Economics of Health Services

Garant předmětu:

Lecturer:

Tutor:

Supervisor:

Department of Biomedical Technology

Synopsis:

Methodology of managing the economics of healthcare operations. The role of management and administration. Healthcare legislation and

law, application of laws in a real hospital. The role of management control and its role in the medical technology market,

Planning strategies, analysis and research of consumer and organisational markets, market development and positioning.

Aim:

economics of healthcare operations, which is the goal and guarantee of success and level of healthcare delivery.The course

The course provides a knowledge base for the PBB2ESP course.

Course entry requirements:

Exit knowledge, skills, abilities and competencies: the student will be able to calculate interest, inflation, annuity. The student will therefore be able to

be able to produce the economic part of a feasibility study.

Requirements:

Credit conditions: attendance of at least 65% at the exercises, submission of a satisfactory thesis

Assessment: 100% (max 100 points) best test result out of two and correction on

The student will be given two tests or two papers.

Syllabus of lectures:

Lecture outline:

1. Concept-economics-philosophy and terminology. The role of economics and its principles in business management. Management and

health care administration. Comments and interpretation on selected areas - depreciation, useful life, general cost,

inflation, selling price, service, maintenance, appreciation, revision, BTK. General characteristics of VAT. Subsidies for

acquisition of fixed assets. Valuation of technological units, requisites of appraisal, assignment of technical

specifications for public tender.

2. Analysis of maintenance processes, servicing in relation to depreciation. Depreciation curves, actual cost of maintenance, servicing.

Purchase price of technology, accounting rules (procedures). Analysis of environment and competition. Market research.

Goods management of HP - instruments, tender specifications, evaluation criteria, life of technology. Goods science and technology -

consumables and spare parts, tender specifications, evaluation criteria.

3. Subsidies for the acquisition of fixed assets. Valuation of fixed assets. Classification of investments as assets

company. The tax system of the Czech Republic and its relation to investments. Project management, a tool for transparency

EDS/ SMVS, state financing. Crediting of investments in the health sector. Interest - inclusion of cash flows

in operating activities in accordance with the accounting legislation of the Czech Republic, as well as with international accounting standards and

standards of EU countries.

4. Healthcare investments and valuation. General part - breakdown of fixed assets: tangible fixed assets and

intangible fixed assets. Acquisition, depreciation and disposal of fixed assets - network diagrams, valuation phases,

life of the investment. Healthcare investments and valuation. Valuation of fixed assets (at cost,

own cost, replacement cost). Exchange differences - valuation of assets in foreign currencies.

Project management, responsibility and authority, image of the manager. Phase valuation, retention, public law.

Risk analysis. Return on investment.

5. Maintenance schedules, revisions, servicing, grading of medical devices, Atomic Act. Financial and

cost analysis. Data analysis. Short and long term investment planning strategies. Medical equipment market research and customer attitudes. Defining the process - maintenance, service and its valuation. Contract annexes,

Outsourcing, process costing, DRGs.

6. Responsibilities of technicians, doctors, nurses etc. Cost analysis in relation to the life cycle of the equipment. Decision making in

tendering, concept of value for money, valuation of maintenance, warranties, lifetime of critical elements of technology. Concepts

and terminology of routine maintenance. Optimisation of the purchase of ZT and its accessories, optimisation of medical

processes, use of ZT.

7. Prices of medical equipment, MRI, CT, SPECT, respirators, monitoring, patient records,

anaesthesia equipment, laboratory, refrigerators, diesel generators, vacuum pumps, UPS, compressors, reverse charge (VAT).

Credit.

Syllabus of tutorials:

The basis of the exercise:

1. The essentials of an appraisal, developing an appraisal of equipment ( defibrillator, CT scanner), Assignment I. The operating rules of the device and

E.g. volume breathing apparatus.

2. Development of depreciation curve, consumables, maintenance valuation with link to depreciation curve - e.g.

ambulance.

3. Modelling business behaviour, psychology, self-esteem, aggressiveness, modesty, knowledge - purchase of ECG,

defibrillator, dental kit. Investment breakdown - practical exercises, designing payment terms for MR.

(device, technology, construction readiness), retainer.

4. Development of maintenance schedule ( X-ray machine, defibrillator etc). Preparation of technical specifications for

tender, evaluation (operating table, electrosurgical generator, arthroscope).

5. Valuation of the treatment process. Team work - modelling, preparation of the construction of the hospital with surgical theatres,

Inflation, credits, specific cost calculation, VAT work. ZT service calculation, maintenance and service valuation,

Modeling of negotiations with medical staff, calculation of price using exchange rate differences.

6. Symptom analysis for fault diagnosis, locating critical elements (CT, ECG, drill). Modelling

crisis situation, projected cost of service, full service, outsourcing. Tender evaluation, risk, Life of investment.

ZT and valuation, utilization design. Thesis defense, test.

7. Risk management for medical devices, test.

Measures to reduce academic failure: possibility of tutorials in every even week.

Study Objective:

The aim of the course is to provide students with the basics of commodity knowledge in the field of medical devices, the effectiveness of the economics of medical operations, which is the goal and guarantee of the success and level of health care delivery.

Study materials:

[1]Sherman Folland, Allen Goodman, Miron Stano: Economics of Health and Health Care, 5/E. Prentice Hall, 2007. 648 s.

Note:

Further information:

No time-table has been prepared for this course

The course is a part of the following study plans:

• Biomedical Technology (compulsory elective course)