Table 2 Line Items, sources and adjustments
From: Cost of dialysis therapies in rural and remote Australia – a micro-costing analysis
Line Items | Components | Source and adjustment of $ values |
|---|---|---|
Salary | ||
Nursing PCA /Admin staff | Overtime, penalty rates, higher duties, leave oncosts (superannuation), training, conference, workers compensations, recruitment, security clearances, relocation expenses and Agency/labour hire fees | Ledger – increase by 9% based on published annual salary increases [47] |
Variable costs | ||
Operational Stores | Stationary, paper towels, cleaning products etc. | Ledger - HPI |
Treatments | Treatment cost for dialysis (machine, R&M, water testing and consumables) | 2017 cost/tr provided by hospital |
Food Services | Patient meals, snacks plus high protein drinks | 2017 cost/tr provided by hospital |
Linen | Sheets, towels, patient gowns | 2017 cost/kg/tr |
Medical Stores | Medical consumables such as dialysis packs, gases, syringes, gauze, tapes etc | 2017 cost/tr provided by hospital |
Pharmacy | All dialysis drugs (saline, iron, heparin, lignocaine etc) EPO and outpatient medications | 2017 PBS DPMQ costs |
Fixed costs | ||
Information Technology | Phones, computers, internet, paging system, email | Ledger - HPI |
Patient transport | Combination of taxi vouchers, rental/lease of mini bus and driver salaries | Ledger - HPI |
Staff Transport | Leased vehicles, car hire, taxi vouchers and fuel and flights | Ledger - HPI |
Cleaning | Cleaning services | Ledger – average cost/square metre - HPI |
Freight | Intra-Territory and interstate transport costs | Ledger - HPI |
Waste removal | Contract costs | Ledger – average cost/kg/tr HPI |
Essential Services | Power, water and sewage | 2017 cost/pt./tr provided by hospital |
Facility R&M | Property/ground maintenance, pest eradication, Fire and Security services, etc. | Ledger - HPI |
Depreciation/Leasing | Plant eg generator and facility leasing | Ledger - HPI (Leasing substituted for capital) |
Medical | Nephrologists, Registrars, visiting specialists – salaries, sessional fees, travel | Ledger - Published annual salary increases [47] |
Allied Health and Training | Social worker, Dietitian, Aboriginal Liaison Officers, nurse educators – salaries and travel | Ledger - Published annual salary increases [47] |
Pathology | Total scheduled number and type of pathology tests in one year | 2017 - MBS service fee per item |
Imaging | Radiology | National Efficient Price 2013–14 - HPI |
Oncosts | Corporate support | National Efficient Price 2013–14 - HPI |
Capital depreciation | Construction costs for urban, rural, remote and relocatable facilities | Annuity factor [29] applied Life span - 40 yrs. Urban, 30 yrs. rural and remote and 25 yrs. relocatable facilities |