Optimizing Value: Time-Driven Activity-Based Costing in Three Primary Care Delivery Models

05-04-2017 11:56

The UVA Family Medicine Department, in collaboration with the Harvard Business School, initiated a quality improvement project to compare true costs and patient outcomes associated with three different primary care delivery models – Standard Practice Delivery, Patient-Centered Medical Home (PCMH) Team Care, and Family Team Care. By determining if improved patient outcomes are associated with lower costs for a particular care delivery model, we will identify an opportunity to create greater value for our patients. Accurately analyzing the cost of providing primary care is complex. Time-driven activity-based costing (TDABC) is a comprehensive method that accounts for the total cost of the resources used by the patient throughout a defined care cycle. TDABC analysis identifies what activities are performed throughout the care cycle, who is responsible for doing each activity, and the amount of time that individual dedicates to the activity. We performed direct observations, time studies, and interviews to complete this initial step. Then, by calculating a cost per unit of time for each type of personnel, and accounting for consumables and indirect costs, we determine the total cost for the patient’s cycle of care.

#2017 #valueequation

Author(s):Amanda N. Sebring, Sharon Diamond-Myrsten, Jeffrey Trice, Charles L. Perry, Kelly F. Bell, M. Norman Oliver, Mahek A. Shah
0 Favorited
1 Files
pdf file
Optimizing Value STFM Poster Final.pdf   763 KB   1 version
Uploaded - 05-04-2017

Tags and Keywords

Related Entries and Links

No Related Resource entered.