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Breast cancer treatment pathway improvement using time-driven activity-based costing
Véronique Nabelsi1, Véronique Plouffe2
1Department of Administrative Sciences, Université du Québec en Outaouais, Gatineau, Canada.
The International Journal of Health Planning and Management
|August 21, 2019
Summary
Time-driven activity-based costing (TDABC) improves healthcare cost analysis by detailing activities and resource use. This method identifies opportunities for lean methods to optimize patient care pathways and reduce expenses.
Area of Science:
- Healthcare Management
- Health Economics
- Operations Research
Background:
- Complex healthcare pathways require accurate cost assessment.
- Existing costing methods may not capture time-dependent variations.
- Time-driven activity-based costing (TDABC) offers a more precise approach.
Purpose of the Study:
- To extend TDABC for identifying specific improvements in healthcare processes.
- To analyze a breast cancer radiation oncology care trajectory.
- To detect opportunities for implementing lean methods.
Main Methods:
- Applied TDABC to a radiation oncology care pathway for breast cancer patients.
- Identified activities, resource groups, and execution times.
- Extracted financial data to evaluate process costs.
Main Results:
- The total cost for the analyzed care trajectory was $2383.82.
- A low completion rate of 268 out of 1389 trajectories was observed.
- TDABC provided a clear breakdown of costs within the care trajectory.
Conclusions:
- TDABC enhances understanding of healthcare costs and resource allocation.
- The method facilitates the identification of waste and implementation of lean strategies.
- Optimizing care trajectories through TDABC can lead to significant cost reductions.
Keywords:
activity-based costing (ABC)costs of careleanperformance improvementtime-driven activity-based costing (TDABC)More Related Videos
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