<abstract xmlns="http://www.w3.org/1999/xhtml">

<bold>Introduction</bold>: Hospital administration will have to constantly work around predicting demand of the critical care beds and evaluating the options of expanding the existing capacity. These expansions will be constantly requested by clinicians in private hospitals in India. It becomes imperative to infuse capital into such expansions predicting the utilisation pattern of the new beds. This study concentrates on factors considered for estimating the infrastructure enhancement in step down beds in progression of patient care.
<bold>Methodology</bold>: Retrospective measurement of past bed occupancy rates of existing critical care beds, number of patients denied admissions through emergency department due to lack of intensive care beds was counted during previous 1 year. Cost estimates of building, equipment, manpower was collected. The prices that can be charged per rack basis was estimated, for revenue calculation. Return on investment tool using annual revenues divided by annual investment was used to measure the outputs.
<bold>Results</bold>: For setting up a 34 bed HDU (High Dependency Unit), 4760 square feet of space was utilised, with USD 594,555 as investment, at a revenue of USD 527,425, which is 75% return in first year, provided occupancy is at 100%. At occupancy of 60%, which was seen within 6 months of commissioning new HDU, the breakeven can be achieved at 450 days. At 100% occupancy breakeven can be achieved in 290 days.
<bold>Conclusion</bold>: Demand estimation and Utilisation analysis is valuable tools for administration to make decisions on major capital investments.
</abstract>

Introduction: Hospital administration will have to constantly work around predicting demand of the critical care beds and evaluating the options of expanding the existing capacity. These expansions will be constantly requested by clinicians in private hospitals in India. It becomes imperative to infuse capital into such expansions predicting the utilisation pattern of the new beds. This study concentrates on factors considered for estimating the infrastructure enhancement in step down beds in progression of patient care.
Methodology: Retrospective measurement of past bed occupancy rates of existing critical care beds, number of patients denied admissions through emergency department due to lack of intensive care beds was counted during previous 1 year. Cost estimates of building, equipment, manpower was collected. The prices that can be charged per rack basis was estimated, for revenue calculation. Return on investment tool using annual revenues divided by annual investment was used to measure the outputs.
Results: For setting up a 34 bed HDU (High Dependency Unit), 4760 square feet of space was utilised, with USD 594,555 as investment, at a revenue of USD 527,425, which is 75% return in first year, provided occupancy is at 100%. At occupancy of 60%, which was seen within 6 months of commissioning new HDU, the breakeven can be achieved at 450 days. At 100% occupancy breakeven can be achieved in 290 days.
Conclusion: Demand estimation and Utilisation analysis is valuable tools for administration to make decisions on major capital investments.

Evaluating demand of High Dependency Unit beds in a hospital with insights on return on capital investment

Acta Marisiensis - Seria Medica

This work is licensed under the Creative Commons Attribution 4.0 International License.

Introduction: Hospital administration will have to constantly work around predicting demand of the critical care beds and evaluating the options of expanding...

Evaluating demand of High Dependency Unit beds in a hospital with insights on return on capital investment

Published Online: Sep 28, 2023

Page range: 208 - 212

Received: Jul 08, 2023

Accepted: Aug 20, 2023

DOI: https://doi.org/10.2478/amma-2023-0033

Keywords
high dependency unit, return on investment, breakeven point, occupancy rate, progressive patient care

© 2023 Sonia Daga et al., published by Sciendo

This work is licensed under the Creative Commons Attribution 4.0 International License.

Evaluating demand of High Dependency Unit beds in a hospital with insights on return on capital investment

Published Online: Sep 28, 2023

Page range: 208 - 212

Received: Jul 08, 2023

Accepted: Aug 20, 2023

DOI: https://doi.org/10.2478/amma-2023-0033

Keywordshigh dependency unit, return on investment, breakeven point, occupancy rate, progressive patient care

© 2023 Sonia Daga et al., published by Sciendo

This work is licensed under the Creative Commons Attribution 4.0 International License.

Keywords
high dependency unit, return on investment, breakeven point, occupancy rate, progressive patient care