Contribution margin per hour of operating room to reallocate unutilized operating room time: a cost-effectiveness analysis.

ABSTRACT:

Background and objectives

Contribution margin per hour (CMH) has been proposed in healthcare systems to increase the profitability of operating suites. The aim of our study is to propose a simple and reproducible model to calculate CMH and to increase cost-effectiveness.

Methods

For the ten most commonly performed surgical procedures at our Institution, we prospectively collected their diagnosis-related group (DRG) reimbursement, variable costs and mean procedural time. We quantified the portion of total staffed operating room time to be reallocated with a minimal risk of overrun. Moreover, we calculated the total CMH with a random reallocation on a first come-first served basis. Finally, prioritizing procedures with higher CMH, we ran a simulation by calculating the total C

SUBMITTER: Saporito A 

PROVIDER: S-EPMC10240232 | biostudies-literature | 2023 May-Jun

REPOSITORIES: biostudies-literature