the health roundtable a simple approach to counting and costing presenter: grainne o’loughlin...
TRANSCRIPT
The Health Roundtable
A simple approach to Counting and CostingPresenter: Grainne O’Loughlin & Noah Mitchell
St Vincents Syd
Activity Based Funding7th March Sydney 2012
11-1b_HRT1215-Session_MITCHELL_STVS_NSW
The Health Roundtable
KEY REASONS FOR IMPLEMENTING BARCODE SCANNING
Lack of ability to easily and accurately count the amount of servicing our allied staff provided for patients: previous stats systems have been functional but far from easy or accurate!
Implications for: allocating staff resources, determining equitable loads, ascertaining how much time staff are spending on non-patient related activities such as research, teaching, QI etc, trending or reviewing service demand over time, ‘showing’ services how much allied health time they are using
The nature of collecting interventions within a department e.g. of the SVH Physiotherapy Department
The Department is able to count the interventions easily and accurately: How? 2
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KEY CHANGES IMPLEMENTED The Activity BarCoding system. It was rolled out
to our staff to start recording the interventions they provide to each patient.
Departments using the system Physiotherapy Nutrition Speech Pathology Social Work Occupational Therapy Palliative Care Community CareFurther departments looking at rolling it out: Pharmacy Heart and Lung Transplant Team Hematology and Oncology Ambulatory Care 3
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Staff Uptake and Attitude -Measured on a staff survey
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OUTCOMES SO FAR
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OUTCOMES SO FAR
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Findings As staff activity durations are a major cost , its
interesting to compare differences between automatic and manual recording of activity durations.
Manual recording shows a relationship to durations lasting round numbers eg 10,15,20,30,40,45,50 and 60 min
Interestingly: activities around 25 and 35 min seem to round to 30min and around 55min and 65min rounds to 60min
With hundreds of staff daily recording data manually 5 and 10 min rounding add up quickly
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OUTCOMES SO FAR
Accurate Reports showing: Average minutes of service per intervention Average number of interventions per DRG Total Interventions per DRG, Location, Receiving Unit
etc Ability to drill down to an individual patient to identify
the exact number of minutes of service provided.--functionality of the reports is very important
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Department Level Dashboard
MoM KPIs
CC%
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Department Operational Summary
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Intervention Cost Report
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LESSONS LEARNT & NEXT STEPS
We recommend that other organisations look at the capability of the systems being used for activity recording/ costing purposes
We recommend that where possible, staff salaries (Award) are loaded into the activity systems so that true costs can immediately be related to activity
We have embarked on a second multi-site project (grown from 5 to 18 participants) looking at benchmarking allied health costs for selected DRGs 13
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LESSONS LEARNT & NEXT STEPS
We will endeavour to correlate activity data with actual costs and patient outcomes and are excited about the FIM data review being undertaken by the HRT (compares allied health hours to changes in FIM score)
Ultimately, we will shape and review models of care based on efficiency and patient outcomes
We need an allocated ABC resource person at St Vincents as the number of users continue to increase (to facilitate training, orientation, troubleshooting and product development)
Other users in the audience – The Prince Charles, Redcliffe and Caboolture Hospitals – any comments?
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