service line costing project ‘comparing apples with apples’
TRANSCRIPT
BackgroundBackground
White Paper changes are bringing all costs under scrutiny
DoH were keen to have a means for the NHS to understand the value of internally provided health informatics services
DoH adopted three initiativeso BIPo ‘What does a good service provider look like?’o Service Line Costing Project
Objectives of the Service Line Objectives of the Service Line Costing ProjectCosting Project
Initiallyo To build a generic Cost Model to enable all NHS health
informatics providers to compare the cost of their services with NHS peers
o For the ‘private’ use of HiBC members Now to support White Paper intervention
o To inform future health informatics guidanceo To enable the NHS to set benchmarked costs based on
best practice providerso To enable CIOs/DFs to see ‘at a glance’ whether their
health informatics provider is efficiento Focus on ICT services as a common denominator
Building the ModelBuilding the Model
Based on South Staffs HIS Cost Model and cost evaluation work in Sussex HIS
Pilot group formedo Sandwell PCTo South Devon HISo South Staffs HISo Sussex HISo The HISo Wirral HIS
Best fit approach
Best Fit ApproachBest Fit ApproachThe ConundrumThe Conundrum
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Typ
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Servi
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Area Served / Rurality
Not relevant Size of service Range of services Historical quirks
Best Fit ApproachBest Fit ApproachThe SolutionThe Solution
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Typ
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Area Served / Rurality
Contextual description
Servi
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evel
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Gold
Silver
BronzeService
Bandings
Services To Be ModelledServices To Be Modelled
ICT support: o Service Desk call loggingo 1st line supporto 2nd line supporto 3rd line supporto Project Dayso Preventative maintenance
Service Bandings Contextual information on rated HIS’
Type and size of organisations served Area served
Current StatusCurrent Status
Version 1.0 is now complete Trialled by pilot group Wider trial (1) with Trusts in Yorkshire and
Humber StHA underway Launch of wider trial (2) with HiBC
members using ‘BIP rules’ Urgent need for meaningful data to support
DoH work
IssuesIssues
Understanding the concept of a ‘best fit’ model
Completing the model properlyCheck summing the cost data‘Executive page’Engagement
Cost Model: Service LevelCost Model: Service LevelService Metrics DefinitionsService Metrics Definitions