Skip to main content

Table 1 List of elements for reporting TDABC studies as identified by the consensus group

From: A standardized framework to evaluate the quality of studies using TDABC in healthcare: the TDABC in Healthcare Consortium Consensus Statement

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
\