Abstract
This paper is dealing with the importance of business processes regarding costs tracking and cost management in healthcare institutions. Various changes within the health care system and funding of hospitals require the introduction of management information systems and cost accounting. The introduction of cost accounting in public hospitals would allow the planning and control of costs, monitoring of costs per patient or service and the calculation of indicators for the analysis and assessment of the economic performance of the business of public hospitals and lead to the transparency of budget spending. A model that would be suited to the introduction in the public hospital is full cost allocation model based on activities or processes that occur, known as the ABC method. Given that this is a calculation of cost of services provided through various internal business processes, it is important to identify all business processes in order to be able to calculate the costs incurred by services. Although the hospital does not do business with the aim to make a profit, they must follow all the costs (direct and indirect) to be able to calculate the full costs i.e. the price of the service provided. In addition, the long-term sustainability of business activities in terms of funding difficulties and the continuous growth of cost of services provided, hospitals must control and reduce the cost of the program and specific activities. Therefore, the objective of this paper is to point out the importance of business processes while introducing ABC method.
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References
Becker, J., Fischer, R., & Janiesch, C. (2007). Optimizing U.S. health care processes—A case study in business process management. Association for Information Systems. Retrieved April 5, 2016, from https://pdfs.semanticscholar.org/ffa6/9efb852b14e107d78a2b33a300584c62a7de.pdf
Bosilj Vukšić, V., Hernaus, T., & Kovačić, A. (2008). Upravljanje poslovnim procesima [Business process management]. Zagreb: Školska knjiga.
Bosilj Vukšić, V., & Kovačić, A. (2004). Upravljanje poslovnim procesima [Business process management]. Zagreb: Sinergija.
Brick, A., Nolan, A., O’Reilly, J., & Smith, S. (2010). Resource allocation, financing and sustainability in health care: Evidence for the expert group on resource allocation and financing in the health sector. Dublin: Department of Health and Children and Economic and Social Research Institute.
Doyle, G., Duffy, L., & McCahey, M. (2004). An empirical study of adoption/non adoption of activity based costing in hospitals in Ireland. University College Dublin Business Schools Working Paper.
Hakkinen, U. (2010). Financing of hospital care in Finland. Euro Observer, 12(3), 10–12.
Kaplan, S. R., & Porter, M. E. (2011). How to solve the cost crisis in healthcare. Harvard Business Review, 89(9), 46–52.
Kautianen, K., Hakkinen, U., & Lauharanta, J. (2011). Finland: DRGs in a decentralized health care system. In R. Busse, A. Geissler, W. Quentin, & M. Wiley (Eds.), Diagnosis related groups in Europe: Moving towards transparency, efficiency and quality in hospitals (pp. 321–328). Maidenhead: Open University Press.
Keller, G., & Teufel, T. (1998). SAP R/3 process oriented implementation: Iterative process prototyping. Boston: Addison Wesley Longman.
McDaid, D., Wiley, M., Maresso, A., & Mossialos, E. (2009). Ireland: Health system review. Health Systems in Transition, 11(4), 1–268.
Mendling, J., Neumann, G., & Nüttgens, M. (2005). Yet another event-driven process chain: Modeling workflow patterns with yEPCs. Enterprise Modeling and Information Systems Architectures, 1(1), 3–13.
Nüttgens, M. (1997). Business process modeling with EPC and UML: Transformation or integration? In M. Schader & A. Korthaus (Eds.), The unified modeling language: Technical aspects and applications (pp. 250–261). Heidelberg: Physica.
O’Reilly, J., Busse, R., Ha’kkinen, U., Or, Z., Street, A., & Wiley, M. (2012). Paying for hospital care: the experience with implementing activity-based funding in five European countries. Health Economics Policy and Law, 7(01), 73–101.
Osmančević, J. (2011). Primjena Sistema obračuna troškova po aktivnostima u zdravstvenim ustanovama USK kao uslov povećanja uspješnosti poslovanja [Application of ABC method in healthcare institutions as a condition for increase in business performance]. Master Thesis, Univesity in Bihać, pp. 17
Rummler, G. A., & Brache, A. P. (1995). Improving performance: How to manage the white space in the organization chart. San Francisco, CA: Jossey-Bass.
Scheer, A. W., Thomas, O., & Adam, O. (2005). Process modeling using event-driven process chains. In M. Dumas & W. van der Aalst (Eds.), Process-aware information systems: Bridging people and software through process technology (pp. 119–144). New York: Wiley.
Shleifer, A. (1985). A theory of yardstick competition. RAND Journal of Economics, 16(3), 319–327.
Smith, H., & Fingar, P. (2003). Business process management: The third wave. Tampa, FL: Meghan-Kiffer Press.
Van der Aalst, W. (1999). Formalization and verification of event-driven process chains. Information & Software Technology, 41(10), 639–650.
Vuorenkoski, L., Mladovsky, P., & Mossialos, E. (2008). Finland: Health system review. Health Systems in Transition, 10(4), 1–168.
Weske, M. (2007). Business process management: Concepts, languages, architectures. Berlin: Springer.
Wiley, M. (2005). Diagnosis related groups (DRGs): Measuring hospital case mix. In P. Armitage & T. Colton (Eds.), Encyclopaedia of biostatistics (pp. 11–20). Chichester: Wiley.
Acknowledgements
This work has been fully supported by University of Zagreb funding the project “Business processes in the implementation of cost management in healthcare system”. Any opinions, findings, and conclusions or recommendations expressed in this paper are those of the authors and do not necessarily reflect the views of University of Zagreb.
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Lutilsky, I.D., Juroš, L. (2017). Business Processes in the Function of Cost Management in Healthcare Institutions. In: Bilgin, M., Danis, H., Demir, E., Can, U. (eds) Country Experiences in Economic Development, Management and Entrepreneurship. Eurasian Studies in Business and Economics, vol 5. Springer, Cham. https://doi.org/10.1007/978-3-319-46319-3_35
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DOI: https://doi.org/10.1007/978-3-319-46319-3_35
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