hospital activity based costing

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Activities Oxygen Unit ltr Rate (Rs) - 200 Admission T1 No. of admissions Admission T2 No. of admissions Oxygen T1 Oxygen ltrs 4 Oxygen T2 Oxygen ltrs 10 Patient T1 observatio Stay days Patient T2 observatio Stay days Patient T1 shifting No. of investiations (1) Patient T2 shfting No. of investiations (2) Patient T1 food Stay days Patient T2 food Stay days Patient T1 cleaning Stay days Patient T2 cleaning Stay days Doctor visit T1 Stay days Doctor visit T2 Stay days Specialist visit T1 Stay days Specialist visit T2 Stay days T1 Administer medicin Stay days T2 Administer medicin Stay days Room service Stay days Documenttation T1 Stay days Documenttation T2 Stay days Discharge Num Activity Cost Driver

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Page 1: Hospital Activity Based Costing

Activities Activity Cost Driver

Oxygen CateringUnit -> ltr dayRate (Rs) -> 200 400

Admission T1 No. of admissionsAdmission T2 No. of admissionsOxygen T1 Oxygen ltrs 4Oxygen T2 Oxygen ltrs 10Patient T1 observations Stay daysPatient T2 observations Stay daysPatient T1 shifting No. of investiations (1)Patient T2 shfting No. of investiations (2)Patient T1 food Stay daysPatient T2 food Stay daysPatient T1 cleaning Stay daysPatient T2 cleaning Stay daysDoctor visit T1 Stay daysDoctor visit T2 Stay daysSpecialist visit T1 Stay daysSpecialist visit T2 Stay daysT1 Administer medicines Stay daysT2 Administer medicines Stay daysRoom service Stay daysDocumenttation T1 Stay daysDocumenttation T2 Stay daysDischarge Num

Page 2: Hospital Activity Based Costing

Nurseshr hr hr hr hr hr hr

300 1000 1500 500 100 100 1001 1 1 1 12 1 1 2 2 1

241 2 1 1 12 3 1 2 2 2

0.5 0.52 0.51 11 1

0.5 0.5 0.51 1 0.5

0.10.5

0.51

1

Doctor Gen Medicine

Doctor Specialist

Doctor Intern

Nurse Intern

Patient Support Staff

House Keeping

Page 3: Hospital Activity Based Costing

Clerical Billinghr bill day day day

200 1000 700 11240 20890

Infr

astr

uctu

re C

osts

are

Ext

ra

0.2 2040 10.2 4440 1

800 12000 1

600 11200 13000 16500 1

200 1650 1400 1400 1800 1

1550 1150 1750 1150 1300 1

1 800 1 10.5 100 10.5 100 1

1 2 2200 1 1

Air Temp, Hum, ppm Overall

Rate

T1 Patient

T2 Patient

Page 4: Hospital Activity Based Costing

Activities Activity Cost Driver

Oxygen CateringUnit -> ltr dayRate (Rs) -> 200 400

Admission No. of admissionsOxygen Oxygen ltrs 10Patient observations Stay daysPatient shifting No. of investiations (1)Patient food Stay daysPatient cleaning Stay daysDoctor visit Stay daysSpecialist visit Stay daysAdminister medicines Stay daysRoom service Stay daysDocumenttation Stay daysTransfer Num

Page 5: Hospital Activity Based Costing

Nurseshr hr hr hr hr hr hr

300 1000 1500 500 100 100 1001 1 1 1 1 1

81 2 1 1 13 13 2

2 21

41

Doctor Gen Medicine

Doctor Specialist

Doctor Intern

Nurse Intern

Patient Support Staff

House Keeping

Page 6: Hospital Activity Based Costing

Clerical Billinghr bill day day

200 1000 700 205400.2 2140 1

Infr

astr

uctu

re C

osts

Ext

ra2000 12400 13000 11000 11100 13000 11500 11200 1

1 800 11 200 11 2 2200 1

1

Air Temp, Hum, ppm

Overall Rate

ICU Patient Rate

Page 7: Hospital Activity Based Costing

Unit Rate Ward ICUArea Sq ft day 10 150 40Special Bed Num day 200 1 1Oxygen Infrastructure Num day 50 1 1ECG Num day 100 0 1

Status & Other Monitor Num day 3000 0 1Infrastructure Costs 1750 3750

Running Costs T1 11240Running Costs T2 20890

Total Coosts T1 12990Total Coosts T2 22640Running ICU Costs 20540

Total ICU Costs 24290

Page 8: Hospital Activity Based Costing

UnitRate Units & Costs

CT Scan OT CT Scan OTArea Sq ft hr 10 10 800 1000Eqpt Duration hr 10000 10000 2 4Eqpt Infrastructure Num 1000 1000 1 1Electricity hr 700 800 2 4Support Staff hr 200 200 4 4Nursing Staff hr 300 300 1 8Analysis Num 2000 0 1 0

Report Num 1000 1000 1 1

Total Infrastructure Costs 34500 58400

Page 9: Hospital Activity Based Costing

Activity Cost PoolsPhysician Activity Pool Nurse Practitioner Activity Pool

Total TotalBase Salary 603922 Base Salary 53258Transfer from clinical Pool 209438 Transfer from clinical pool 2194

Transfer from physician pool 10784Transfer to NP Pool (2) -10784Transfer to I/R Pool (3) -107843

Total 694733 Total 66236

Activity Cost Matrix

Page 10: Hospital Activity Based Costing

Clinical Activity Pool Intern / Resident Activity PoolTotal Total

Base Salary 313481 Base Salary 282888Transfer to NP Pool (4) -2194 Transfer from Clinical Pool 99054Transfer to Physician Pool (5) -209438 Transfer from Physician Pool 107843Transfer to I/R Pool (6) -99654

Total 2195 Total 489785

Page 11: Hospital Activity Based Costing

Clerical Activity PoolTotal

Base Salary 211620Transfer from Supplies 20246

Total 231866

Page 12: Hospital Activity Based Costing

Activities Activity Cost Driver Oxygen CateringUnit -> ltr dayRate (Rs) -> 200 400

Admission T1 No. of admissionsAdmission T2 No. of admissionsOxygen T1 Oxygen ltrs 4Oxygen T2 Oxygen ltrs 10Patient T1 observations Stay daysPatient T2 observations Stay daysPatient T1 shifting No. of investiations (1)Patient T2 shfting No. of investiations (2)Patient T1 food Stay daysPatient T2 food Stay daysPatient T1 cleaning Stay daysPatient T2 cleaning Stay daysDoctor visit T1 Stay daysDoctor visit T2 Stay daysSpecialist visit T1 Stay daysSpecialist visit T2 Stay daysT1 Administer medicines Stay daysT2 Administer medicines Stay daysRoom service Stay daysDocumenttation T1 Stay daysDocumenttation T2 Stay daysDischarge Num

Page 13: Hospital Activity Based Costing

Nurseshr hr hr hr hr hr hr

300 1000 1500 500 100 100 1001 1 1 1 12 1 1 2 2 1

241 2 1 1 12 3 1 2 2 2

0.5 0.52 0.51 11 1

0.5 0.5 0.51 1 0.5

0.10.5

0.51

1

Doctor Gen Medicine

Doctor Specialist

Doctor Intern

Nurse Intern

Patient Support Staff

House Keeping

Page 14: Hospital Activity Based Costing

Clerical Billinghr bill day day day

200 1000 700 11240 208900.2 2040 10.2 4440 1

800 12000 1

600 11200 13000 16500 1

200 1650 1400 1400 1800 1

1550 1150 1750 1150 1300 1

1 800 1 10.5 100 10.5 100 1

1 2 2200 1 1

Air Temp, Hum, ppm

Overall Rate

T1 Patient

T2 Patient

In fr as tr uc tu re

Co st s ar e Ex tr a

Page 15: Hospital Activity Based Costing

Ward ICUInfrastructure Costs 1750 3750

Running Costs T1 11240Running Costs T2 20890

Total Coosts T1 12990Total Coosts T2 22640Running ICU Costs 20540

Total ICU Costs 24290

Page 16: Hospital Activity Based Costing

Activity Cost MatrixNP Visits I/R Visits

Physician Salary 603922 451494 27685 124743NP Salary 53258 53258Nurses Salary 313481 209438 2194 2195 99654I/R Salary 282888 282888Clerical Salary 211620 198055 13565Supply 20246 18948 1298Billing 25490Subtotal 1510905 660932 83137 2195 507285 217003 14863

Activity Cst Pools . Resource Cost Pools

Total Costs

Physician Visits

Nurses Visits

Clerical Support

Clerical New Patient

Page 17: Hospital Activity Based Costing

Activity Cost MatrixBilling Total

60392253258

313481282888211620

2024625490 2549025490 1510905

Page 18: Hospital Activity Based Costing

Visit Analysis

Mini Visits 5 43 215 68 340Short Visits 10 186 1860 328 3280Routine Visits 22.5 7469 168052.5 237 5332.5Extended Visits 37.5 2437 91387.5 13 487.5Complex Visits 60 64 3840 0Comprehensive Visits 60 15 900 0Employee Visits 45 0 0

10214 266255 646 9440

Stanard Time Spent (Min/Visit)

Physician Visits / Yr

Physician Mins/ Yr

NP Patient Visits / Yr

NP Patient Visits / Yr

Page 19: Hospital Activity Based Costing

Visit Analysis

101 505 445 2225 63 630 720281 2810 83 830 323 6460 1201

5 112.5 81 1822.5 2440 109800 102320 0 354 26550 28040 0 29 3480 930 0 31 3720 46

332 14940 0 0 332719 18367.5 609 4877.5 3240 150640

NP Employee Visits / Yr

NP Employee mins/yr

Nurse Visists / Yr

Nurse mins / yr

I/R Visists / Yr

I/R mins / yr

Total Visists / Yr

Page 20: Hospital Activity Based Costing

Activity Driver Assignment

Activity Cost Pool Activity DriverPhysician Time Exam min spent with patientNP Time Exam min spent with patientRN Patient Time Exam min spent with patientI/R Time Exam min spent with patientClerical Support - Patient Visits Num of PCU Patient visitsClerical Support - New Patient Visits Num of PCU Patient visitsBilling Num of PCU Patient visitsTotal Activity Cost

Page 21: Hospital Activity Based Costing

Activity Driver Assignment

Activity Cost930108 266255 3.49

94317 27808 3.397458 4878 1.53

622704 150640 4.13217003 15428 14.07

14863 2115 7.0325490 15428 1.65

1911943

Num of Driver Units

Activity Driver Map

Page 22: Hospital Activity Based Costing

Product Cost Matrix : Routine VisitsPhysician Visits I /R Visits

Units Costs UnitsPhysician Exam 3.49 22.5 78.525NP Exam 3.39 0Nurse Exam 1.53 0I / R Exam 4.13 0 45Clerical Support / visit 14.07 1 14.07 1Clerical New Patient Support / vi 7.03 0

Billing / Visit 1.65 1 1.65 1

Total Product Cost 94.245

Activity Driver Rate

Page 23: Hospital Activity Based Costing

Product Cost Matrix : Routine VisitsI /R Visits

Costs0

0

0

185.85

14.07

0

1.65

201.57