Dodson G M, Sinclair V G, Miller M, Charping C, Johnson B, Black M
Vanderbilt Home Care Services, Nashville, TN, USA.
Nurs Econ. 1998 Sep-Oct;16(5):263-71.
A variety of cost constraints threaten the financial viability of home health agencies. Thus, tools must be developed that expand the critical information resources that will be the key ingredient in successfully navigating the challenges in the volatile home health market. Identifying and analyzing the core processes with the pediatric home care team provided a template that could be used with other agency patient populations by producing cost trajectories based on anticipated care requirements and capturing information that could be used for both internal and external benchmarking. The cost drivers of key processes and activities must be known so that they can be controlled and appropriate rates for capitation contracts can be established. Activity-based management uses cost driver analysis, activity analysis and performance analysis, to determine strategies for redirecting the work processes and agency activities to achieve lasting cost reductions.
多种成本限制威胁着家庭健康机构的财务生存能力。因此，必须开发一些工具，以扩展关键信息资源，这些资源将是成功应对动荡的家庭健康市场挑战的关键要素。与儿科家庭护理团队一起识别和分析核心流程，提供了一个模板，通过根据预期护理需求生成成本轨迹，并获取可用于内部和外部基准测试的信息，该模板可用于其他机构的患者群体。必须了解关键流程和活动的成本驱动因素，以便能够对其进行控制，并确定人头费合同的适当费率。基于活动的管理使用成本驱动因素分析、活动分析和绩效分析，来确定重新调整工作流程和机构活动的策略，以实现持久的成本降低。
