Clinical Costing Techniques and Analysis in Modern Healthcare Systems

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Тезисы до: 27.01.2017

Даты: 27.01.17 — 27.01.17

Е-мейл Оргкомитета:

Организаторы: IGI Global


Clinical Costing is a discipline of activity-based costing which studies the resource input for a clinical service or work to improve patient care clinically and financially. The result is a unit clinical service cost to evaluate clinical service utilisation and improvements.
Clinical costing is the "one and only" information system available to a hospital linking all information systems, and therefore, it obeys the "unifying theory" of information systems. It utilizes a statistical tool called "Clinical Data Linkage" based on a unique identifier and service date to the same patient across all clinical settings. Therefore, the clinical costing information system could be called a "salad bowl", which retains the original texture and colors of all ingredients. The salad bowl is quite different from a "melting pot" where all original characteristics are lost. Being a salad bowl information system has many advantages for research. For example, it has ability to investigate and trace back all clinical variations at detailed levels for improving patient care and safety clinically and financially, because it abolishes the missing gap between the clinical and financial data. Many clinical costing systems are holding human resources information nowadays to research on productivity and performance management. That is why, many countries are building a more comprehensive clinical costing system to accommodate clinical and non-clinical research.

Clinical costing is severely under-researched, under-published and under-utilized. Currently, clinical costing information is mainly used to fund public hospitals in Australia. However, clinical costing is all about patient care and clinical utilization, and holding not only financial information but also a comprehensive set of clinical resource utilization. It fills the missing link between clinical data and financial data. By doing so, it opens up a new horizon of opportunities to research on healthcare both clinically (health economics) and non-clinically (process improvements). Many clinician scientists and health informatics specialists do not know that this comprehensive information system is within their reach.
The publication will focus on the philosophy, theory and application components of this salad bowl information system to help discover value-based healthcare which is all about maximum quality of care at minimum cost. The book will define a new meaning for the value-based healthcare as more of a clinical value than financial value in its interpretation. Empowering clinicians with this concept of value-based care will eventually take care of ever rising healthcare cost on its own. The book will explain why every decision on resource utilization is a clinical decision and how clinical improvements could be translated into financial improvements. The 'real' cost driver of healthcare is the clinician.
The book will explain clinical costing methodologies and processes at a very detailed level. It will also introduce who creates this database, how the data are evaluated, analyzed and reported from the perspective of clinical and non-clinical research. It will equip the reader to understand process improvement analyses, statistical methods, health economics in general and pharmacoeconomics in particular.
In summary, the book will take the reader from the era of early clinical costing as a reporting tool to the 21st century clinical costing of clinical improvement research tool with practical examples and future research.

Target Audience
The author believes that this book will equip clinician scientists to fully understand how this powerful information system is created and what type of information is available to them. Since the real cost driver of healthcare is the clinician, empowering clinicians with this information is crucial to help discover our much needed value-based healthcare (maximum clinical benefits at minimum cost), which will take care of ever rising healthcare cost on its own. So, this book could be used to guide clinical process improvement teams and their departments.

Recommended Topics
Introduction to clinical costing: Why clinical costing is important?
Clinical costing: A new dimension to health informatics and its background, philosophy and theory
Capturing clinical activities: Counting clinical activities and coding
Clinical Costing Standards and Guidelines: The development of data quality
Investigating relative value units and the software paradigm
Matching clinical activities to the financial information: Expenditure and revenue
Reporting: Business Intelligence and tools
Research on process improvements: Can lean methods help?
Clinical Data Linkage
Research on clinical improvements: Public Health, epidemiology and statistics, and health economics
Activity-based budgeting and CHADx
Strengths and weaknesses of clinical costing
Future studies on clinical costing


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