1,944
Views
12
CrossRef citations to date
0
Altmetric
Cardiovascular Medicine

Time-driven activity-based cost analysis for outpatient anticoagulation therapy: direct costs in a primary care setting with optimal performance

, B.E., M.S., , M.D., , M.D., , Pharm.D., R.Ph., MPH., , B.A. (Economics), MBA. & , M.S., Ph.D.
Pages 471-477 | Received 08 Nov 2018, Accepted 25 Jan 2019, Published online: 04 Mar 2019

Figures & data

Figure 1. A process flow map for a new patient within the first 30 days of enrollment into the warfarin program (point of care visit). Numbers included in circles are minutes that each provider was involved performing that step by various providers; process steps with vacant circles have their process minutes combined with adjacent process steps as noted next to them; see staff key in figure. Amalga, Mayo Clinic’s internal database for aggregation of patients’ clinical data; DOB, Date of Birth; Edu., Education; EOP, Enterprise Order Prescribing (Mayo Clinic’s internal system); Info, information; MC, Mayo Clinic; MC#, Mayo Clinic Number; MD, Doctor of Medicine; NP/PA, Nurse Practitioner/Physician Assistant; NV, Nurse Visit; PCIL, Patient Check-In Locator (Mayo Clinic’s internal system); PDC, Provider Directed Care; Pt., Patient; RN, Registered Nurse; Std. Dev., Standard Deviation; WMRS, Workload Management Reporting System (Mayo Clinic’s internal database used by nurses).

Figure 1. A process flow map for a new patient within the first 30 days of enrollment into the warfarin program (point of care visit). Numbers included in circles are minutes that each provider was involved performing that step by various providers; process steps with vacant circles have their process minutes combined with adjacent process steps as noted next to them; see staff key in figure. Amalga, Mayo Clinic’s internal database for aggregation of patients’ clinical data; DOB, Date of Birth; Edu., Education; EOP, Enterprise Order Prescribing (Mayo Clinic’s internal system); Info, information; MC, Mayo Clinic; MC#, Mayo Clinic Number; MD, Doctor of Medicine; NP/PA, Nurse Practitioner/Physician Assistant; NV, Nurse Visit; PCIL, Patient Check-In Locator (Mayo Clinic’s internal system); PDC, Provider Directed Care; Pt., Patient; RN, Registered Nurse; Std. Dev., Standard Deviation; WMRS, Workload Management Reporting System (Mayo Clinic’s internal database used by nurses).

Figure 2. A process flow map for a patient visit with the pharmacist (point of care visit) in the warfarin program. Numbers included in circles are minutes that each provider was involved performing that step by various providers; process steps with vacant circles have their process minutes combined with adjacent process steps as noted next to them; see staff key in figure; DOB, Date of Birth; F/s, Flowsheets (Mayo Clinic electronic documentation); MC, Mayo Clinic; MC#, Mayo Clinic Number; PAC, Patient Appointment Coordinator; Pt., Patient; RN, Registered Nurse.

Figure 2. A process flow map for a patient visit with the pharmacist (point of care visit) in the warfarin program. Numbers included in circles are minutes that each provider was involved performing that step by various providers; process steps with vacant circles have their process minutes combined with adjacent process steps as noted next to them; see staff key in figure; DOB, Date of Birth; F/s, Flowsheets (Mayo Clinic electronic documentation); MC, Mayo Clinic; MC#, Mayo Clinic Number; PAC, Patient Appointment Coordinator; Pt., Patient; RN, Registered Nurse.

Table 1. Matrix for calculation of annual warfarin outpatient anticoagulation process cost.

Table 2. Comparison of estimated annual outpatient anticoagulation program cost between NOACs and warfarin.

Figure 3. The frequency distribution of patient care visits per month for a patient population of 5,526 on warfarin anticoagulation treatment over the time period of October–December 2014.

Figure 3. The frequency distribution of patient care visits per month for a patient population of 5,526 on warfarin anticoagulation treatment over the time period of October–December 2014.

Reprints and Corporate Permissions

Please note: Selecting permissions does not provide access to the full text of the article, please see our help page How do I view content?

To request a reprint or corporate permissions for this article, please click on the relevant link below:

Academic Permissions

Please note: Selecting permissions does not provide access to the full text of the article, please see our help page How do I view content?

Obtain permissions instantly via Rightslink by clicking on the button below:

If you are unable to obtain permissions via Rightslink, please complete and submit this Permissions form. For more information, please visit our Permissions help page.