Patient Level Information Costing (PLICS) MLC 1st April 2014 Patient Level Information Costing (PLICS) Julie Peacock National Services Scotland; Public Health and Intelligence (PHI)

Patient Level Costing Methodology Background Costing model developed by NHS Highland Aim for responsive tariff to underpin IRF work “Soft-PLIC” detailed costing methodology Basis: hospital site and specialty specific direct costs Calculation of unit costs(tariffs) by direct cost pool Identify activity (units vary by cost pool) Remove any high cost item costs Divide costs by activity = unit cost

Patient Level Information Costing Background “Soft-PLIC” detailed costing methodology cont. Application of unit costs/tariffs to individual records On admission Per day Theatre time if applicable High Cost Items (HCI) if applicable Overhead allocation % Development overseen by NHSScotland Costing Group

Patient Level Information Costing Sample application of tariffs Direct Cost Pools NHS Highland average costs/min

Patient Level Information Costing Sample application of tariffs

Patient Level Information Costing Benefits of PLICS Enables detailed costing analyses Transparency Responsive to length of stay Covers range of SMR activity Application to “real-time” activity

Patient Level Information Costing Challenges Consultation of PLICS Reconciliation to cost book Data Completeness e.g GLS High cost items Theatre times Cross boundary flow (NSD/complexity) Costs for Social Care (PLICS)

Supporting Partnerships IRF National Mapping (standard outputs)

Example Analysis Partnership X: age 65+ Institutional 61.2% Community 38.8% 25% Emergency Admissions (£34m) 9% Elective Admissions (£12m) 6% Outpatients (£9m) Cost Per head £5,354 - Total cost per head £1,342 Emergency Admissions £748 Care Homes £534 Home Care 41% all admissions were Emergency (activity)