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A primer on time-driven activity-based costing in brachytherapy
Journal article   Peer reviewed

A primer on time-driven activity-based costing in brachytherapy

Ria Mulherkar, Andrew Keller, Timothy N. Showalter, Nikhil Thaker and Sushil Beriwal
Brachytherapy, v 21(1), pp 43-48
Jan 2022
DOI: https://doi.org/10.1016/j.brachy.2021.05.008
PMID: 34376368
Featured in Collection :   UN Sustainable Development Goals @ Drexel

Abstract

Emphasis on value-based healthcare has led to increasing use of time-driven activity-based costing (TDABC) across medical departments. When applied to brachytherapy, TDABC provides insight into differences in costs across various modes of therapy, the nuances that drive cost including institutional factors and involved personnel, and discrepancies in reimbursement which influence clinical practice. This is especially important with the new alternative payment model (APM) in radiation oncology which offers fixed reimbursement per 90-day episode of care. The TDABC model can thus be utilized to improve efficiency, optimize the role of ancillary staff in treatment planning and care delivery, and implement shorter fraction schedules when clinically appropriate to promote value-based care. Ultimately, application of this methodology could potentiate changes to practice and incentives to improve patient care. In this review, we discuss the utility and limitations of TDABC in the context of existing studies in brachytherapy which have utilized this methodology.

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6 Record Views
4 citations in Web of Science
5 citations in Scopus

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UN Sustainable Development Goals (SDGs)

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#9 Industry, Innovation and Infrastructure

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Collaboration types
Domestic collaboration
Web of Science research areas
Oncology
Radiology, Nuclear Medicine & Medical Imaging
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