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Using Time-Driven Activity-Based Costing to Demonstrate Value in Perioperative Care: Recommendations and Review from the Society for Perioperative Assessment and Quality Improvement (SPAQI).

Publication ,  Journal Article
Allin, O; Urman, RD; Edwards, AF; Blitz, JD; Pfeifer, KJ; Feeley, TW; Bader, AM
Published in: J Med Syst
December 11, 2019

A shift in healthcare payment models from volume toward value-based incentives will require deliberate input into systems development from both perioperative clinicians and administrators to ensure appropriate recognition of the value of all services provided-particularly ones that are not reimbursable in current fee-for-service payment models. Time-driven activity-based costing (TDABC) methodology identifies cost drivers and reduces inaccurate costing based on siloed budgets. Inaccurate costing also results from the fact that current costing methods use charges and there has been tremendous cost shifting throughout health care. High cost, high variability processes can be identified for process improvement. As payment models inevitably evolve towards value-based metrics, it will be critical to knowledgably participate in the coordination of these changes. This document provides 8 practical Recommendations from the Society for Perioperative Assessment and Quality Improvement (SPAQI) aimed at outlining the principles of TDABC, creating process maps for patient workflows, understanding payment structures, establishing physician alignment across service lines to create integrated practice units to facilitate development of evidence-based pathways for specific patient risk groups, establishing consistent care delivery, minimizing variability between physicians and departments, utilizing data analytics and information technology tools to track progress and obtain actionable data, and using TDABC to create costing transparency.

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Published In

J Med Syst

DOI

EISSN

1573-689X

Publication Date

December 11, 2019

Volume

44

Issue

1

Start / End Page

25

Location

United States

Related Subject Headings

  • Workflow
  • Time Factors
  • Systems Integration
  • Quality Improvement
  • Process Assessment, Health Care
  • Perioperative Care
  • Patient Care Team
  • Medical Informatics
  • Interprofessional Relations
  • Insurance, Health, Reimbursement
 

Citation

APA
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Allin, O., Urman, R. D., Edwards, A. F., Blitz, J. D., Pfeifer, K. J., Feeley, T. W., & Bader, A. M. (2019). Using Time-Driven Activity-Based Costing to Demonstrate Value in Perioperative Care: Recommendations and Review from the Society for Perioperative Assessment and Quality Improvement (SPAQI). J Med Syst, 44(1), 25. https://doi.org/10.1007/s10916-019-1503-2
Allin, Olivia, Richard D. Urman, Angela F. Edwards, Jeanna D. Blitz, Kurt J. Pfeifer, Thomas W. Feeley, and Angela M. Bader. “Using Time-Driven Activity-Based Costing to Demonstrate Value in Perioperative Care: Recommendations and Review from the Society for Perioperative Assessment and Quality Improvement (SPAQI).J Med Syst 44, no. 1 (December 11, 2019): 25. https://doi.org/10.1007/s10916-019-1503-2.
Journal cover image

Published In

J Med Syst

DOI

EISSN

1573-689X

Publication Date

December 11, 2019

Volume

44

Issue

1

Start / End Page

25

Location

United States

Related Subject Headings

  • Workflow
  • Time Factors
  • Systems Integration
  • Quality Improvement
  • Process Assessment, Health Care
  • Perioperative Care
  • Patient Care Team
  • Medical Informatics
  • Interprofessional Relations
  • Insurance, Health, Reimbursement