Table 1 List of elements for reporting TDABC studies as identified by the consensus group
TDABC Steps | Essential elements | Classification | Demeere et al. (2009) [30] | Laviana et al. (2016) [31] | Akhavan et al. (2016) [32] | Mc Laughlin et al. (2014) [33] | Kaplan (2014) [34] | Donovan et al. (2014) [35]] | French et al. (2013) [39] | Kaplan AL et al. (2014) [40] | Kaplan (2014) [24] | Tseng at al. (2018) [41] | Bauer-Nilsen (2017) [42] | Yu et al. (2016) [43] | Chen et al. (2015) [44] | Thaker et al. (2016) [45] | Erhun et al. (2017) [46] |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
Citation (Scopus) | 89 | 75 | 67 | 43 | 92 | 32 | 32 | 34 | 35 | 27 | 25 | 21 | 24 | 21 | 24 | ||
1 -Identify the study question or technologies to be assessed | (#) Are the results are being explored for general health service management or redesign and value or only to assess costs? | Required | General health service management or redesign | General health service management or redesign | Assessing costs and compare with traditional method | General health service management or redesign | General health service management or redesign | Assess costs and compare with traditional method | General health service management or redesign | General health service management or redesign | General health service management or redesign | General health service management or redesign | Assessing costs and compare with traditional method | Assessing costs and compare with traditional method | Assessing costs and compare with traditional method | Building a value framework | General health service management or redesign |
(#) Is the clinical pathway, technology or procedure studied justified because of an interest from government, hospital, society or a Health Technology Assessment analysis? | Required | Yes - hospital/clinic | Yes, hospital | Yes, hospital | Yes, hospital | Yes, hospital | Yes, hospital | Yes, hospital | Yes, hospital | Yes, hospital | Yes, hospital | Yes, hospital | Yes, hospital | Yes, hospital | Yes, society | Yes, hospital | |
(#) Is the TDABC method selection being justified? | Required | Yes | Yes | Yes | Yes | Yes | Yes | Yes | Yes | Yes | Yes | Yes | Yes | Yes | Yes | Yes | |
2 - Map the process: the care-delivery value chain | (#) Are authors using specific methodologies to design the care pathway? | Suggested | No | No | No | Yes, BPMN, Delphi | Yes, Industrial engineering expertise | No | No | Yes, Industrial engineering expertise | No | Yes, Industrial engineering expertise | No | Yes, Lean and Six Sigma | No | No | No |
(#) Are authors exploring a multidisciplinary team to apply the TDABC? (Design the process, correctly consider clinical characteristics, correctly evaluate costs) | Required | Yes | Yes | Yes | Yes | Yes | Yes | Yes | Yes | Yes | Yes | Yes | Yes | Yes | Yes | yes | |
(#) Are authors reporting activities in the process map on a macro level? | Required | Yes | Yes | Yes | Yes | Yes | Yes | Yes | Yes | Yes | Yes | Yes | Yes | Yes | Yes | Yes | |
(#) Are authors reporting activities in the process map on a micro level? | Suggested | No | Yes | Yes | No | Yes | No | No | No | Yes | Yes | No | Yes | No | Yes | No | |
(#) Is the full process map (or a part of) being presented in a picture or graphic display? | Suggested | Yes | Yes | Yes | Yes | Yes | No | Yes | Yes | Yes | Yes | Yes | Yes | Yes | Yes | Yes | |
3 - Identify the main resources used in each activity and department | (#) Is a table or a map being presented to illustrate the association between activities and resources? | Suggested | Yes | No | No | Yes | No | No | No | Yes | Yes | Yes | No | Yes | No | No | Yes |
(#)Are authors reporting an observation in-situ approach to better identify resources used in each activity? | Required | Yes | Yes | Yes | Yes | Yes | Yes | Yes | Yes | Yes | Yes | Yes | Yes | Yes | Yes | Yes | |
(#) Are authors interviewing the professionals to better identify resources used in each activity? | Required | Yes | Yes | Yes | Yes | Yes | Yes | Yes | Yes | Yes | Yes | Yes | Yes | Yes | Yes | Yes | |
4 - Estimate the total cost of each resource group and department | (#) When using hospital financial database, it is being explained how the finance department was involved to access data? | Suggested | No | No | No | No | Yes | Yes | Yes | Yes | Yes | Yes | No | Yes | No | No | Yes |
(#) When using external financial databases, is it being defined which one and how data were accessed? | Required when authors are using national financial databases | NA | NA | NA | NA | NA | Medicare | NA | NA | NA | NA | Medicare | Combined salary references from different Medical Associations | NHS | NA | NA | |
(#) When mixed financial database are being used (for example, salaries from external reference and structural costs from the hospital) is the source of each data variable being stated? | Suggested | NA | NA | NA | NA | NA | Yes | NA | NA | NA | NA | Yes | Yes | Yes | NA | NA | |
(#) Did the authors explain how the overhead costs are being considered? | Suggested | No | No | Yes | Yes | Yes | Yes | No | No | Yes | Yes | No | No | No, it is being assessed only direct costs | No | No | |
5 - Estimate the capacity of each resource and calculate capacity cost rate (CCR-$/h) | (#) Are authors defining if the capacity data used represents the total capacity per resource or it is being considered an expected idleness? | Suggested | Yes, an expected idleness was considered | Yes, an expected idleness was considered | Yes, an expected idleness was considered | Yes, an expected idleness was considered | Yes, an expected idleness was considered | Yes, an expected idleness was considered | Yes, an expected idleness was considered | Yes, an expected idleness was considered | Yes, an expected idleness was considered | no | No | No | No | No | Yes, an expected idleness was considered |
(#) When authors are considering an expected idleness, it is being explained how real performance data were collected and analyzed? | Suggested | No | No | No | No | Yes | No | No | No | No | NA | NA | NA | NA | NA | Yes | |
6 - Analyze the time estimates for each resource used in an activity | (#) Are authors explaining how time data was collected? | Suggested | Yes | Yes | Yes | Yes | No | Yes | Yes | Yes | Yes | yes | Yes | Yes | No | Yes | Yes |
(#) Are authors using interviews with professionals in addition to medical record review to estimate time data? | Suggested | No | Yes | Yes | Yes | No | Yes | No | Yes | Yes | yes | Yes | Yes | No | Yes | Yes | |
(#) When using chronanalysis, is it being explained how the sample of data was defined? | Required | Yes - defined a sample | Yes - defined a sample | NA | NA | NA | NA | NA | NA | NA | NA | NA | NA | No | Yes, defined sample | No | |
(#) Is digital technology being used to collect real time data, such as mobile app, wearable, drone, etc.? | Suggested | No | No | No | No | No | No | No | No | No | No | No | No | No | No | No | |
7 - Calculate the total cost of patient care and cost-data analytics | (#) Is the median or average cost per patient (or per technology) being calculated? | Required | Yes | Yes | Yes | No | It was not presented cost results; the paper is focused on express the cost-saving opportunities identified | No, the article focuses the discussion in compare TDABC with RVU cost methods. | Yes | Yes | No, the paper explores how TDABC can be used to increase value, orient redesign actions and decrease costs without impact outcomes. | Yes | Yes | Yes | Yes | Yes | The paper is a methodological paper to orient process as costs comparisons between centers, but do not details cost results. |
(*) Are authors presenting the cost per each patient included in the sample? (Chart bar, table, etc.)? | Suggested | No | No | No | no | No | No | No | No | No | No | No | |||||
(*) Is the median or average cost per activity on a macro level being presented? | Required | Yes | Yes | Yes | Yes | Yes | Yes | Yes | Yes | Yes | Yes | Yes | |||||
(*) Is the median or average cost per activity on a micro level being presented? | Suggested | No | No | No | No | No | No | No | No | No | No | No | |||||
(#*) Is the median or average cost per resource being presented? | Required | No | No | Yes | No | No | Yes | No | No | No | Yes | No | |||||
(*) Are authors exploring statistical analyses to better understand costs along the process of care? | Suggested | No | No | No | No | Yes | No | No | No | No | No | Yes | |||||
(#*) If the objective was to use the study to support management and value decisions, are authors reporting how value increasing was achieved or if they are planning to achieve it? | Required | Yes | Yes | NA | Yes | Yes | Yes | Yes | NA | Yes | Yes | NA | NA | NA | Yes | Yes | |