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Erschienen in: Journal of Medical Systems 2/2011

01.04.2011 | Original Paper

A New Accounting System for Financial Balance Based on Personnel Cost After the Introduction of a DPC/DRG System

verfasst von: Yoshiaki Nakagawa, Tadamasa Takemura, Hiroyuki Yoshihara, Yoshinobu Nakagawa

Erschienen in: Journal of Medical Systems | Ausgabe 2/2011

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Abstract

A hospital director must estimate the revenues and expenses not only in a hospital but also in each clinical division to determine the proper management strategy. A new prospective payment system based on the Diagnosis Procedure Combination (DPC/PPS) introduced in 2003 has made the attribution of revenues and expenses for each clinical department very complicated because of the intricate involvement between the overall or blanket component and a fee-for service (FFS). Few reports have so far presented a programmatic method for the calculation of medical costs and financial balance. A simple method has been devised, based on personnel cost, for calculating medical costs and financial balance. Using this method, one individual was able to complete the calculations for a hospital which contains 535 beds and 16 clinics, without using the central hospital computer system.
Literatur
1.
Zurück zum Zitat US Congress, Diagnosis Related Groups (DRGs) and the Medicare Program: Implications for Medical Technology—A Technical Memorandum. US Congress Office of Technology Assessment, Washington DC, 1983. OTA-TM-H-17. US Congress, Diagnosis Related Groups (DRGs) and the Medicare Program: Implications for Medical Technology—A Technical Memorandum. US Congress Office of Technology Assessment, Washington DC, 1983. OTA-TM-H-17.
2.
Zurück zum Zitat Schreyo, G., Stargardt, T., Tiemann, O., and Busse, R., Methods to determine reimbursement rates for diagnosis related groups (DRG)—a comparison of nine European countries. Health Care Manag. 9:215–223, 2006.CrossRef Schreyo, G., Stargardt, T., Tiemann, O., and Busse, R., Methods to determine reimbursement rates for diagnosis related groups (DRG)—a comparison of nine European countries. Health Care Manag. 9:215–223, 2006.CrossRef
3.
Zurück zum Zitat Yasunaga, H., Ide, H., Imamura, T., and Ohe, K., Impact of the Japanese diagnosis procedure combination-based payment system on cardiovascular medicine-related costs. Int. Heart J. 46(5):855–866, 2005.CrossRef Yasunaga, H., Ide, H., Imamura, T., and Ohe, K., Impact of the Japanese diagnosis procedure combination-based payment system on cardiovascular medicine-related costs. Int. Heart J. 46(5):855–866, 2005.CrossRef
4.
Zurück zum Zitat Yasunaga, H., Ide, H., Imamura, T., and Ohe, K., Influence of Japan's new diagnosis procedure combination-based payment system on the surgical sector—does it really shorten the hospital stay? Surg. Today. 36(7):577–585, 2006.CrossRef Yasunaga, H., Ide, H., Imamura, T., and Ohe, K., Influence of Japan's new diagnosis procedure combination-based payment system on the surgical sector—does it really shorten the hospital stay? Surg. Today. 36(7):577–585, 2006.CrossRef
6.
Zurück zum Zitat Tanaka, K., Sato, J., Guo, J., Takada, A., and Yoshihara, H., Cost accounting by diagnosis in a Japanese University Hospital. J. Med. Syst. 28(5):437–445, 2004.CrossRef Tanaka, K., Sato, J., Guo, J., Takada, A., and Yoshihara, H., Cost accounting by diagnosis in a Japanese University Hospital. J. Med. Syst. 28(5):437–445, 2004.CrossRef
7.
Zurück zum Zitat Nakagawa, Y., Noguchi, M., Takemura, T., and Yoshihara, H., The construction of the medical profit analysis system and verification before and after induction of DPC system. Jpn. J. Med. Inform. 28(2):61–72, 2008. Nakagawa, Y., Noguchi, M., Takemura, T., and Yoshihara, H., The construction of the medical profit analysis system and verification before and after induction of DPC system. Jpn. J. Med. Inform. 28(2):61–72, 2008.
8.
Zurück zum Zitat Nakagawa, Y., Yoshihara, H., and Shirakami, G., The cost analysis and problems of Day Surgery Unit in the University Hospital. J. Jpn. Soc. Hosp. Admin. 43(4):331–343, 2006. Nakagawa, Y., Yoshihara, H., and Shirakami, G., The cost analysis and problems of Day Surgery Unit in the University Hospital. J. Jpn. Soc. Hosp. Admin. 43(4):331–343, 2006.
9.
Zurück zum Zitat Nakagawa, Y., Takemura, T., Shirakami, G., and Yoshihara, H., The cost analysis and problems of Day Surgery Unit in the University Hospital—second report: Study of the performance improvement. J. Jpn. Soc. Hosp. Admin. 44(3):263–272, 2007. Nakagawa, Y., Takemura, T., Shirakami, G., and Yoshihara, H., The cost analysis and problems of Day Surgery Unit in the University Hospital—second report: Study of the performance improvement. J. Jpn. Soc. Hosp. Admin. 44(3):263–272, 2007.
10.
Zurück zum Zitat Makie, T., Miyazaki, M., Kobayashi, S., Yamanaka, T., Kinukawa, N., Hanada, E., and Nose, Y., A simple method for calculating the financial balance of hospital based on proportional dividing. J. Med. Syst. 26(2):105–112, 2002.CrossRef Makie, T., Miyazaki, M., Kobayashi, S., Yamanaka, T., Kinukawa, N., Hanada, E., and Nose, Y., A simple method for calculating the financial balance of hospital based on proportional dividing. J. Med. Syst. 26(2):105–112, 2002.CrossRef
11.
Zurück zum Zitat Briggs, A., and Gray, A., The distribution of health care costs and their statistical analysis for economic evaluation. J. Med. Syst. 26(2):105–112, 2002.CrossRef Briggs, A., and Gray, A., The distribution of health care costs and their statistical analysis for economic evaluation. J. Med. Syst. 26(2):105–112, 2002.CrossRef
12.
Zurück zum Zitat Kuntz, L., and Vera, A., Transfer pricing in hospitals and efficiency of physicians: the case of anesthesia services. Health Care Manage. Rev. 30:262–269, 2005. Kuntz, L., and Vera, A., Transfer pricing in hospitals and efficiency of physicians: the case of anesthesia services. Health Care Manage. Rev. 30:262–269, 2005.
13.
Zurück zum Zitat Thomas, M. S., Hospital financial performance: Trends to watch. Healthc. Financ. Manage. 62(7):59–66, 2008. Thomas, M. S., Hospital financial performance: Trends to watch. Healthc. Financ. Manage. 62(7):59–66, 2008.
14.
Zurück zum Zitat West, T. D., Balas, E. A., and West, D. A., Contrasting RCC, RVU, and ABC for managed care decisions. Healthc. Financ. Manage. 50(8):54–61, 1996. West, T. D., Balas, E. A., and West, D. A., Contrasting RCC, RVU, and ABC for managed care decisions. Healthc. Financ. Manage. 50(8):54–61, 1996.
15.
Zurück zum Zitat Canby, J. B. 4th., Applying activity-based costing to healthcare settings. Healthc. Financ. Manage. 49(2):50–2, 54–6, 1995. Canby, J. B. 4th., Applying activity-based costing to healthcare settings. Healthc. Financ. Manage. 49(2):50–2, 54–6, 1995.
16.
Zurück zum Zitat Chan, Y. C. L., Improving hospital cost accounting with activity-based costing. Health Care Manage. Rev. 18(1):71–77, 1993. Chan, Y. C. L., Improving hospital cost accounting with activity-based costing. Health Care Manage. Rev. 18(1):71–77, 1993.
17.
Zurück zum Zitat Schreyogg, G., Stargardt, T., Tiemann, O., and Busse, R., Cost accounting to determine prices—how well do prices reflect costs in the German DRG-system? Health Care Manage. Sci. 9:269–279, 2006.CrossRef Schreyogg, G., Stargardt, T., Tiemann, O., and Busse, R., Cost accounting to determine prices—how well do prices reflect costs in the German DRG-system? Health Care Manage. Sci. 9:269–279, 2006.CrossRef
18.
Zurück zum Zitat Yasunaga, H., Ide, H., Imamura, T., and Ohe, K., Influence of the Japan’s new diagnosis procedure combination-based payment system on the surgical sector: Does it really shorten the hospital stay? Surg. Today. 36(7):577–585, 2006.CrossRef Yasunaga, H., Ide, H., Imamura, T., and Ohe, K., Influence of the Japan’s new diagnosis procedure combination-based payment system on the surgical sector: Does it really shorten the hospital stay? Surg. Today. 36(7):577–585, 2006.CrossRef
19.
Zurück zum Zitat Nakagawa, Y., Noguchi, M., Takemura, T., and Yoshihara, H., Change of the management strategy before and after DPC introduction.—Influence on the hospital profit caused by improvement of sickbed turnover ratio. J. Jpn. Soc. Health Care Manage. 9(4):511–518, 2009. Nakagawa, Y., Noguchi, M., Takemura, T., and Yoshihara, H., Change of the management strategy before and after DPC introduction.—Influence on the hospital profit caused by improvement of sickbed turnover ratio. J. Jpn. Soc. Health Care Manage. 9(4):511–518, 2009.
20.
Zurück zum Zitat Tanaka, K., Sato, J., Guo, J., Takada, A., and Yoshihara, H., A simulation model of hospital management based on cost accounting analysis according to disease. J. Med. Syst. 28(6):689–710, 2004.CrossRef Tanaka, K., Sato, J., Guo, J., Takada, A., and Yoshihara, H., A simulation model of hospital management based on cost accounting analysis according to disease. J. Med. Syst. 28(6):689–710, 2004.CrossRef
21.
Zurück zum Zitat Cooper, R., and Kaplan, R., Activity-based systems: Measuring the cost of resource usage. Accounting Horizons. 6(3):1–14, 1992. Cooper, R., and Kaplan, R., Activity-based systems: Measuring the cost of resource usage. Accounting Horizons. 6(3):1–14, 1992.
22.
Zurück zum Zitat Kaplan, R., Flexible budgeting in an activity-based costing framework. Account. Horiz. 8(2):104–109, 1994. Kaplan, R., Flexible budgeting in an activity-based costing framework. Account. Horiz. 8(2):104–109, 1994.
23.
Zurück zum Zitat Player, S., Activity-based analyses lead to better decision making. Healthc. Financ. Manage. 52(8):66–70, 1998. Player, S., Activity-based analyses lead to better decision making. Healthc. Financ. Manage. 52(8):66–70, 1998.
24.
Zurück zum Zitat Dowless, R. M., Using activity based costing to guide strategic decision making. Healthc. Financ. Manage. 51(6):86, 88, 90, 1997. Dowless, R. M., Using activity based costing to guide strategic decision making. Healthc. Financ. Manage. 51(6):86, 88, 90, 1997.
25.
Zurück zum Zitat Peden, A., and Baker, J. J., Allocation physicians’ overhead costs to service: an econometric/accounting-activity based-approach. J. Health Care Finance. 29:57–75, 2002. Peden, A., and Baker, J. J., Allocation physicians’ overhead costs to service: an econometric/accounting-activity based-approach. J. Health Care Finance. 29:57–75, 2002.
Metadaten
Titel
A New Accounting System for Financial Balance Based on Personnel Cost After the Introduction of a DPC/DRG System
verfasst von
Yoshiaki Nakagawa
Tadamasa Takemura
Hiroyuki Yoshihara
Yoshinobu Nakagawa
Publikationsdatum
01.04.2011
Verlag
Springer US
Erschienen in
Journal of Medical Systems / Ausgabe 2/2011
Print ISSN: 0148-5598
Elektronische ISSN: 1573-689X
DOI
https://doi.org/10.1007/s10916-009-9361-y

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