Comparison of Hospital Expenditure and Revenue from 6% Hoteling-Eligible Items Over Two Years: A Case Study at Ayatollah Mosavi Zanjan Educational-Medical Center
Hospital hoteling cost analysis
Abstract
Background: Drug and hoteling costs account for approximately 30% of hospital expenses. Therefore, a thorough focus on the efficiency and costs of this sector is of special importance for hospitals, as scrutinizing these costs can enhance service quality. It appears that insurance payments for hoteling services may not be economically viable for government hospitals. Hence, this study was conducted to examine this assumption. This study aimed to compare allocated hoteling costs with the actual amounts and assess the profit and loss in Ayatollah Mosavi Zanjan Educational-Medical Center in the years 2018 and 2019. Methods: The number and monetary value of hoteling items delivered from the pharmacy unit to the medical departments (each department separately) during 2018 and 2019 were determined by extracting data from the HIS system. Additionally, the occupied bed days for each department were identified, and the amount received in rials from insurance organizations (6% income from hoteling services) was confirmed with the hospital's financial unit. Results: The research findings indicate significant differences in hoteling costs across various hospital departments. CCU, NICU, and Women's Active Ward were more profitable, while AICU, ICU-OH, and BICU incurred losses. Outpatient cases and certain departments were not covered by hoteling. Non-hoteling items also contributed to hospital losses. Furthermore, it was revealed that hoteling costs increased by 64% in 2019, while insurance tariffs saw only a 15% increase. Conclusion: The majority of hospital departments running at a loss can have detrimental effects on patient care quality. Therefore, this issue requires oversight from the Ministry of Health, Treatment Deputy, insurance organizations, and hospital management
[1] Hosseini-Eshpala R, Khorramy F, Baniasadi T, Azarmehr N, Mohammady F, Hayavy Haghighi M H et al . The Comparison of the cost of patient records in a global system with corresponding retrospective reimbursement system: a case study in Iran. JMIS 2015; 1 (1) :65-74
[2] Fazaeli A, Hamidi Y, Cheraghi Z, Badie N. Study the Implementation of Payment System Based on Diagnosis-Related Groups (DRGs) in Selected Hospitals of Hamadan province, Iran. Hakim 2020; 23 (3) :294-305
[3] Hatam N, Askarian M, Sarikhani Y, Ghaem H. Necessity of admissions in selected teaching university affiliated and private hospitals during 2007 in Shiraz, Iran. Arch Iran Med. 2010;13(3):230-4.
[4] Jamali F, Sadrmousavi MS, Eshlaghi M. An introduction to hospital sites selection and design. Hospital. 2012;11(2):87-98.
[5] Davari M. Economical challenges of health system in Iran. 2012. 2012;12(1).
[6] Arab M, Yousefvand M, Zahavi M. Survey and Calculating the Bed-Day cost and Day-Patient Cost of Orthopedi Department of Khomeiny Hospital ofTehran University of Medical Science by Using Activity Based Costing (ABC) Method -2008. Hospital. 2013;12(1):29-38.
[7] Fattahpour A, Ebrahimi Dourcheh R, Rahimi M, Rafiee N. Comparison of hoteling cost of global surgery with real cost in Isfahan public hospitals, 2012. Evidence Based Health Policy, Management and Economics. 2017 Feb 10;1(1):47-53.
[8] Aboutorabi A, Radinmanesh M, Rezapour A, Afshari M, Taheri G. A comparison of global surgery tariffs and the actual cost of bills at Hazrate Rasoole Akram educational and medical center. Cost Effectiveness and Resource Allocation. 2020 Dec;18:1-0. https://doi.org/10.1186/s12962-020-00232-w
[9] Rezapour A, Asefzade S, Ebadiazar F. Cost of Hoteling and Financial Burden of Daily Hospital Stays in Educational Health Centers of Qazvin University. Teb and Tazkie Scientific Quarter 1388; 75: 8-18.
[10] Ebadi Fard Azar F, Ansari H, Rezapoue A, Survey on Cost for Per Day Hospital Stays and Functional Index Measurement in Selective Hospitals of Iran University of Medical Sciences 2004; 7 (18): 37-44.
[11] Babashahy S, Manavi S, Akbarisari A. Impact of Primary Stage of Targeted Subsidies Scheme on Inflation Growth and Extra Costs of Hoteling in Public Hospitals in Iran. Hakim 2015; 18 (1) :49-54.
[2] Fazaeli A, Hamidi Y, Cheraghi Z, Badie N. Study the Implementation of Payment System Based on Diagnosis-Related Groups (DRGs) in Selected Hospitals of Hamadan province, Iran. Hakim 2020; 23 (3) :294-305
[3] Hatam N, Askarian M, Sarikhani Y, Ghaem H. Necessity of admissions in selected teaching university affiliated and private hospitals during 2007 in Shiraz, Iran. Arch Iran Med. 2010;13(3):230-4.
[4] Jamali F, Sadrmousavi MS, Eshlaghi M. An introduction to hospital sites selection and design. Hospital. 2012;11(2):87-98.
[5] Davari M. Economical challenges of health system in Iran. 2012. 2012;12(1).
[6] Arab M, Yousefvand M, Zahavi M. Survey and Calculating the Bed-Day cost and Day-Patient Cost of Orthopedi Department of Khomeiny Hospital ofTehran University of Medical Science by Using Activity Based Costing (ABC) Method -2008. Hospital. 2013;12(1):29-38.
[7] Fattahpour A, Ebrahimi Dourcheh R, Rahimi M, Rafiee N. Comparison of hoteling cost of global surgery with real cost in Isfahan public hospitals, 2012. Evidence Based Health Policy, Management and Economics. 2017 Feb 10;1(1):47-53.
[8] Aboutorabi A, Radinmanesh M, Rezapour A, Afshari M, Taheri G. A comparison of global surgery tariffs and the actual cost of bills at Hazrate Rasoole Akram educational and medical center. Cost Effectiveness and Resource Allocation. 2020 Dec;18:1-0. https://doi.org/10.1186/s12962-020-00232-w
[9] Rezapour A, Asefzade S, Ebadiazar F. Cost of Hoteling and Financial Burden of Daily Hospital Stays in Educational Health Centers of Qazvin University. Teb and Tazkie Scientific Quarter 1388; 75: 8-18.
[10] Ebadi Fard Azar F, Ansari H, Rezapoue A, Survey on Cost for Per Day Hospital Stays and Functional Index Measurement in Selective Hospitals of Iran University of Medical Sciences 2004; 7 (18): 37-44.
[11] Babashahy S, Manavi S, Akbarisari A. Impact of Primary Stage of Targeted Subsidies Scheme on Inflation Growth and Extra Costs of Hoteling in Public Hospitals in Iran. Hakim 2015; 18 (1) :49-54.
| Files | ||
| Issue | Vol 10 No 1 (2024) | |
| Section | Original Article(s) | |
| DOI | https://doi.org/10.18502/jppm.v10i1.15398 | |
| Keywords | ||
| Hospital Costs Financial Management Hospital Cost-Benefit Analysis | ||
| Rights and permissions | |
|
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License. |
How to Cite
1.
Ghavimi H, Tajkei J, Allahyari M, Abbasian H. Comparison of Hospital Expenditure and Revenue from 6% Hoteling-Eligible Items Over Two Years: A Case Study at Ayatollah Mosavi Zanjan Educational-Medical Center. JPPM. 2024;10(1):11-16.
