How Much Does It Cost for a Surgical ICU Bed in a Public ...

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The cost was calculated to be Rs. 11,241/- per day (155 USD) against the hospital charge of Rs. 35/- (<0.5 USD) for general patients and Rs. /- for private ward patients. Exchange Conversion Rate used is 1 USD = 72.60 INR (&#;21).

A total of 38 cases were selected from the departments of General Surgery, Urology, Orthopedics, and Plastic surgery. Based on the ABC technique, the activity map was developed for SICU (cost center), and the time consumed together with resources for each activity was calculated with respect to human resources, consumables, medicines, and overheads. Thus, the total cost incurred by the hospital for SICU beds per day was estimated using the cost sheet analysis.

The present study aimed to ascertain the cost of SICU beds per day by the ABC technique. The different elements of cost were analyzed. The cost for selected patients in the SICU unit was calculated by preparing a cost sheet based on the elements of cost and studying the existing charging system.

Activity-based costing (ABC) is a costing technique that identifies the activities in an organization and assigns the cost to the activities based on the actual resources consumed for each activity. The method was used to ascertain the cost of surgical intensive care unit (SICU) bed in an institute of national importance, such as All India Institute of Medical Sciences (AIIMS), Bhubaneswar, from June to February .

Introduction

A major concern in India in the health sector is the increasing healthcare cost. India has spent 1.28% GDP on its healthcare in , which is among the lowest health-care budget worldwide.1 The increased cost is due to the increased usage of sophisticated hospital equipment (magnetic resonance imaging (MRI), computed tomography (CT), and linear accelerator), skilled workers (training cost), medicines (newer antibiotics and anticancer drugs), and consumables (quality standard recommendations, such as care package) during the past decade.2&#;5 Therefore, understanding the cost at different activity levels of a hospital is crucial for economic control.6&#;9 Hospitals use several standard costing methodologies, such as traditional costing (volume-based), micro-costing, and standard costing; one of the approaches used is activity-based costing (ABC).10&#;14

ABC is defined as the approach to the costing and monitoring of activities that involve tracing the resources used and costing the final outputs. The resources used are assigned to activities, and the activities are assigned to cost objects based on the estimated consumption. The cost objects utilize cost drivers to attach the activity costs to outputs&#;Chartered Institute of Management Accountants, London (CIMA).15&#;18

ABC identifies the organizational activities and assigns the cost of each activity resource to the products and services as per their precise consumption of each. The indirect costs (overhead) are assigned by tracing the activities to the final outcome. As a result, the organization can precisely estimate the costs of its products individually and services in order to identify and eliminate the unprofitable elements and lower the prices of the overpriced services.19&#;21

Studies in England and Germany have addressed enhancing the patient-based costing in diagnostic-related groups (DRG) system and stated that ABC must be used in the costing systems in DRG.22

Bahadori et al examined ABC in the health-care center.23 A case study of a health-care center in Iran affiliated with Tehran university was a descriptive cross-sectional study based on the financial data of . The ABC methodology was applied by the software developed using MS-Excel as follows: Step 1 - Formation of the group (experts from economy, finance, equipment, and healthcare); Step 2 - Structural assessment of organization by defining the units of activity; Step 3 - Segregation of the centers of activity into three categories, such as overhead service department, intermediate service department, and final service department; Step 4 - Determination of output per unit of activity; Step 5 - Identification of the process of each output in the units of activity; Step 6 - Allocation of cost based on the unit of activity; Step 7 - Overhead cost allocation.

All India Institute of Medical Sciences (AIIMS), Bhubaneswar, Odisha, was established in by the act of the Indian Parliament under Pradhan Mantri Swasthya Suraksha Yojana (PMSSY) scheme to correct the regional imbalances in healthcare. AIIMS, Bhubaneswar, operated with 840 beds and has 14 surgical intensive care unit (SICU) beds functioning with >95% occupancy rate at any given point in time. In addition, 53 ICU beds are available for Medical Specialty and Surgical Super Specialties (Neurosurgery, CTVS; Cardiothoracic & Vascular Surgery, and GI; Gastrointestinal Surgery). The cost of treatment in SICU is subsidized and presently charged at Rs. 35/- (<0.5 USD) per day. The ABC study for costing the SICU bed would aid in planning for pricing strategy in the future. To the best of our knowledge, this is the first study undertaken to ascertain the cost of SICU beds per day in an institute of national importance using the ABC technique (ascertain the cost of services provided by the hospital) in order to analyze the various elements of cost, calculate the cost for selected patients in by preparing a cost sheet based on the elements of cost, study the existing charging system, and recommend modifications to the hospital.

Sleep provides the body and brain time to recover from the demands of the day. For people who use a hospital bed at home, choosing the right bed allows for restorative sleep that contributes to the maintenance of optimum health.

For relevant and extremely useful information, read our article How to Choose a Hospital Bed for Home Use, which will assist you in making the best choice of a home hospital bed for you or your loved one.

How much is a hospital bed?

Some beds come with a mattress, rails, and other accessories - while some beds only include the bed frame. These options impact the cost of a home hospital bed, which can range in price from $270 to $9,000. 

Manual hospital beds are the least expensive models, and they usually offer fewer features and accessories. In general, semi-electric is more expensive, and full-electric is the most expensive. While a manual hospital bed has an appealing price point, sometimes quality should not be sacrificed for the price tag. Read our article How to Choose a Hospital Bed for Home Use for all the pros, cons, benefits, (and more) of each bed type.

Does Medicare cover hospital beds?

According to Medicare.gov, Medicare Part B covers hospital beds as durable medical equipment prescribed by a doctor for use at home. With original Medicare, if your supplier accepts assignment, you pay 20 percent of the approved amount, and the Part B deductible applies. Medicare pays for different kinds of durable medical equipment in different ways, and you may need to rent the bed, buy the bed, or you might be able to choose to rent or buy it. 

Medicare will only cover durable medical equipment like home hospital beds if your doctors and DME suppliers are enrolled in Medicare. If they aren&#;t enrolled, Medicare won&#;t pay the claims submitted by them. 

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*PLEASE NOTE, RehabMart does not accept insurance, Medicare, or Medicaid as payment options. What we can do is provide you with an itemized receipt after purchase (upon your request), with which you can apply for reimbursement through your insurance provider. To determine which products are eligible for reimbursement, you'll need to speak to a representative of your insurance provider prior to purchase. RehabMart cannot guarantee what your insurance will cover!

Does the VA pay for hospital beds?

Tricare for Life (TFL) is supplemental medical insurance for retired veterans enrolled in Medicare, and helps cover the costs of things not covered by Medicare. This is true for durable medical equipment, such as home hospital beds. TFL will pick up the 20 percent copayment of a hospital bed that's prescribed by a doctor. 

Also, Tricare for Life is formerly known as the Civilian Health and Medical Program of the Uniformed Services (CHAMPUS).

Can I write off a hospital bed on my taxes?

According to the IRS, you can make a deduction from your federal income taxes if you purchase a home hospital bed for yourself, your spouse, or another dependent. Deductions for durable medical equipment can only be made in the year that they were purchased.

Do charities give away hospital beds?

There are multiple Non-Profit Assistance Programs for durable medical equipment. These Non-Profits can be divided into 3 groups: National Foundations, Local Non-Profits, and Lost Limb Organizations. National Foundations usually require the user to have a specific diagnosis (e.g. Lou Gehrig&#;s Disease and Muscular Dystrophy) to participate. Local Non-Profits usually accept donated equipment, and re-sell them at little to no cost. Additionally, there are low-income relief programs that offer free, used medical equipment.  

What Else You Need to Buy for a Hospital Bed

Often, there is more to setting up a safe and comfortable home hospital bed than just the bedframe. From sheets and bedding to accessories, there are several things you can add to create a restful sleep environment.

Mattress

Some hospital beds come with mattresses, and other models require a specially-sized hospital bed mattress to be purchased separately. The support, safety features, and pressure distribution all contribute to how well a mattress will meet a user&#;s needs. Read How to Choose the Best Hospital Bed Mattress for Home for assistance in choosing the right mattress for your home hospital bed.

Bed Sheets

Because hospital beds are not the same dimensions as standard beds, they require specially sized sheets. We created a guide, How to Choose Hospital Bed Sheets and Bedding, to help you make an informed bedding purchasing decision.

Optional Accessories

The list of available hospital bed accessories are as varied as the conditions that require the use of a home hospital bed. Safety rails to minimize fall risk and aid in bed positioning, IV poles for fluids, trapeze apparatus to assist in positioning, scales to weigh a user without leaving the bed, overbed tray tables and storage solutions, bed extension kits, mattress pads, and safety alarms are some of the accessories you can add to your home hospital bed.

Optional Assembly Services

It&#;s important for safety and comfort that hospital beds be assembled correctly. Because they can be very heavy and complicated to put together, for a fee there are assembly services available for many models.

Final Thoughts

A home hospital bed is an investment in wellness, and choosing the best option for your situation will contribute to quality sleep and better overall health. Rehabmart offers a complete line of hospital beds, mattresses, bedding, and accessories.

Read Ultimate Guide to Hospital Beds & Mattresses for Home Care for valuable information on how to choose and outfit the best home hospital bed for you.

Author:

Mike Price, OT

Co-Founder of Rehabmart and an Occupational Therapist since . Mike has spent his professional career working in multiple areas of Occupational Therapy, including pediatrics, geriatrics, hand therapy, ergonomics and inpatient / outpatient rehabilitation. Mike enjoys writing articles that help people solve complex therapeutic problems and make better product choices.

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