Implementation of the JACIE standards for a haematopoietic progenitor cell transplantation programme: a cost analysis.
The purpose of the present project was to analyse the costs incurred by the implementation of JACIE standards at a University Hospital with 1000 beds, performing some 40 autologous transplants per year. The cost analysis was performed on the basis of a prospective assessment of the time spent by all staff members involved with the implementation over a 14-month period of the quality management system (QMS) required by the JACIE standards. Two physicians worked on JACIE Section A (management=82 h), one physician and two nurses for section Ba (clinical unit adults=125.75 h), two physicians and three nurses for section Bp (clinical unit paediatrics=206 h), one physician, two nurses and one technician for section C (progenitor cell collection facility=105.75 h), and one physician and two technicians for section D (progenitor cell processing facility=426 h). The total time spent on the project amounted to 945.5 h with a total salary cost of \[euro]150 000. We concluded that implementation of the JACIE standards was accomplished within a 14-month period with a financial impact of approximately \[euro]150 000. The impact on quality parameters (eg clinical and laboratory end points, side effects) on HPC transplantation will be assessed in a second report after the first year of practical implementation.
Zahnd
D
D
Oncology Department, University Hospital Inselspital, CH-3010 Bern, Switzerland.
Leibundgut
K
K
Zenhäusern
R
R
Pabst
T
T
Fontana
S
S
Schneider
R
R
Tobler
A
A
Zwicky
C
C
D000046:Academic Medical Centers / Q000191:economics; D003365:Costs and Cost Analysis; D006284:Health Plan Implementation / Q000191:economics*; D018380:Hematopoietic Stem Cell Transplantation / Q000191:economics / Q000592:standards*; D006801:Humans; D017410:Practice Guidelines as Topic; D012955:Societies, Medical; D000078329:Workforce