viability with sufficient patient volume.
Area of Science:
- Hepatopancreaticobiliary (HPB) surgery
- Health economics
- Hospital administration
Background:
- Financial implications of establishing specialized centers like HPB are often overlooked.
- Understanding the revenue potential is crucial for strategic hospital development.
Purpose of the Study:
- To analyze hospital income generated by a new HPB center.
- To assess the financial opportunity cost of developing an HPB center.
Main Methods:
- Compared income from "core" HPB operations (n=93) with common general surgery operations (n=583).
- Data collected from one hospital between June 2012 and June 2013.
- Income analysis did not screen patients based on their ability to pay.
Main Results:
- HPB operations yielded a mean hospital income of $15,583.20 ± $45,909.41 per operation.
- General surgery operations generated $5,162.22 ± $33,679.10 per operation (P < 0.005).
- Net incomes were $1,449,238.04 for HPB and $3,009,572.78 for general surgery operations.
Conclusions:
- "Core" HPB operations generate substantially higher net income compared to general surgery procedures.
- Establishing an HPB center can be financially beneficial if adequate patient volumes are achieved.
- Despite lower patient volumes, HPB centers offer significant financial advantages.
Abstract:
Financial implications of developing a hepatopancreaticobiliary (HPB) center have not been considered. We undertook this study to determine hospital income associated with a new HPB center and to gauge the opportunity cost associated with such a center. Operations included were based on the HPB fellowship curriculum and the six most commonly undertaken general surgery operations. The income with "core" HPB operations (n = 93) and the six most frequently undertaken general surgery operations (n = 583) at one hospital from June 2012 to June 2013 were determined. Patients were not screened based on the ability to pay. Data are reported as mean ± standard deviation. Per operation, hospital income with HPB operations and general surgery operations were $15,583.20 ± $45,909.41 and $5,162.22 ± $33,679.10 (P < 0.005), respectively. Accordingly, net incomes of $1,449,238.04 (n = 93) and $3,009,572.78 (n = 583) were observed. Although general surgery operations are ubiquitous, HPB centers are uncommonly pursued at most hospitals, in part due to the patient volumes necessary to meet the expertise required. A "core" HPB operation produces triple the net income of a general surgery operation. Accordingly, significant financial benefit is achievable with the development of an HPB center when adequate volume is realized.
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