PLC provides more insight at Blekinge County Council

PLC provides more insight at Blekinge County Council

By calculating cost per patient, Blekinge County Council wants to improve their healthcare operations and add value for the patients. The implementation of Prodacapo for PLC (patient level costing) started in 2015. With better reporting and decision support they are now able to monitor and analyse their healthcare operations transparently.

Annelie Cedergen, financial analyst, what is Prodacapo used for? 

“We use Prodacapo to calculate cost per patient. The results are reported annually to the national database maintained by the Swedish Association of Local Authorities and Regions.”


"In addition, we are working on the total cost statement for the core parts of our organization. We hope that this will improve the annual financial reporting to Statistics Sweden, a national authority."


What qualities in Prodacapo do You find most valuable?

"We’re now able to monitor costs of different departments and receptions, medical services, overhead, expensive materials and drugs. The transparency gives us a good picture of how costs are distributed. We can also break it down and and analyse the consumption of different resource categories, such as nurses, doctors and paramedics.”


"We think it's good to be able to track where the costs come from and how they are distributed. In Prodacapo we can analyze data at different levels, from a general level we can break everything down to a detailes. This creates transparency which is important for all our users.”


"With the help of the data in Prodacapo, we can then create dimension tables and diagrams in Qlikview. This gives a good overview of the production and costs, the information used for PLC analysis.”


“The matching of production and care event data provides the basis for calculating cost per patient. For example, together with people working in the service production we have defined resources involved in, and the time consumption for different types of reception visits. The total time derived from Prodacapo's time-driven (TDABC) functionality is then validated by comparing with the reported working hours in the HR system. This way of tracing resources to care services corresponds to the real resource consumption in a very dynamic way.”   


What benefits have You had in Your PLC-work with Prodacapo?

"During the implementation process we have gained more knowledge about the care we carry out, and what it costs. The intention is to create a platform to improve our operations, a transparent description of the operations where service production and finances meet.” 


"We have made many findings. Some of these has led to immediate improvements, like wrong registrations or registrations that has previously been done only on paper and not been documented digitally.” 


"With the introduction of PLC, we have also been able to validate and improve the quality of the base data in the different systems. That is, we have got a picture of how we register care information and use our systems.”


"There are also some discoveries that need to be analyzed further. For example, would it be possible to perform some surgical procedures at a reception department instead of at a surgery department? Can some inpatient treatment be given as outpatient treatment? We are able to analyse the care we provide over time, but also to benchmark with other Swedish county councils.” 


What are the next steps in Your PLC-work?

"We want to extend the use of the PLC-information to incorporate more predictive analysis. We could for example simulate changes that we want to make in our production. This will give us insight in how decisions impact our service production. 


"We also have plans to update the PLC-model more frequently than annually.”


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From PLC reporting to Performance Management