Unit Cost Analysis In Heart Failure Inpatients Using The Time Driven Activity Based Costing Method At Type D Hospital In Sragen

Authors

  • Aulia Nadhiasari Master’s Program in Hospital Administration Universitas Muhammadiyah Yogyakarta
  • Firman Pribadi Master’s Program in Hospital Administration Universitas Muhammadiyah Yogyakarta
  • Ietje Nazaruddin Master’s Program in Hospital Administration Universitas Muhammadiyah Yogyakarta

DOI:

https://doi.org/10.26911/thejhpm.¬2025.10.01.01

Abstract

Background: Heart failure is one of the most common non-communicable diseases in adults. The number of cases of patients admitted to hospitals due to heart failure is quite large, resulting in a high frequency of hospitalizations and high patient treatment costs. Cost calculation is very important for health care providers in order to conduct financial evaluations. One way to calculate costs in hospitals is to use unit cost analysis. The purpose of the study was to determine the unit cost of treatment for heart failure patients in inpatient settings, especially in Type D hospitals in Sragen.

Subjects and Method: This study is a qualitative type study using a case study approach to unit cost to calculate the inpatient treatment rate of patients with chronic heart failure using the Time Driven Activity Based Costing method. Furthermore, the difference with the INA CBGs rate is seen. There are two sources of data in this study, namely primary data from interview results from sources directly in the field and secondary data from financial report data and clinical pathway data for inpatient services for patients with chronic heart failure in hospitals.

Results: The unit cost of treatment of heart failure patients in the inpatient installation using the Time Driven Activity Based Costing method at type D hospitals in Sragen amounted to Rp 2,186,089. The difference in heart failure treatment costs in the type D hospital inpatient installation in Sragen using the Time Driven Activity Based Costing method with the patient treatment rate based on INA-CBG'S is Rp 250,211 (10%).

Conclusion: The unit cost of treatment of heart failure patients in the inpatient installation using the Time Driven Activity Based Costing method is Rp 2,186,089

Keywords:

chronic heart failure, unit cost, time driven activity based costing

References

Akhavan S, Ward L, Bozic KJ (2016). Time-driven activity-based costing more accurately reflects costs in arthroplasty surgery. Clin Orthop Relat Res, 474(1): 8–15. https://doi.org/10.1007/s11999-015-4214-0

Allin O, Urman RD, Edwards AF, Blitz JD, Pfeifer KJ, Feeley TW, Bader AM (2019). Using time-driven activity-based costing to demonstrate value in perioperative care: Recommendations and review from the society for perioperative assessment and quality improvement (SPAQI). J Med Syst, 44(1): 1–8. https://doi.org/10.1007/s10916-019-1503-2

Astuti ND, Irmawati I, Apifah A (2021). Analisis tarif rumah sakit dan tarif Ina CBGS kasus gagal jantung kongestif. J Rekam Medis Inf Kesehat, 4(1): 44–51. https://doi.org/10.31983/jrmik.v4i1.6788

Balakrishnan K, Goico B, Arjmand EM (2015). Applying cost accounting to operating room staffing in otolaryngology: Time-driven activity-based costing and outpatient adenotonsillectomy. Otolaryngol Head Neck Surg, 152(4): 684–690. https://doi.org/10.1177/0194599814568273

Chen A, Sabharwal S, Akhtar K, Makaram N, Gupte CM (2015). Time-driven activity based costing of total knee replacement surgery at a London teaching hospital. Knee, 22(6): 640–645. https://doi.org/10.1016/j.knee.2015.07.006

Djaya KH, Nasution SA, Antono D (2015). Overview of duration of treatment and profile of heart failure patients at Cipto Mangunkusumo Hospital (Gambaran Lama Rawat dan Profil Pasien Gagal Jantung di Rumah Sakit Cipto Mangunkusumo). Ina J Chest Crit and Emerg Med, 2(4): 141–150. https://-www.indonesiajournalchest.com/index.php/IJC/issue/view/58.

Dumaris H (2015). Analysis of the difference in hospital rates and INA-CBG's outpatient services at Budhi Asih Hospital Jakarta in 2015 (Analisis perbedaan tarif rumah sakit dan tarif INA-CBG ’ s pelayanan rawat jalan di RSUD Budhi Asih Jakarta Tahun 2015). Jurnal ARSI, 3(1): 20–28. https://doi.org/10.7454/arsi.v3i1.2209

Erhun F, Mistry B, Platchek T, Milstein A, Narayanan VG, Kaplan RS (2015). Time-driven activity-based costing of multivessel coronary artery bypass grafting across national boundaries to identify improvement opportunities: Study protocol. BMJ Open 5(8): e008765.https://doi.org/10.1136/bmjopen-2015-008765

Faizaturruhaniah, Yuliart CN, Afroh IKF (2022). Implementasi time driven activity based costing (TDABC) dalam penentuan tarif rawat inap pada klinik Aisyiyah Asy-Syifa’ Wuluhan Jember“. 53–54. https://doi.org/10.32528/nms.v1i3.89

Firizqina AB (2023). Perhitungan Unit Cost TDABC SC ERACS dan SC Non ERACS di RSI Kendal. Thesis, Universitas Muhammadiyah Yogyakarta. https://-etd.umy.ac.id/id/eprint/43838

Haq FA, Pribadi F, Akrom A (2023). Elective caesarean section cost efficiency with time-driven activity-based costing. Int J Public Health Sci, 12(1): 155–163. https://doi.org/10.11591/ijphs.v12i1.21963

Javid M, Hadian M, Ghaderi H, Ghaffari S, Salehi M (2015). Application of the activity-based costing method for unit-cost calculation in a hospital. Glob J Health Sci, 8(1): 165–172. https://-doi.org/10.5539/gjhs.v8n1p165

Kaplan AL, Agarwal N, Setlur NP, Tan HJ, Niedzwiecki D, McLaughlin N, Burke MA, et al (2015). Measuring the cost of care in benign prostatic hyperplasia using time-driven activity-based costing (TDABC). Healthc (Amst), 3(1): 43–48. https://doi.org/¬10.1016/j.h¬jd¬si.-2014.09.007

Kaplan RS, Anderson SR (2007). Time-driven activity-based costing: A simpler and more powerful path to higher profits. Boston: Harvard Business School Press.

Kaplan RS, Anderson SR (2007). Time-Driven Activity-Based Costing: A Simpler and More Powerful Path to Higher Profits 220.

Keel G, Muhammad R, Savage C, Spaak J, Gonzalez I, Lindgren P, Guttmann C, et al (2020). Time-driven activity-based costing for patients with multiple chronic conditions: A mixed-method study to cost care in a multidisciplinary and integrated care delivery centre at a university-affiliated tertiary teaching hospital in Stockholm, Sweden. BMJ Open, 10(6): e032573. https://doi.org-/10.1136/bmjopen-2019-032573

Kumalasari ND, Rahem A, Presley B, Setia-wan E (2019). Direct Medical Cost Ana¬lysis Among Coronary Heart Disease and Heart Failure Outpatients at One Hospital. J Manag Pharm Practice, 9(2): 55–64. https://doi.org/¬10.22146¬/jmpf.38170

Mardiah (2016). Cost recovery rate tarif rumah sakit dan tarif INA CBG’s ber-dasarkan clinical pathway pada penya¬kit arteri koroner di RSUP Dr. Mohammad Hoesin Palembang tahun 2015. Jurnal ARSI 2(3): 245-259. https://doi.org/10.7454/arsi.v2i3.2205.

Prameswari GAD, Tamtomo DG, Murti B (2022). Unit Cost analysis of national health insurance in inpatients during COVID-19 pandemic at Pelengkap Medical Center Hospital, Jombang, East Java. Health Policy Manage, 7(3): 210–217. https://doi.org/10.26911/-thejhpm.2022.07.03.05.

Pramitasari DA (2021). Penerapan time driven activity based costing pada biaya rawat inap di RS Darus Syifa Surabaya. Gema Ekonomi 10(1): 10–21. https://-doi.org/10.55129/.v12i4.2927.

Reyes EB, Ha JW, Firdaus I, Ghazi AM, Phrommintikul A, Sim D, Vu QN, et al (2016). Heart failure across Asia: Same healthcare burden but differences in organization of care. Int J Cardiol, 223: 163–167. https://doi.org/10.26911/-thejhpm.2022.07.03.05

Shankar PR, Hayatghaibi SE, Anzai Y (2020). Time-driven activity-based costing in radiology: An overview. J Am Coll Radiol, 17(1): 125–130. https://doi.org-/10.1016/j.jacr.2019.07.010

Wardani DTK, Pribadi F (2023). Unit Cost calculation of elective caesarean section without complications based on the time-driven activity-based costing model. Jurnal Aisyah : Jurnal Ilmu Kesehatan 8(2): 9–16. https://-doi.¬¬org/10.30604/jika.v8i2.1824

Downloads

Published

16-01-2025

How to Cite

Nadhiasari, A., Pribadi, F., & Nazaruddin, I. (2025). Unit Cost Analysis In Heart Failure Inpatients Using The Time Driven Activity Based Costing Method At Type D Hospital In Sragen . Journal of Health Policy and Management, 10(1), 1–15. https://doi.org/10.26911/thejhpm.¬2025.10.01.01

Issue

Section

Articles