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An analysis of convalescent plasma unit cost calculation using time-driven activity-based costing (TDABC) method

Abstract

Introduction: The viral pneumonia disease covid-19 is currently becoming a pandemic throughout the world due to SARS-CoV-2. With a lack of therapy choices for covid-19, convalescent plasma therapy was considered an emergency intervention in some countries. Convalescent plasma was, by unit cost, the most expensive service at the laboratory of Dolopo Hospital, thus easy, practical, and efficient calculation of unit cost was needed. This research aims to analyze the unit cost of convalescent plasma as calculated using the Time-Driven Activity-Based Costing (TDABC) method and to examine the difference between the unit cost of convalescent plasma calculated using the TDABC with the real cost at Dolopo Hospital.

Methods: This qualitative research used a case study approach. The primary data were obtained through observation of convalescent plasma activity, and the secondary data were obtained through interviews related to the data of convalescent plasma cost.

Results: The convalescent plasma unit cost calculated based on the TDABC method was IDR2,287,675 and on real cost was IDR2,250,000. The result of the calculation using the TDABC method was higher than the real cost calculation by IDR36.765.

Conclusion: The research results showed that cost analysis using the TDABC method resulted in a more detailed and accurate calculation that the calculation was activity and time-based.

References

  1. Tiberghien P, de Lamballerie X, Morel P, Gallian P, Lacombe K, Yazdanpanah Y. Collecting and evaluating convalescent plasma for COVID‐19 treatment: why and how? Vox sanguinis. 2020;115(6):488–94.
  2. Aisyah DN, Mayadewi CA, Igusti G, Manikam L, Adisasmito W, Kozlakidis Z. Laboratory Readiness and Response for SARS-Cov-2 in Indonesia. Frontiers in public health. 2021;969.
  3. Choi JY. Convalescent plasma therapy for coronavirus disease 2019. Infection & chemotherapy. 2020;52(3):307.
  4. Covid FI. convalescent plasma-emergency INDs. US Food And Drug Administration. 2020;
  5. Kyriakidou E, Vazakidis A. Financial Crisis and Public Reforms: Moving from Public Administration to Public Management. Cost Allocation and Performance Information for Decision-making Process in the Public Sector. The Case of the Greek Public Sector under the Greek Crisis. In 2020. p. 252–62.
  6. Altuntas F, Ata N, Yigenoglu TN, Bascı S, Dal MS, Korkmaz S, et al. Convalescent plasma therapy in patients with COVID-19. Transfusion and Apheresis Science. 2021;60(1):102955.
  7. Li L, Zhang W, Hu Y, Tong X, Zheng S, Yang J, et al. Effect of convalescent plasma therapy on time to clinical improvement in patients with severe and life-threatening COVID-19: a randomized clinical trial. Jama. 2020;324(5):460–70.
  8. Julie Young. unit cost. In: unit cost [Internet]. 2021. Available from: https://www.investopedia.com/terms/u/unitcost.asp
  9. González JM, Shelton WJ, Díaz-Vallejo M, Rodriguez-Castellanos VE, Zuluaga JDH, Chamorro DF, et al. Immunological assays for SARS-CoV-2: an analysis of available commercial tests to measure antigen and antibodies. 2020;
  10. Wilkinson J. Activity-based Costing (ABC) vs Traditional Costing. 2013;
  11. Amiri N, Khmidi S. Implementing Time-Driven Activity-Based Costing (TDABC) in out-patient nursing department: A case from UAE. Management Science Letters. 2019;9(3):365–80.
  12. Edwards S, TIS T. Activity based costing. Topic Gateway Series. 2008;1.
  13. Cooper R, Kaplan RS. Profit priorities from activity-based costing. Harvard business review. 1991;69(3):130–5.
  14. Kaplan RS, Anderson SR. Time-driven activity-based costing. Available at SSRN 485443. 2003;
  15. Mouseli A, Barouni M, Amiresmaili M, Samiee SM, Vali L. Cost-price estimation of clinical laboratory services based on activity-based costing: a case study from a developing country. Electronic Physician. 2017;9(4):4077.
  16. Haq FA, Pribadi F, Hidayati T. Analysis of the Cesarean Section Unit Cost With the Time-Driven Activity-Based Costing Method: A Narrative Review. In Atlantis Press; 2021. p. 91–5.
  17. Anzai Y, Heilbrun ME, Haas D, Boi L, Moshre K, Minoshima S, et al. Dissecting costs of CT study: application of TDABC (time-driven activity-based costing) in a tertiary academic center. Academic radiology. 2017;24(2):200–8.
  18. Kumar A, Siddharth V, Singh SI, Narang R. Cost analysis of treating cardiovascular diseases in a super-specialty hospital. Plos one. 2022;17(1):e0262190.
  19. Bodar YJL, Srinivasan AK, Shah AS, Kawal T, Shukla AR. Time-Driven activity-based costing identifies opportunities for process efficiency and cost optimization for robot-assisted laparoscopic pyeloplasty. Journal of pediatric urology. 2020;16(4):460. e1-460. e10.
  20. Yangyang RY, Abbas PI, Smith CM, Carberry KE, Ren H, Patel B, et al. Time-driven activity-based costing: A dynamic value assessment model in pediatric appendicitis. Journal of pediatric surgery. 2017;52(6):1045–9.
  21. Fang C, Pagani N, Gordon M, Talmo CT, Mattingly DA, Smith EL. Episode-of-Care Costs for Revision Total Joint Arthroplasties by Decadal Age Groups. Geriatrics. 2021;6(2):49.
  22. Allin O, Urman RD, Edwards AF, Blitz JD, Pfeifer KJ, Feeley TW, et al. 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). Journal of Medical Systems. 2020;44(1):1–8.
  23. Khem C, Kritchanchai D. MODELLING LOGISTICS COST IN HOSPITAL: A CASE OF MEDICAL PRODUCTS.
  24. Özyapıcı H, Tanış VN. Comparison of cost determination of both resource consumption accounting and time-driven activity-based costing systems in a healthcare setting. Australian Health Review. 2016;41(2):201–6.
  25. Popat K, Gracia KA, Guzman AB, Feeley TW. Using time-driven activity-based costing to model the costs of various process-improvement strategies in acute pain management. Journal of Healthcare Management. 2018;63(4):e76–85.
  26. Javid M, Hadian M, Ghaderi H, Ghaffari S, Salehi M. Application of the activity-based costing method for unit-cost calculation in a hospital. Global journal of health science. 2016;8(1):165.
  27. Pramitasari DA. PENERAPAN TIME DRIVEN ACTIVITY BASED COSTING PADA BIAYA RAWAT INAP DI RS DARUS SYIFA SURABAYA: Cost of Hospitalization, Inpatient, Installation Time Driven Activity Based Costing (TDABC). GEMA EKONOMI (Jurnal Fakultas Ekonomi). 2021;10(01).
  28. Odhiambo J, Ruhumuriza J, Nkurunziza T, Riviello R, Shrime M, Lin Y, et al. Health facility cost of cesarean delivery at a rural district hospital in Rwanda using time-driven activity-based costing. Maternal and child health journal. 2019;23(5):613–22.
  29. Pathak S, Snyder D, Kroshus T, Keswani A, Jayakumar P, Esposito K, et al. What are the uses and limitations of time-driven activity-based costing in total joint replacement? Clinical orthopaedics and related research. 2019;477(9):2071.
  30. Haq F., A,Pribadi, F, Akrom A. Elective caesarean section cost efficiency with time-driven activity-based costing. International Journal of Public Health Science (IJPHS); 2023. (Forthcoming)
  31. Keel G, Savage C, Rafiq M, Mazzocato P. Time-driven activity-based costing in health care: a systematic review of the literature. Health Policy. 2017;121(7):755–63.
  32. da Silva Etges APB, Ruschel KB, Polanczyk CA, Urman RD. Advances in value-based healthcare by the application of time-driven activity-based costing for inpatient management: a systematic review. Value in Health. 2020;23(6):812–23.
  33. Ostadi B, Daloie RM, Sepehri MM. A combined modelling of fuzzy logic and Time-Driven Activity-based Costing (TDABC) for hospital services costing under uncertainty. Journal of biomedical informatics. 2019;89:11–28.

How to Cite

Firman Pribadi, & Emy Noerwidayati. (2023). An analysis of convalescent plasma unit cost calculation using time-driven activity-based costing (TDABC) method. Bali Medical Journal, 12(1), 331–339. https://doi.org/10.15562/bmj.v12i1.3593

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