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Economic Strategies for Managing Urology Services at Rigshospitalet

This analysis discusses the economic aspects of urological diseases and specialized operations at Rigshospitalet. It examines acute admissions from April 2009, including patient statistics and length of stay, along with the associated costs and revenues from the Danish Diagnosis-Related Group (DRG) system. Highlighting the increasing demand for surgeries, such as for prostate cancer and kidney transplants, the report proposes operational adjustments to improve efficiency and reduce hospital occupancy. Key recommendations include increasing the number of surgeries and optimizing resource allocation.

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Economic Strategies for Managing Urology Services at Rigshospitalet

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  1. Urology RigshospitaletWhat is economically the best ?Trivial urological diseases /specialised operations From a hospital view Sundhedsøkonomi 16/6 2009

  2. Acute admissions april 2009 177 patients 50 own re-admissions 36 kidney stone trouble 34 katheter problems 31 urological infections 11 retension 12 haematuria 3 unplacable Sundhedsøkonomi 16/6 2009

  3. Cost Average length of stay in hospital for the acute patient is 2.6 days (127 patients, i.e 330 bed days) Occupancy in per cent: 104,8 in april 2009 in total And how much does the clinic earn ? DRG value acute patients april 2009: 1.6 mill. DKK Sundhedsøkonomi 16/6 2009

  4. What should/could the clinic do instead ? Prostate cancer patients needing surgery is increasing by appr. 25 % / year Today we operate appr. 20 patients a month. DRG value of this is: 55.530 DKK Average length of stay: 6 days Sundhedsøkonomi 16/6 2009

  5. Kidney transplants • There is an increasing need for kidney transplants where a healthy relative donates a kidney. Today we perform appr. 2 living donor kidney transplants / month. DRG value of this is: Tx 228.067 DKK Donor 45.258 DKK Average length of stay: Tx 18 days Donor 6 days Sundhedsøkonomi 16/6 2009

  6. So what should the clinic do ? Perform 40 radical prostatectomies /month Bed days increases with 120 DRG value 1.1 mill. DKK Perform 2 kidney transplants / month Bed days increases with 48 DRG value 550.000 DKK And would this give more room in the clinic ? Reduction of occupancy in percent to appr. 90 Sundhedsøkonomi 16/6 2009

  7. What do we need to do that • Increase in Operation theatre Prostate cancer: 8 Kidney transplants: 2 Which equals the amount of operation theatres not opened yet Sundhedsøkonomi 16/6 2009

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