Hospital Cost Accounting
Activity Based Costing (ABC) for HPM and TRENDSTAR PDF Print E-mail

Where does Activity Based Costing (ABC) really come into play in hospital cost accounting?  One could argue (as we do in other related articles) that much of what we do now is already ABC-compliant.  True, but there is still a gap that ABC methods could fill, if only the data were readily available.

 

The gap is in allocating areas like clinical chiefs, residents, clinical programs and service line specific costs.  This can be a significant part of hospital overhead costs, but most of the time these costs are allocated on aggregate overhead statistics instead of being directed to the patients and service lines that were the consumers of these services.

 

Yardley is offering a new solution to this need that allows you to create your own patient level allocation statistics, working within your existing Trendstar or HPM costing framework.  Departments that you formerly treated as overhead become direct departments, allocated on volume and standards of activity determined by patient specific charactistics.  For example, cardiac surgery programs follow only your defined cardiac surgery patients based on patient days, direct costs or other measures you choose.  using this approach, the amount of overhead cost allocated by general methods will fall  and your credibility isnshowing how these costs are allocated will improve significantly.

 

The solution will work for both HPM and Trendstar users.  Please contact Yardley for more information.

 
Yardley Costing Model Design PDF Print E-mail

Yardley has developed a cost model design that should be of interest to existing and new Horizon Performance Manager (HPM) customers, as well as TRENDSTAR customers wishing to improve their cost information.  The model is tailored for each customer and incorporates the the following design features:

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Yardley Cost Standards Manager™ PDF Print E-mail

Cost accounting requires specialized file formats for integration of standards to applications like HPM and TRENDSTAR.  The format is not always easy to handle in Excel, since is will likely exceed Excel's maximum records limit.  The Yardley Standards ManagerTM provides a way to consolidate, edit and format your cost standards for entry in HPM or TRENDSTAR. There are numerous other advantages available when using this tool, including:

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Yardley Cost Standards Development PDF Print E-mail

Yardley can help you dramatically improve your costing process where it needs it most - your cost standards.  Our capabilities now include the most experienced standards development expert you will find anywhere.  Coupling this experience with an improved approach, we can educate and work with your department managers to develop or revise your standards in record time.  The approach is easier to maintain and more credible.  Give us a try on one of your departments and see for yourself.

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Are Better Cost Standards Worth The Effort? PDF Print E-mail

After assisting an HPM customer recently with developing more refined cost standards, we were curious: would the new standards make a difference or would the answers be close to using something like the RBRVS?  We see a lot of demand for off-the-shelf standards, RBRVS being the chief example.  Of course, RBRVS (Resource Based Relative Value Scale) is intended for payment to physicians, and includes physician work and malpractice expense.  How well does this relate to what is required to perform the service item in the hospital setting?

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