On Cost Measurement for Value-based Healthcare

Paper in proceeding, 2017

The cost aspect in Value-based Healthcare (VBHC) is to a large extent neglected or seen as a problematic factor. Time-driven Activity Based Costing is a promising model to be used in healthcare in the context of VBHC. However, the way cost data is collected this far is awkward and suffer from serious reliability issues. A straight forward way of collecting the necessary data reliably, is to use work study methods. This paper demonstrates the use of pre-determined time studies, work sampling, and stop-watch studies in a case at a large university hospital.