Overall Cost Comparison of Gastrointestinal Endoscopic Procedures With Endoscopist- or Anesthesia-Supported Sedation by Activity-Based Costing Techniques
Objective: Endoscopic/colonoscopic procedures are either done with gastroenterologist-administered conscious sedation or with anesthesia-administered sedation with propofol. There are potential benefits to anesthesia-administered sedation, but the concern has been the associated increased cost. Meth...
| Main Authors: | , , , , , , |
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| Format: | Article |
| Language: | English |
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Elsevier
2017-12-01
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| Series: | Mayo Clinic Proceedings: Innovations, Quality & Outcomes |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2542454817300681 |
| _version_ | 1818760281182961664 |
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| author | 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 |
| author_facet | 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 |
| author_sort | Richard A. Helmers, MD |
| collection | DOAJ |
| description | Objective: Endoscopic/colonoscopic procedures are either done with gastroenterologist-administered conscious sedation or with anesthesia-administered sedation with propofol. There are potential benefits to anesthesia-administered sedation, but the concern has been the associated increased cost. Methods: To perform this study, we used the time-derived activity-based costing (TDABC) technique to accurately assess the true cost of gastrointestinal procedures done with gastroenterologist-administered conscious sedation vs anesthesia-administered sedation in 2 areas of our practice that use predominantly conscious sedation or anesthesia-administered sedation. This type of study has never been reported using such an integrated approach. This study was performed on 2 different days in June 2015. Results: The true cost associated with anesthesia-administered sedation in our practice was associated with only 9% to 24% greater cost when the TDABC technique was applied. Conclusion: Gastrointestinal procedures with anesthesia-administered sedation are not as costly when all factors are considered. Using novel approaches to cost measurement, such as the TDABC, allows a total cost measurement approach across an episode of care that existing cost measurements in health care are incapable of. |
| first_indexed | 2024-12-18T06:56:07Z |
| format | Article |
| id | doaj.art-8af00bc16a324ea2b419a10b1d260731 |
| institution | Directory Open Access Journal |
| issn | 2542-4548 |
| language | English |
| last_indexed | 2024-12-18T06:56:07Z |
| publishDate | 2017-12-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Mayo Clinic Proceedings: Innovations, Quality & Outcomes |
| spelling | doaj.art-8af00bc16a324ea2b419a10b1d2607312022-12-21T21:17:11ZengElsevierMayo Clinic Proceedings: Innovations, Quality & Outcomes2542-45482017-12-0113234241Overall Cost Comparison of Gastrointestinal Endoscopic Procedures With Endoscopist- or Anesthesia-Supported Sedation by Activity-Based Costing TechniquesRichard A. Helmers, MD0James A. Dilling, MBA/HCM1Christopher R. Chaffee, MBA2Mark V. Larson, MD3Bradly J. Narr, MD4Derek A. Haas, MBA5Robert S. Kaplan, PhD6Department of Pulmonary and Critical Care Medicine, Mayo Clinic, Scottsdale, AZ; Correspondence: Address to Richard A. Helmers, MD, Mayo Clinic Health System, Administration Building, 1400 Bellinger St, Eau Claire, WI 54703.Baylor Scott & White Health, Dallas, TXDepartment of Management Engineering & Internal Consulting, Mayo Clinic, Rochester, MNDivision of Gastroenterology and Hepatology, Mayo Clinic, Rochester, MNDepartment of Anesthesiology, Mayo Clinic, Rochester, MNInstitute for Strategy & Competitiveness, Harvard Business School, Boston, MAEmeritus Staff Center, Harvard Business School, Boston, MAObjective: Endoscopic/colonoscopic procedures are either done with gastroenterologist-administered conscious sedation or with anesthesia-administered sedation with propofol. There are potential benefits to anesthesia-administered sedation, but the concern has been the associated increased cost. Methods: To perform this study, we used the time-derived activity-based costing (TDABC) technique to accurately assess the true cost of gastrointestinal procedures done with gastroenterologist-administered conscious sedation vs anesthesia-administered sedation in 2 areas of our practice that use predominantly conscious sedation or anesthesia-administered sedation. This type of study has never been reported using such an integrated approach. This study was performed on 2 different days in June 2015. Results: The true cost associated with anesthesia-administered sedation in our practice was associated with only 9% to 24% greater cost when the TDABC technique was applied. Conclusion: Gastrointestinal procedures with anesthesia-administered sedation are not as costly when all factors are considered. Using novel approaches to cost measurement, such as the TDABC, allows a total cost measurement approach across an episode of care that existing cost measurements in health care are incapable of.http://www.sciencedirect.com/science/article/pii/S2542454817300681 |
| spellingShingle | 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 Overall Cost Comparison of Gastrointestinal Endoscopic Procedures With Endoscopist- or Anesthesia-Supported Sedation by Activity-Based Costing Techniques Mayo Clinic Proceedings: Innovations, Quality & Outcomes |
| title | Overall Cost Comparison of Gastrointestinal Endoscopic Procedures With Endoscopist- or Anesthesia-Supported Sedation by Activity-Based Costing Techniques |
| title_full | Overall Cost Comparison of Gastrointestinal Endoscopic Procedures With Endoscopist- or Anesthesia-Supported Sedation by Activity-Based Costing Techniques |
| title_fullStr | Overall Cost Comparison of Gastrointestinal Endoscopic Procedures With Endoscopist- or Anesthesia-Supported Sedation by Activity-Based Costing Techniques |
| title_full_unstemmed | Overall Cost Comparison of Gastrointestinal Endoscopic Procedures With Endoscopist- or Anesthesia-Supported Sedation by Activity-Based Costing Techniques |
| title_short | Overall Cost Comparison of Gastrointestinal Endoscopic Procedures With Endoscopist- or Anesthesia-Supported Sedation by Activity-Based Costing Techniques |
| title_sort | overall cost comparison of gastrointestinal endoscopic procedures with endoscopist or anesthesia supported sedation by activity based costing techniques |
| url | http://www.sciencedirect.com/science/article/pii/S2542454817300681 |
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