Cost Benefit Analysis for Justification of Additional Funding to Support the Listening Center Cochlear Implant Services at a Large Tertiary Care Teaching Institution

摘要

In May 1998 the TCTI Listening Center Cochlear Implant administrative team presented a business plan to the institutional business review group. All rehabilitation and audiology service volumes for this program are primarily directly related to surgical implantation volumes. FY 97 records showed 63 surgeries budgeted and 43 actually performed. FY 98 data budgeted for 19 and actually performed 60. Consequently, the funds requested were approved minus $88,000 needed to fund additional clinical and administrative support staff Retrospective review of first quarter fiscal year 1999 data indicated 27 surgical implantations performed against 15 budgeted. A review of a sample of first quarter patient surgery charges revealed several charge system errors that were subsequently corrected. Combining increased patient volume with charge system corrections that result in an increase in per implantation allowable charges resulted in a substantial increase in institutional revenue. Updated surgical volume and revenue information was presented to institutional finance and management personnel. Subsequently, funding was allocated to support additional staff requirements. Recommendations were made to provide further accurate and detailed data that will assist in performing another cost benefit analysis when current staff is not able to support patient volumes.