Invited Commentary to:‘Clinical Pathways as a Tool for Process Costing in Cardiac Surgery’ (Eur. Surg. 2003;35:51–54)
Article first published online: 10 SEP 2009
Volume 35, Issue 2, pages 113–114, April 2003
How to Cite
Mohl, W. (2003), Invited Commentary to:‘Clinical Pathways as a Tool for Process Costing in Cardiac Surgery’ (Eur. Surg. 2003;35:51–54). Eur. Surg., 35: 113–114. doi: 10.1046/j.1682-4016.2003.03030.x
- Issue published online: 10 SEP 2009
- Article first published online: 10 SEP 2009
Summary: Background: By developing a standard clinical pathway, we tried to assess the cost of a coronary bypass procedure at our in institution in order to find possibilities for cost containment and financial decision-making.
Methods: A standard clinical pathway was designed for an aortocoronary bypass procedure. Using this pathway, we assessed the procedural costs in a stepwise manner for each individual patient to obtain the average cost for a bypass operation at our institution.
Results: Overall costs for a standard coronary bypass operation at our institution were 7,411 EUR. Costs for the surgical procedure, intensive care unit, intermediate care unit and 9 days on the ward were 3,722 EUR, 1,171 EUR, 271 EUR and 558 EUR, respectively. Expenses for personnel amounted to 3,194 EUR; for drugs, 78 EUR; for disposables, 2,919 EUR; for diagnostics, 274 EUR; and indirect costs, 609 EUR.
Conclusions: Standard clinical pathways are a valid means for assessing procedural costs. Making costs transparent is the basis for cost containment, benchmarking and financial decision-making in cardiac surgery.