Salford Royal NHS Foundation Trust
“Prodacapo is an extremely powerful management information and reporting tool and while the results have confirmed some our existing views, it has also given us some interesting insights."
Finance Director and Deputy Chief Executive,
Salford Royal NHS Foundation Trust
More accurate patient data
More accurate and more comprehensive patient data is now available to clincians and managers who are engaged in the further development and use of the Prodacapo solution. This encourage more objective analysis, dialogue and debate about the provision of service and the management of the Trust and its individual specialities.
Keys to successful performance
For example, good theatre utilisation is one of the keys to successful performance in any Trust. In this instance, Service Line Reporting and Patient Level Costing information highlighted the need to look at the theatre utilisation much more holistically and to recognise the complexity inherent in good theatre performance.
Similarly, the cost of radiology scans was previously heavily influenced by Korner weightings that were used in the previous approach to Reference Costing. The same weighting had therefore been used to underpin the early development of Service Line Reporting and Patient Level Costing at Salford Royal.
However, the resulting costs of radiology scans seemed to be counter-initiative. Certain scans seemed to be very expensive, while complex scans for in-patients seemed relatively inexpensive. This could have posed a problem to the Trust if the charging for radiology scans was based on such data. However closer examination by clinicians and managers together quickly highlighted the fact that Korner weightings are now insufficient to reflect what is really driving the cost of patient scans and a more sophisticated approach was required.
The result is that the simple scans are now charged at a much lower price to reflect the lower work content and more complex scans, often for in-patients, are charged at a higher price so that the real financial cost of providing treatments is reflected more accurately.
This is just a small illustration of how Prodacapo can be used to drive a deeper understanding of performance and financial management.
Improved cost control
The Service Line Reports are updated quarterly to coincide with Board reporting and there are sixty clinicians and managers across the Trust with direct access to this information for analysis and decision making.
"Being in more control of our cost information has enabled the Trust to become more commercially aware and has contributed to the improved quality of our business cases", says Stephen Kennedy and continues:
"We know which areas are profitable or not, and we can start to explain why. It also helps to set our prices when tendering for new work, ensuring that we remain competetive."
With clinicians also able to interrogate information that hasn't always been easily accessible, they are now better able to work with managers to identify problem areas and work together to rectify them.
The managers now understand where cost improvements can be achieved but the Trust doesn't stop trying to identify areas where improvements in performance might take place, for example utilisation rates and patient throughput, waiting list clearance, harm reduction and helping to understand the costs when redesigning new patient care pathways.
The trust recognises that if it can continue to focus on doing things "right first time" on a consistent basis across the Trust and with a strong patient care focus, then it can continue to deliver excellence in "Quality of Service" and "Use of Resources" (ratings by Healthcare Commission). It also recognises the critical role of Service Line Reporting and Patient Level Costing in managing these elements on an integrated basis and in facilitating real clinical engagement.
What our customers say
"Implementing Prodacapo was a strategic decision we made to respond to the new market conditions for the healthcare sector in the Netherlands."
"At the early phase of the project, some of the departments were quite hesitant in participating, but as soon as we were able to present the first results of our project the doubtfulness was replaced by enthusiasm."
Niek Bossché & Paul Steinbush
Erasmus Medical Centre, The Netherlands
"Prodacapo provides us with great information and more precise patient costing data."
"It's also very important for us to compare and analyze on different levels and in between different departments. Prodacapo gives us better management information of for example resource consumption per patient treatment."
Reidun Martine Rømo
Ekonomichef, Helse Midt-Norge
”Using Prodacapo's TDABC methodology (Time Driven ABC) means we have got a an easy-to-use costing tool, a costing model that is easy to understand and a unified method to track the patient level costs.”
Head of patient level costing, County council of Jämtland, Sweden