Cost and Revenue for Managing Naresuan University Hospital

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Presentation transcript:

Cost and Revenue for Managing Naresuan University Hospital Supasit Pannarunothai, MD, PhD

Sources of data Hospital outpatients and inpatients Cost of strategic management units (SMU) in 2009-2010 Education cost

Schema of cost study SMU1 SMU2 SMU3 Direct cost Indirect cost Education Routine service Ancillary cost SMU1 SMU2 SMU3 RSC/case; day Ancillary cost Patient service Outpatient Inpatient

Growth of Outputs < Growth 16%/yr < Growth 19%/yr

Growth of MD staff and Nurses < Growth 19%/yr < Growth 17%/yr

Trends of Cost and Revenue

Apportion of Cost 2009 2010

Output and Cost by SMU Baht/case or Baht/day* Output by cases or days*

Routine Service Cost RSC of inpatient case by dept RSC of outpatient visit by dept

Routine Service Cost Baht/day Baht/day

Cost per case 2009/10

Cost of Education

Cost of Education Baht/student

Conclusion Most SMUs produced higher outputs leading to lower unit costs; hence higher efficiency More details on outputs and unit costs by SMUs or by sub-SMU cost centres Using more refine cost methodology vs apportioning on previous results

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