Data Science to Patient Value (D2V) partnered with researchers and clinicians to improve value-driven healthcare. The D2V Costing Resource Hub, now part of ACCORDS Economic Analysis Core, has gathered tools for measuring and understanding the cost of delivering care in order to improve value in healthcare. This resource hub provides some of the tools available to support value-driven health care.
Why measure the cost to deliver medical care?
A lack of understanding of the true costs (in distinction from charges) of healthcare delivery poses a challenge to improving health care value. As healthcare systems test and use alternative payment models, clinicians must understand the actual care cost and outcomes for individual patients which is the level clinicians have the most influential change.
These tools guide projects to fully understand care cost and improve value in health care from the provider and patient perspective:
This resource hub describes two commonly used methods to identify, measure, and value resource consumption and the savings attributable to the intervention: gross-costing and micro-costing. View these resources by clicking the PDF links or menu headings below.
c. TDABC framework
When using TDABC to micro-cost a healthcare intervention, there are 8 steps.
A description of each step, as well as a micro-costing case study that steps through each of the 8 steps, can be found here:
An 8-step framework for implementing time-driven activity-based costing in healthcare studies. da Silva Etges APB, Cruz LN, Notti RK, Neyeloff JL, Schlatter RP, Astigarraga CC, Falavigna M, Polanczyk CA. Eur J Health Econ. 2019 Jul 8. doi: 10.1007/s10198-019-01085-8. [Epub ahead of print]
Gaitonde S, Malik RD, Zimmern PE. FINANCIAL BURDEN OF RECURRENT URINARY TRACT INFECTIONS IN WOMEN: A TIME-DRIVEN ACTIVITY-BASED COST ANALYSIS. Urology. 2019.
Basto J, Chahal R, Riedel B. Time-driven activity-based costing to model the utility of parallel induction redesign in high-turnover operating lists. Healthcare (Amsterdam, Netherlands). 2019.
Bobade RA, Helmers RA, Jaeger TM, Odell LJ, Haas DA, Kaplan RS. Time-driven activity-based cost analysis for outpatient anticoagulation therapy: direct costs in a primary care setting with optimal performance. Journal of medical economics. 2019:1-7.
Ning MS, Klopp AH, Jhingran A, Lin LL, Eifel PJ, Vedam S, Lawyer AA, Olivieri ND, Guzman AB, Incalcaterra JR, Mesko SM, Pezzi TA, Boyce-Fappiano DR, Shaitelman SF, Frank SJ, Thaker NG. Quantifying institutional resource utilization of adjuvant brachytherapy and intensity-modulated radiation therapy for endometrial cancer via time-driven activity-based costing. Brachytherapy. 2019 Apr 13. pii: S1538-4721(19)30120-5. doi: 10.1016/j.brachy.2019.03.003. [Epub ahead of print]
The cost of blood: a study of the total cost of red blood cell transfusion in patients with β-thalassemia using time-driven activity-based costing.
Variation in the Cost of Care for Different Types of Joint Arthroplasty.