Bed/Day Case

Words: 898
Pages: 4

Executive Summary: The current cost reporting structure and costing unit approach (Bed/Day) does not account for the actual use of clinical resources and appropriately allocates cost drivers. Ie. Supplies, medicine, care required, etc., impact the company's ability to control costs. Dr. Julian has evaluated this system and other systems, which has led her to create a level of care system that will better assign costs based on patient maintenance, medical resource use, and care required. The developed system combines the factors above to generate more accurate costing. While this system is more complex and will initially be more challenging to scale across multiple divisions, it is the right approach to identify costs. It more accurately depicts …show more content…
The level-of-care system is widely regarded as the highest standard. Unlike the other two systems, the utilization of resources, closely tied to the level of medical treatment and nursing care received by patients, is no longer assumed to be directly proportional to the length of hospital stays. This means that the intensity of medical and nursing services is not directly tied to the number of days spent in the hospital. According to Dr. Julian's analysis, patients with cardiac dysrhythmia require more medical treatment and nursing care despite having shorter hospital stays compared to patients with pancreatitis. By directly estimating the medical treatment units and nursing units consumed by each type of patient, the level-of-care system provides a more accurate reflection of the costs associated with treating different diagnoses. In the specialty-based system, itemized costs for each division are outlined. This allows for the comparison of costs per bed/day and the allocation of expenses across divisions or departments. Managers can identify excessive costs and manage them in specific areas. The level-of-care system assesses treatment expenses for each