Overall Cost Comparison of Gastrointestinal Endoscopic Procedures With Endoscopist- or Anesthesia-Supported Sedation by Activity-Based Costing Techniques

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Presentation transcript:

Overall Cost Comparison of Gastrointestinal Endoscopic Procedures With Endoscopist- or Anesthesia-Supported Sedation by Activity-Based Costing Techniques Richard A. Helmers, MD, James A. Dilling, MBA/HCM, Christopher R. Chaffee, MBA, Mark V. Larson, MD, Bradly J. Narr, MD, Derek A. Haas, MBA, Robert S. Kaplan, PhD Mayo Clinic Proceedings: Innovations, Quality & Outcomes Volume 1, Issue 3, Pages 234-241 (December 2017) DOI: 10.1016/j.mayocpiqo.2017.10.002 Copyright © 2017 Mayo Foundation for Medical Education and Research Terms and Conditions

Figure 1 A, Gonda 2: Colonoscopy with propofol (September 29, 2014). B, Gonda 2: EGD with propofol (September 24, 2014). Cost data only include certain direct patient care contact costs identified in the process flow maps; does NOT include estimates for consumable supplies, transcription, overhead, pharmacy, laboratory tests, etc. Gonda 2 refers to the area where anesthesia is involved in the procedures. The numbers included in circles are minutes that each provider was involved performing that step by various providers; see staff key in figure. CRNA = certified nurse anesthetist; EGD = esophagogastroduodenoscopy; EMR = electronic medical record; GI = gastrointestinal; HUC = Health Unit Coordinator; IV = intravenous; LPN = licensed practice nurse; MD = doctor of medicine; med = medications. Mayo Clinic Proceedings: Innovations, Quality & Outcomes 2017 1, 234-241DOI: (10.1016/j.mayocpiqo.2017.10.002) Copyright © 2017 Mayo Foundation for Medical Education and Research Terms and Conditions

Figure 1 A, Gonda 2: Colonoscopy with propofol (September 29, 2014). B, Gonda 2: EGD with propofol (September 24, 2014). Cost data only include certain direct patient care contact costs identified in the process flow maps; does NOT include estimates for consumable supplies, transcription, overhead, pharmacy, laboratory tests, etc. Gonda 2 refers to the area where anesthesia is involved in the procedures. The numbers included in circles are minutes that each provider was involved performing that step by various providers; see staff key in figure. CRNA = certified nurse anesthetist; EGD = esophagogastroduodenoscopy; EMR = electronic medical record; GI = gastrointestinal; HUC = Health Unit Coordinator; IV = intravenous; LPN = licensed practice nurse; MD = doctor of medicine; med = medications. Mayo Clinic Proceedings: Innovations, Quality & Outcomes 2017 1, 234-241DOI: (10.1016/j.mayocpiqo.2017.10.002) Copyright © 2017 Mayo Foundation for Medical Education and Research Terms and Conditions

Figure 2 A, Gonda 9: Colonoscopy with versed/fentanyl (September 29, 2014). B, Gonda 9: EGD with versed/fentanyl (September 29, 2014). Cost data only include certain direct patient care contact costs identified in the process flow maps; does NOT include estimates for consumable supplies, transcription, overhead, pharmacy, laboratory tests, etc. Gonda 2 refers to the area where anesthesia is involved in the procedures. The numbers included in circles are minutes that each provider was involved performing that step by various providers; see staff key in figure. EMR = electronic medical record; GI = gastrointestinal; IV = intravenous; MD = doctor of medicine; meds = medications; RN = registered nurse; Tech = technician. Mayo Clinic Proceedings: Innovations, Quality & Outcomes 2017 1, 234-241DOI: (10.1016/j.mayocpiqo.2017.10.002) Copyright © 2017 Mayo Foundation for Medical Education and Research Terms and Conditions

Figure 2 A, Gonda 9: Colonoscopy with versed/fentanyl (September 29, 2014). B, Gonda 9: EGD with versed/fentanyl (September 29, 2014). Cost data only include certain direct patient care contact costs identified in the process flow maps; does NOT include estimates for consumable supplies, transcription, overhead, pharmacy, laboratory tests, etc. Gonda 2 refers to the area where anesthesia is involved in the procedures. The numbers included in circles are minutes that each provider was involved performing that step by various providers; see staff key in figure. EMR = electronic medical record; GI = gastrointestinal; IV = intravenous; MD = doctor of medicine; meds = medications; RN = registered nurse; Tech = technician. Mayo Clinic Proceedings: Innovations, Quality & Outcomes 2017 1, 234-241DOI: (10.1016/j.mayocpiqo.2017.10.002) Copyright © 2017 Mayo Foundation for Medical Education and Research Terms and Conditions