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•  HCAF has published a series of papers detailing why the Reference Cost Index is a poor measure of hospital efficiency (see 'Measures of Hospital Efficiency' below). Refer to the HRG folder for additional detail.

 

 

 

   Hospital Efficiency

 

 

  Documents

 

Care Pathways

 

Mortality from # NOF

 

Measures of Hospital Efficiency

 

Process Control Charts

 

Efficiency & Costs of Maternity Services

 

 

Hospital Efficiency Series

 

British Journal of Healthcare Management (BJHCM)

 

Jones R (2009) Length of stay efficiency. BJHCM 15(11), 563-564. Read Me

 

Jones R (2009) Crafting efficient bed pools. BJHCM 15(12), 614-616. Read

 

Jones R (2010) Benchmarking length of stay. BJHCM 16(5), 248-250 Read

 

 

 

 

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The expression of hospital efficiency is multi-factorial. Often the benchmarks for assessing efficiency are flawed. This page gives a few examples of how efficiency measures can have hidden flaws and gives alternate ways to measure efficiency or process blockages.

 

Refer to the 'Hospital Beds' folder for details regarding efficient bed management and allocation and to the 'Capacity Management' folder for ways to allocate resources to match arriving demand. The 'HRG/PbR/PBC' folder contains additional material regarding the limitations of the HRG tariff.

 

A key component of benchmarking financial efficiency is a robust costing & pricing process. HCAF have developed unique expertise in the area of statistical evaluation of the costing process. The volatility in local prices is compared to the national average and the resulting statistical signature gives insight into costing and apportionment errors or bias.