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Health Care Benchmarking and Performance Evaluation pp 141–163Cite as

Hospital Applications

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Part of the book series: International Series in Operations Research & Management Science ((ISOR,volume 210))

Abstract

In health care, the first application of DEA is dated to 1983 with the study of Nunamaker, measuring routine nursing service efficiency. Since then, DEA analysis has been used widely in the assessment of hospital technical efficiency in the United States as well as around the world at different levels of decision making units.

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Author information

Authors and Affiliations

  1. Department of Health Administration, Virginia Commonwealth University, Richmond, VA, USA

    Yasar A. Ozcan

Authors
  1. Yasar A. Ozcan
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Appendix J: Development of Service Weight Based on Clinical and Investment Intensity

Appendix J: Development of Service Weight Based on Clinical and Investment Intensity

AHA 2011 service categories

(1) Clinical intensity

(2) Investment intensity

Variable name

(1) * (2) service weight

General medical and surgical care (adult)

2

2

GENHOS

4

General medical and surgical care (pediatric)

2

2

PEDHOS

4

Obstetric care

2

3

OBHOS

6

Medical/surgical intensive care

3

3

MSICHOS

9

Cardiac intensive care

3

3

CICHOS

9

Neonatal intensive care

3

3

NICHOS

9

Neonatal intermediate care

3

3

NINTHOS

9

Pediatric intensive care

3

3

PEDICHOS

9

Burn care

3

3

BRNHOS

9

Other special care

2

2

SPCICHOS

4

Other intensive care

3

3

OTHIHOS

9

Physical rehabilitation care

2

2

REHABHOS

4

Alcohol/drug abuse or dependency inpatient care

2

1

ALCHHOS

2

Psychiatric care

2

2

PSYHOS

4

Skilled nursing care

2

2

SNHOS

4

Intermediate nursing care

1

2

ICFHOS

2

Acute long term care

1

1

ACUHOS

1

Other long term care

1

1

OTHLTHOS

1

Other care

1

1

OTHCRHOS

1

Adult day care program

1

1

ADULTHOS

1

Airborne infection isolation room

2

2

AIRBHOS

4

Alcoholism-drug abuse or dependency outpatient services

1

1

ALCOPHOS

1

Alzheimer Center

1

1

ALZHOS

1

Ambulance services

2

3

AMBHOS

6

Ambulatory surgery center

2

3

AMBSHOS

6

Arthritis treatment center

2

2

ARTHCHOS

4

Assisted living services

1

1

ASSTLHOS

1

Auxiliary services

1

1

AUXHOS

1

Bariatric/weight control service

2

2

BWHTHOS

4

Birthing room/LDR room/LDRP room

2

2

BROOMHOS

4

Blood Donor Center

1

1

BLDOHOS

1

Breast cancer screening/mammograms

1

1

MAMMSHOS

1

Adult cardiology services

3

3

ACARDHOS

9

Pediatric cardiology services

3

3

PCARDHOS

9

Adult diagnostic/invasive catheterization

3

3

ACLABHOS

9

Pediatric diagnostic/invasive catheterization

3

3

PCLABHOS

9

Adult interventional cardiac catheterization

3

3

ICLABHOS

9

Pediatric interventional cardiac catheterization

3

3

PELABHOS

9

Adult cardiac surgery

3

3

ADTCHOS

9

Pediatric cardiac surgery

3

3

PEDCSHOS

9

Adult cardiac electrophysiology

3

3

ADTEHOS

9

Pediatric cardiac electrophysiology

3

3

PEDEHOS

9

Cardiac Rehabilitation

2

2

CHABHOS

4

Case Management

2

1

CMNGTHOS

2

Chaplaincy/pastoral care services

1

1

CHAPHOS

1

Chemotherapy

2

2

CHTHHOS

4

Children wellness program

1

1

CWELLHOS

1

Chiropractic services

1

1

CHIHOS

1

Community outreach

1

1

COUTRHOS

1

Complementary medicine services

1

1

COMPHOS

1

Computer assisted orthopedic surgery

3

3

CAOSHOS

9

Crisis prevention

1

1

CPREVHOS

1

Dental Services

1

2

DENTSHOS

2

Emergency Department

3

3

EMDEPHOS

9

Pediatric emergency department

3

3

PEMERHOS

9

Freestanding/Satellite Emergency Department

2

2

FSERHOS

4

Certified trauma center

3

3

TRAUMHOS

9

Enabling services

1

1

ENBHOS

1

Optical Colonoscopy

2

2

ENDOCHOS

4

Endoscopic ultrasound

2

2

ENDOUHOS

4

Ablation of Barrett's esophagus

3

2

ENDOAHOS

6

Esophageal impedance study

2

2

ENDOEHOS

4

Endoscopic retrograde cholangiopancreatography (ECRP)

3

3

ENDORHOS

9

Enrollment assistance program

1

1

ENRHOS

1

Extracorporeal shock-wave lithotripter (ESWL)

2

3

ESWLHOS

6

Fertility Clinic

1

1

FRTCHOS

1

Fitness center

1

1

FITCHOS

1

Freestanding outpatient center

2

2

OPCENHOS

4

Geriatric services

1

1

GERSVHOS

1

Health fair

1

1

HLTHFHOS

1

Community health education

1

1

HLTHCHOS

1

Genetic testing/counseling

1

1

GNTCHOS

1

Health screenings

1

1

HLTHSHOS

1

Health research

1

1

HLTRHOS

1

Hemodialysis

2

2

HEMOHOS

4

HIV-AIDS services

2

1

AIDSSHOS

2

Home health services

1

1

HOMEHHOS

1

Hospice program

1

1

HOSPCHOS

1

Hospital-base outpatient care center/services

2

2

OPHOSHOS

4

Immunization program

1

1

IMPRHOS

1

Indigent care clinic

1

1

ICARHOS

1

Linguistic/translation services

1

1

LINGHOS

1

Meals on wheels

1

1

MEALSHOS

1

Mobile Health Services

1

1

MOHSHOS

1

Neurological services

2

2

NEROHOS

4

Nutrition programs

1

1

NUTRPHOS

1

Occupational health services

1

1

OCCHSHOS

1

Oncology services

2

2

ONCOLHOS

4

Orthopedic services

2

2

ORTOHOS

4

Outpatient surgery

2

2

OPSRGHOS

4

Pain management program

1

1

PAINHOS

1

Palliative care program

1

1

PALHOS

1

Inpatient palliative care unit

2

2

IPALHOS

4

Patient Controlled Analgesia (PCA)

2

2

PCAHOS

4

Patient education center

1

1

PATEDHOS

1

Patient representative services

1

1

PATRPHOS

1

Assistive technology center

1

2

RASTHOS

2

Electrodiagnostic services

1

2

REDSHOS

2

Physical rehabilitation outpatient services

2

2

RHBOPHOS

4

Prosthetic and orthotic services

2

2

RPRSHOS

4

Robot-assisted walking therapy

2

2

RBOTHOS

4

Simulated rehabilitation environment

2

2

RSIMHOS

4

Primary care department

2

2

PCDEPHOS

4

Psychiatric child/adolescent services

2

1

PSYCAHOS

2

Psychiatric consultation/liaison services

1

1

PSYLSHOS

1

Psychiatric education services

1

1

PSYEDHOS

1

Psychiatric emergency services

2

2

PSYEMHOS

4

Psychiatric geriatric services

2

2

PSYGRHOS

4

Psychiatric outpatient services

2

2

PSYOPHOS

4

Psychiatric partial hospitalization program

2

2

PSYPHHOS

4

Psychiatric residential treatment

2

2

PSTRTHOS

4

Radiology, diagnostic—Computed-tomography (CT) scanner

3

3

CTSCNHOS

9

Radiology, diagnostic—Diagnostic radioisotope facility

3

3

DRADFHOS

9

Radiology, diagnostic—Electron Beam Computed Tomography (EBCT)

3

3

EBCTHOS

9

Radiology, diagnostic—Full-field digital mammography

3

3

FFDMHOS

9

Radiology, diagnostic—Magnetic resonance imaging (MRI)

3

3

MRIHOS

9

Radiology, diagnostic—Intraoperative magnetic resonance imaging

3

3

IMRIHOS

9

Radiology, diagnostic—Multislice spiral computed tomography (MSCT)

3

3

MSCTHOS

9

Radiology, diagnostic—Multi-slice spiral computed tomography (64+ Slice CT)

3

3

MSCTGHOS

9

Radiology, diagnostic—Positron emission tomography (PET)

3

3

PETHOS

9

Radiology, diagnostic—Positron emission tomography/CT (PET/CT)

3

3

PETCTHOS

9

Radiology, diagnostic—Single photon emission computerized tomography (SPECT)

3

3

SPECTHOS

9

Radiology, diagnostic—Ultrasound

3

3

ULTSNHOS

9

Image-guided radiation therapy (IGRT)

3

3

IGRTHOS

9

Intensity-Modulated Radiation Therapy (IMRT)

3

3

IMRTHOS

9

Proton therapy

3

3

PTONHOS

9

Shaped beam radiation System

3

3

BEAMHOS

9

Stereotactic radiosurgery

3

3

SRADHOS

9

Retirement housing

1

1

RETIRHOS

1

Robotic surgery

3

3

ROBOHOS

9

Rural health clinic

2

2

RURLHOS

4

Sleep Center

2

2

SLEPHOS

4

Social Work services

1

1

SOCWKHOS

1

Sports medicine

2

2

SPORTHOS

4

Support groups

1

1

SUPPGHOS

1

Swing bed services

1

1

SWBDHOS

1

Teen outreach services

1

1

TEENSHOS

1

Tobacco Treatment/Cessation program

1

1

TOBHOS

1

Transplant, Bone marrow transplant services

3

3

OTBONHOS

9

Transplant, Heart

3

3

HARTHOS

9

Transplant, Kidney

3

3

KDNYHOS

9

Transplant, Liver

3

3

LIVRHOS

9

Transplant, Lung

3

3

LUNGHOS

9

Transplant, Tissue

3

3

TISUHOS

9

Transplant, Other

3

3

OTOTHHOS

9

Transportation to health services

1

1

TPORTHOS

1

Urgent care center

2

2

URGCCHOS

4

Virtual colonoscopy

2

2

VRCSHOS

4

Volunteer services department

1

1

VOLSVHOS

1

Women’s health center/services

1

1

WOMHCHOS

1

Wound Management Services

2

2

WMGTHOS

4

Maximum Weighted Service-Mix Index

   

683

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Ozcan, Y.A. (2014). Hospital Applications. In: Health Care Benchmarking and Performance Evaluation. International Series in Operations Research & Management Science, vol 210. Springer, Boston, MA. https://doi.org/10.1007/978-1-4899-7472-3_9

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