Cost analysis: initiation of HBMC and first CareMap.

The start-up costs incurred when instituting Hospital Based Managed Care (HBMC) and using CareMaps in a large mid-western teaching hospital are analyzed. The complete cost analysis of developing the first CareMap, Cesarean Section, is included. Cost analysis of an additional CareMap, Normal Vaginal Delivery, is available for comparison for the developmental phase of the CareMap. The CareMaps were designed by the same multidisciplinary team though 18 months apart.