Determining the cost of care through clinical pathways.
Using the steps from the first approach, the costing of clinical pathways is useful to both the clinical and administrative teams. With knowledge of pathway cost, clinicians can plan cost-effective changes in the pathway or consider cost factors when deliberating on different approaches to care. Using the patient classification system to unbundle the nursing component and using the number of nursing hours per day of care provides an opportunity to describe the intensity of the pathway in its entirety, and by each day of care. One is provided with an opportunity to learn from the cost variances by reviewing the standardized costs for the pathway, and the actual cost of care of patients on the pathway provides an opportunity to learn from the cost variances. This learning, coupled with the clinical variance analysis, can suggest new opportunities for improving care and potential cost savings. Lastly, the cost associated with a pathway is useful knowledge in negotiating managed care contracts.$
Gardner
K
K
Rochester General Hospital, NY, USA.
Allhusen
J
J
Kamm
J
J
Tobin
J
J
D000208:Acute Disease / Q000191:economics*; D003362:Cost-Benefit Analysis; D019091:Critical Pathways / Q000191:economics*; D003627:Data Interpretation, Statistical; D017721:Hospital Costs; D006801:Humans; D016014:Linear Models