Comparative assessment of patient care expenses among intensive care units of a tertiary care teaching hospital using cost block method
Kanakavalli Kundury, H.K. Mamatha, Divya Rao
Keywords :
Cost block, costing of intensive care services, ICU, patient care expenses
Citation Information :
Kundury K, Mamatha H, Rao D. Comparative assessment of patient care expenses among intensive care units of a tertiary care teaching hospital using cost block method. Indian J Crit Care Med 2017; 21 (2):85-88.
Introduction: Intensive care services of a hospital are found to consume major chunk of hospital resources as well draining the savings of patients. Implementing proper control measures facilitates effective functioning of critical care services.
Aim: Identify various costs involved in operating Surgical Intensive Care Unit (SICU) and Respiratory Intensive Care Unit (RICU); also find out the running cost of the same.
Methodology: Retrospective data was collected for 12 months period and prospectively through informal interactions with staff.
Results: Construction and estate costs of the respective ICU's were found to be high, followed by laboratory charges. Running cost of RICU was found to be more than SICU.
Conclusion: Costing of intensive care service is essential for controlled operations and to provide efficient patient care.
Joshi DC, Joshi M. Hospital Administration. 1st ed. New Delhi, India: Jaypee Publications; 2009. p. 198-9.
Yeolekar ME, Mehta S. ICU care in India – Status and challenges. J Assoc Physicians India 2008;56:221-2.
Multz AS, Chalfin DB, Samson IM, Dantzker DR, Fein AM, Steinberg HN, et al. A "closed" medical Intensive Care Unit (MICU) improves resource utilization when compared with an "open" MICU. Am J Respir Crit Care Med 1998;157 (5 Pt 1):1468-73.
Shweta K, Kumar S, Gupta AK, Jindal SK, Kumar A. Economic analysis of costs associated with a Respiratory Intensive Care Unit in a tertiary care teaching hospital in Northern India. Indian J Crit Care Med 2013;17:76-81.
Jayaram R, Ramakrishnan N. Cost of intensive care in India. Indian J Crit Care Med 2008;12:55-61.
Edbrooke D, Hibbert C, Ridley S, Long T, Dickie H. The development of a method for comparative costing of individual Intensive Care Units. The Intensive Care Working Group on Costing. Anaesthesia 1999;54:110-20.
Narang A, Kiran PS, Kumar P. Cost of neonatal intensive care in a tertiary care center. Indian Pediatr 2005;42:989-97.
Divatia JV, Baronia AK, Bhagwati A, Chawla R, Iyer S, Jani CK. Critical care delivery in Intensive Care Units in India: Defining the functions, roles and responsibilities of a consultant intensivist. Indian J Crit Care Med 2006;10:53-63.
Kundury KK, Mamatha HK, Rao D. Assessing the patient care expenses and cost per bed of a medical Intensive Care Unit (MICU) of a tertiary care teaching hospital using cost block method. Int J Manage 2015;6:59-70.
