Study to Develop a Model for the Allocation of Medical Supply Funds to the Various Clinical Services at Keller Army Community Hospital Based Upon Inpatient Weighted Units and Ambulatory Weighted Units.

摘要

The study developed a model for the allocation of supply funds to the various clinical services at Keller Army Community Hospital, West Point, based upon inpatient weighted units (IWUs) and ambulatory weighted units (AWUs). The 1987 inpatient and outpatient workload and supply budgets of Keller were examined. The hospital workload was converted from the MCCU system to the DRG-based IWU, AWU system. The DRG-based workload was then summed to determine the total workload for the hospital. This was then divided into the actual 1987 budget to determine the supply cost per IWU/AWU. It was not possible to accurately determine inpatient supply budgets due to the lack of a cost-based accounting system. The system currently in place only identifies costs to the ward level, not by service. Therefore, the study concentrated on the outpatient clinics where the financial system tracked costs to specific clinics.