What information would you assemble for healthcare leadership in your organization to monitor healthcare cost?
Health · High School · Thu Feb 04 2021
Answered on
To monitor healthcare costs effectively for healthcare leadership in your organization, you would need to gather a comprehensive set of data that reflects all aspects of financial spending and patient care. The following information types are essential to assemble:
1. Expense Reports: Include detailed breakdowns of operating costs such as salaries, benefits, supplies, utilities, and equipment. Both fixed and variable expenses should be reported.
2. Revenue Streams: Outline all the income sources including patient payments, insurance reimbursements, grants, and donations.
3. Patient Service Data: This includes the number of patient visits, procedures performed, length of stay, readmission rates, and service utilization rates.
4. Insurance Claim Data: Information about claim denials, time to payment, and payment discrepancies.
5. Pharmacy Costs: Particularly important in healthcare, this would detail the costs associated with pharmaceuticals dispensed to patients.
6. Clinical Outcomes Data: This is used to track the quality of care alongside cost, including rates of infections, complications, or other clinical metrics.
7. Benchmarking Data: Compare your organization's costs with similar institutions to identify areas for improvement.
8. Cost of Compliance: Details about expenditures on regulatory requirements, accreditation, or certification.
9. Capital Expenditure: Long-term investments in facilities, technology, or equipment which impact future financial stability.
10. Patient Demographics and Socioeconomic Data: As it can impact the types of services used and the ability to pay, this data helps in understanding and planning for cost variances.
11. Utilization Trends: Analysis of historical data to predict future trends in healthcare use and associated costs.
12. Population Health Data: Information about the health status and needs of the patient population you serve.
13. Contract Management: Costs associated with managed care contracts and negotiation outcomes.
Preparing this information in a clear and concise manner enables healthcare leadership to make informed decisions on budgeting, cost control measures, and financial planning to improve overall financial performance while maintaining a high standard of patient care.