Table Of ContentGovernment
of Alberta
For further information on this report and its contents contact:
Information and Analysis Branch
Health System Performance and Information Management Division
Alberta Health and Wellness
17th floor, 10025 Jasper Avenue
Edmonton, Alberta T5J 1S6
Rick Leischner, Senior Manager, Health Costing
(780) 427-0664
[email protected]
ISSN 1703-3055
ISSN 1920-5392 (Online)
December 2009
To obtain the electronic version ofthis report, please visit Alberta Health and Wellness’
Internet Site at: http://www.health.gov.ab.ca
Alberta Case Cost Report Alberta Health and Wellness
For 2006/2007HospitalActivity December2009
Table ofContents
Introduction 2-12
Definitions_ 13
Schedule 1 InpatientCostResults 14-79
Schedule2 AmbulatoryCare CostResults 80-99
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Alberta Case Cost Report Alberta Health and Wellness
For 2006/2007 HospitalActivity December2009
Introduction
The Alberta Costing Partnership hassuccessfully developed patientspecific case costsfor both
inpatientand ambulatory care, forthetenth year. The partnership includesthe costing Regional
Health Authorities (RHAs) alongwith Alberta Health and Wellness.
The 2006/2007 Case Cost Reportdisclosesthe costofcasesthatwere handled bythe participating
health regions between April 1, 2006and March 31, 2007. Cases are grouped by linkingcostdata
toactivitydatato provide appropriate summary information.
Although the data submitted hasgonethrough reasonabilityvalidation, the Alberta Costing
Partnership provides no external assurance overthe appropriateness and completeness ofcost
allocations done bythe RHAs.
The inpatientcostsare grouped byCase Mix Groups (CMGs), and ambulatorycare costs are grouped
bytheAmbulatoryCare Classification System (ACCS). Schedules 1 and 2 summarize costdata by
CMGsand ACCS cells, respectively.
Alberta’s CostingPartnership
The Information and Analysis Branch resides within Alberta Health and Wellness and is responsible
forcarryingon the health costing mandate. Health costingwas done in conjunction with the regional
health authorities (RHAs) usinga common costingframeworkto generate patientspecific case costs.
Representativesfrom the costing RHAs and Alberta Health and Wellness participate inthe costing
round table reviewofthe provincial cost results. The participants ofthis Costing Function Team
reviewthe statistical analysisand costcomparisons. Issues identified in this process are
investigated and resolved priorto publication ofthis report.
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Alberta Case Cost Report Alberta Health and Wellness
For 2006/2007HospitalActivity December2009
2006/2007 Costs
Volumes ofCostandActivityData Collected
Inpatient AmbulatoryCare
Costed Provincial Costed
Provincial Records Costed Activity Records
Costed Activity as%of Records Reported as%of
Records Reported Activity (millions) (millions) Activity
2001/2002 185,000 337,500 55% 1.5 5.9 25%
2002/2003 194,000 345,000 56% 1.9 6.2 31%
2003/2004 195,000 353,000 55% 1.9 6.8 28%
2004/2005 196,000 357,000 55% 2.0 6.9 29%
2005/2006 206,000 365,000 56% 2.1 6.9 30%
2006/2007 216,000 364,000 59% 2.2 6.9 32%
Costdata were provided from 12 differentsites. Each sitetracks costs on a patientspecific basis in
one or morefunctional centres.
The bulkofthe costsfor inpatientcasesflowfrom inpatient nursingfunctional centres, therefore,
onlysiteswith theabilitytotrack nursingcosts on a patientspecific basis are included in this report.
Since inpatients routinely receiveservices in otherfunctional centressuch as operatingand recovery
rooms, diagnostic imagingand laboratoryservices, regions have developed the capabilitytotrack
costs inthese centres on a patientspecific basis. Wherethis capabilitydoes notexist, regions use
allocation modelsto ensurethatappropriate costsare properlydistributed to inpatientcases.
The costsforambulatory care cases are reported wherethere aresystemstotrack costs on a
patientspecific basis in thefunctional centres directly providingambulatory care.
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Alberta Case Cost Report Alberta Health and Wellness
For 2006/2007HospitalActivity December2009
The followingtable outlines the facility and availability of patient specific cost information submitted
inthe 2006/2007 fiscal year.
2006/2007 CostData byRegion/Facility
Regional
Inpatient Procedure
Health E.R. Day Clinics 2 Rehab
Authority Site
Hj.
AlbertaChildren's
V Yes Yes Yes No Yes No
y J Hospital
,
FoothillsMedical Yes No Yes Yes Yes No
Centre .
Rockyview
Yes No Yes Yes Yes No
GeneralHospital !
• / PeterLougheed Yes No No No Yes No
j
// Glenrose
- :
Rehabilitation Yes No Yes Yes Yes Yes
Hospital
Misericordia
Community Yes Yes Yes Yes Yes Yes
Hospital
GreyNuns
Community Yes Yes Yes Yes Yes Yes
Hospital
/k RHoosypailtAallexandra Yes Yes Yes Yes ! Yes Yes
Universityof
Yes Yes Yes Yes Yes Yes
AlbertaHospital
LeducCommunity
Yes Yes Yes Yes Yes Yes
Hospital
Sturgeon
Community Yes Yes Yes Yes Yes Yes
Hospital
Northeast
CommunityHealth No Yes No Yes Yes Yes
Centre
|
Capital Health currently providesthe bulk ofthe ambulatory care costdata. Calgary Health Region
and Capital Health providesimilaramounts of Inpatientdata. Thetable below showsthe percent
contribution from the respective regions:
2006/2007 Costed Cases
Region Inpatient Ambulatory
Capital 53% (113,822) 92% (2,021,471)
Calgary 47% (101,990) 8% (157,432)
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Data Flows
Costdata collected bythe participating RHAs isforwarded tothe Health Information and Anaysis
Branch (IAB) ofAlberta Health and Wellness on an annual basis.
Processingofthe raw costdata is done atAlberta Health and Wellnesswith the results reviewed and
validated in consultation with the Costing Function Team. The process ultimately results in the
developmentof patientspecific case costs, average costs and relative values. The processed cost
records reside inthe Alberta Health and Wellness database and are availableforextractionfor
research and management purposessubjecttothe provisions ofthe Health Information Act.
One ofthe primary users ofthe information isthe Health Funding UnitatAlberta Health and
Wellness. Forambulatory care, thesystem wide relative values are used in thefundingformula.
Fundingcalculationsfor Province Wide Services usethe average costsfrom the inpatientdata.
CIHI isalsoa significant userofthe costingresults. Alberta Health and Wellnesssendsthefinal set
ofcostdata to CIHI to be combined with costdatafrom Ontario and British Columbia to develop
national weights. Onesetofweights produced isthe Resource IntensityWeights (RIWs) byCase Mix
Groups. The Health Funding Unit usesthese RIWs inthefundingformula for inpatientcare.
The other major users ofdata arethe regional health authorities. Finalized costand activitydata are
provided backtothe regions in a summarized format. Regions use costdata for ratesettingwith
third party payersand providers, revenueanalysis,financial planning, evaluation, and benchmarking.
In summary, various users have used the cost information to improve resource allocation and
consumption decisions.
Data Collection Processes
The costingexercise is heavilydependent upon data collection systems. There aretwo components
tothe data utilized byAlberta Health and Wellness in developingcase costs: activitydata and patient
specific costdata.
ActivityData
Patientspecificactivity data is collected byall regions and represents unique information foreach
particularservice.
Forexample, theactivity data includes:
patientdemographics (birth date, personal health number, gender, etc.)
responsibilityfor payment
procedure/diagnosis codes
service dates
service location
patientdisposition
providertype
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