Methodology for cost analysis of film-based and filmless portable chest systems

David L. Melson; Karen M. Gauvain; Brian M. Beardslee; Michael J. Kraitsik; Larry Burton; G. James Blaine; Gary S. Brink

doi:10.1117/12.239273

1 May 1996 Methodology for cost analysis of film-based and filmless portable chest systems

David L. Melson, Karen M. Gauvain, Brian M. Beardslee, Michael J. Kraitsik, Larry Burton, G. James Blaine, Gary S. Brink

Author Affiliations +

Proceedings Volume 2711, Medical Imaging 1996: PACS Design and Evaluation: Engineering and Clinical Issues; (1996) https://doi.org/10.1117/12.239273
Event: Medical Imaging 1996, 1996, Newport Beach, CA, United States

Abstract

Many studies analyzing the costs of film-based and filmless radiology have focused on multi- modality, hospital-wide solutions. Yet due to the enormous cost of converting an entire large radiology department or hospital to a filmless environment all at once, institutions often choose to eliminate film one area at a time. Narrowing the focus of cost-analysis may be useful in making such decisions. This presentation will outline a methodology for analyzing the cost per exam of film-based and filmless solutions for providing portable chest exams to Intensive Care Units (ICUs). The methodology, unlike most in the literature, is based on parallel data collection from existing filmless and film-based ICUs, and is currently being utilized at our institution. Direct costs, taken from the perspective of the hospital, for portable computed radiography chest exams in one filmless and two film-based ICUs are identified. The major cost components are labor, equipment, materials, and storage. Methods for gathering and analyzing each of the cost components are discussed, including FTE-based and time-based labor analysis, incorporation of equipment depreciation, lease, and maintenance costs, and estimation of materials costs. Extrapolation of data from three ICUs to model hypothetical, hospital-wide film-based and filmless ICU imaging systems is described. Performance of sensitivity analysis on the filmless model to assess the impact of anticipated reductions in specific labor, equipment, and archiving costs is detailed. A number of indirect costs, which are not explicitly included in the analysis, are identified and discussed.

Citation Download Citation

David L. Melson, Karen M. Gauvain, Brian M. Beardslee, Michael J. Kraitsik, Larry Burton, G. James Blaine, and Gary S. Brink "Methodology for cost analysis of film-based and filmless portable chest systems", Proc. SPIE 2711, Medical Imaging 1996: PACS Design and Evaluation: Engineering and Clinical Issues, (1 May 1996); https://doi.org/10.1117/12.239273

ACCESS THE FULL ARTICLE

INSTITUTIONAL
Select your institution to access the SPIE Digital Library.

SELECT YOUR INSTITUTION

PERSONAL
Sign in with your SPIE account to access your personal subscriptions or to use specific features such as save to my library, sign up for alerts, save searches, etc.

PERSONAL SIGN IN

No SPIE Account? Create one

PURCHASE THIS CONTENT

SUBSCRIBE TO DIGITAL LIBRARY

50 downloads per 1-year subscription

Members: $195

Non-members: $335 ADD TO CART

25 downloads per 1 - year subscription

Members: $145

Non-members: $250 ADD TO CART

PURCHASE SINGLE ARTICLE

Includes PDF, HTML & Video, when available

Members: $17.00

Non-members: $21.00 ADD TO CART

PROCEEDINGS
8 PAGES

DOWNLOAD PAPER SAVE TO MY LIBRARY

GET CITATION

RIGHTS & PERMISSIONS

Get copyright permission Get copyright permission on Copyright Marketplace

KEYWORDS

Chest

Radiology

Chromium

Data modeling

Picture Archiving and Communication System

Imaging systems

Image processing

Show All Keywords

Keywords/Phrases

Search In:

Publication Years