A Development of hospital revenue collection in Bamrasnaradura Infectious Diseases Institute by team involvement, fiscal year 2015

Abstract

This experimental development research, one group pre-test and post-test design aimed to (1) develop hospital revenue collection in Bamrasnaradura Infectious Diseases Institute by team involvement, using the existing resources (2) Comparison of the results of operations between pre-test and post-test. The experimental intervention was a new developed working model, brought to implement at Bamrasnaradura Infectious Diseases Institute during May 1, 2015 to November 30, 2015. The samples were 10,902 trans¬actions of the electronically revenue collection services in out-patient and in-patient. The respondents for satisfaction questionnaires were 15 administrators, 40 service providers, and 12 operative officers. The results between pre-test and post-test in term of quantity, quality, time and labor-force consumed, satisfaction, and economic were compared. Data analysis and statistical methods used were descriptive statistics, independent t-test, chi square-test, Fisher’s exact test at alpha 0.05, and content analysis. The results revealed that the ratio of work load to 10,000 man-second of labor-force was increased (p<0.001). The accuracy rate of invoice at check point, accuracy rate of invoice before claim submitted to payers, and accuracy rate of invoice after electronic billing were increased (p<0.001). The average of labor-force consumed was decreased (p<0.001), and the average time of hospital billing process was shorter (p<0.05). The satisfaction of ad¬ministrators, service providers, and operative officers were increased (p=0.037, p<0.001, and p=0.032) respectively. The total cost and unit cost were decreased (p<0.001). It concluded that the new developed working model was a good working model and was appropriated to the context of research area which was limited resources. Further extension of the policy to emphasize on routine to research continuing until to be the next role model was also suggested.