Development of an Evaluation Methodology for Use in Assessing Data Available to the Certificate of Need (CON) and Health Planning Programs - Executive Summary

摘要

This study investigated the premise underlying the notion of capital expenditure planning--the relationship between capital and operating cost. Econometric analysis found that the equilibrium annual cost increase associated with a dollar increase in capital stock was $0.22 for all hospitals. Increases in operating costs were greatest for for-profit corporations ($0.33) and below average for government and voluntary hospitals. In another portion of the study, based on five state case studies, CON and S1122 review were found to be effective in limiting the amount of capital expenditures undertaken. Non-teaching hospitals were found to have a higher rate of approval than teaching hospitals. In another portion of the study, the authors present findings of three engineering case studies that examine the relationship between capital investments and operating costs for cardiac care units, ultrasound units, and energy management systems. Another portion of the study provides a version of Donald Schneider's Capital Expenditure Taxonomy that is modified to reflect national rather than New York State characteristics.