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Published on: September 16, 2022
Using Return on Investment Operational and Monte Carlo Modeling Techniques to Predict Financial Performance in a
Robert DiCesare1, Jay Toor1,2, Jesse Wolfstadt1,3,2,4
1Temerty Faculty of Medicine, University of Toronto, Toronto, Ontario, Canada.
Return on invested capital (ROIC) operational mapping and Monte Carlo simulation accurately predict financial performance in urology clinics. These business tools aid in evaluating quality improvement investments and their financial impact.
Area of Science:
- Healthcare Management
- Financial Modeling
- Operations Research
Background:
- Quality improvement studies often lack robust financial analysis for return on investment (ROI) prediction.
- Accurate financial forecasting is crucial for evaluating healthcare initiatives.
Purpose of the Study:
- To test the hypothesis that ROIC operational mapping and Monte Carlo simulation can predict institutional costs and operational metrics.
- To validate these financial modeling techniques in an outpatient urology clinic setting.
Main Methods:
- Developed a process map of outpatient clinic visits and conducted time studies.
- Adapted the process map into an ROIC-tree for financial modeling.
- Utilized Monte Carlo simulation for stochastic modeling of financial metrics.
Main Results:
- The combined ROIC-Monte Carlo simulation model generated accurate financial and operational estimates.
- Estimates for 2017-2018 showed a difference of <4.31% from actual financial values.
- Estimates for 2018-2019 showed a difference of <7.67% from actual financial statement line items.
Conclusions:
- The study demonstrated the predictive capability of ROIC-operational mapping and Monte Carlo simulation for financial metrics in a tertiary care clinic.
- Common business tools can effectively support healthcare financial and operational performance evaluations.
- This approach aids clinicians in assessing the financial implications of quality improvement investments.
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