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Health Information Technology and Healthcare Information System01:30

Health Information Technology and Healthcare Information System

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Health Information Technology (HIT)
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Time-Driven, Activity-Based Costing to Reduce Interventional Radiology Suite Idle Time.

Mohammad Ghasemi Rad1, David Wynne1, Mahan Ghasemi2

  • 1Department of Radiology, Baylor College of Medicine, Houston, USA.

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|December 29, 2022
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Summary

Implementing time-driven, activity-based costing (TDABC) in interventional radiology significantly reduced patient wait times. This operational improvement decreased idle room time by nearly 40%, enhancing efficiency and lowering healthcare costs.

Keywords:
cost reductionhealthcareidle timeinterventional radiologytime-driven activity-based costing

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Area of Science:

  • Healthcare Management
  • Operations Research
  • Radiology

Background:

  • Increasing healthcare complexity necessitates high-quality, accessible, efficient, and affordable care.
  • Shifting reimbursement models from fee-for-service to value-based care require operational adaptations.
  • Hospitals must identify cost-saving measures and streamline patient care pathways.

Purpose of the Study:

  • To quantify costs at each step of the inpatient interventional radiology (IR) care process using the time-driven, activity-based costing (TDABC) model.
  • To identify and reduce operational bottlenecks within the IR department.
  • To optimize patient care pathways and reduce associated costs.

Main Methods:

  • Mapped all steps from IR consult to postoperative recovery.
  • Collected time data for each process step.
  • Focused on reducing inter-procedural "idle time" in the IR suite through a multidisciplinary intervention.

Main Results:

  • Average IR suite idle time was reduced from 40 minutes to 24 minutes (a nearly 40% decrease).
  • The cost per minute in the IR suite was calculated at approximately $57.
  • The intervention successfully met the goal of reducing idle time to under 25 minutes.

Conclusions:

  • The TDABC model is effective for identifying operational bottlenecks in healthcare settings.
  • Streamlining patient care processes, specifically reducing idle time, leads to significant cost reductions.
  • This study demonstrates a viable method for optimizing interventional radiology operations and improving the patient care continuum.