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Comparison of the Actual Cost of Global Surgeries in the Hospitals Affiliated to Birjand University of Medical Sciences With the Government-approved Tariffs in 2021
Maryam Dorrani, Somaye Zangoui, Ruhollah Alborzi,
Volume 9, Issue 4 (Winter 2024)
Abstract
Objective One of the constant questions of hospitals and insurance organizations is the actual tariff of global surgeries. This study aims to compare the actual costs of surgeries in the hospitals affiliated to Birjand University of Medical Sciences (BUMS) with the approved global tariffs.
Methods This is a retrospective study that was conducted in 11 hospitals affiliated to BUMS. The study population includes all global surgery bills in 2021. The criterion for entering the study was the presence of sufficient samples (at least 10 bills) from each of the performed global surgeries. Out of 91 collected global surgical procedures, 57 surgical procedures (equivalent to 63% of all global surgical procedures) met the inclusion criteria. The actual costs of surgeries were extracted from the hospital information system and compared with the government-approved tariffs. Data were analyzed using descriptive statistics in Excel 2016 software.
Results Based on the results, 52% of examined global surgery procedures, the global income was less than the average actual cost, while in 48% of the cases, the hospitals benefited from the costs of surgery. In 56 surgery cases, the billing cost was 12-139% higher than the approved global tariff, and in 23 cases, the difference was more than 50%.
Conclusion There is a considerable difference between the actual cost of global surgeries in hospitals affiliated to BUMS and the approved tariffs. Due to the higher actual cost of surgeries, these tariffs have resulted in losses in hospitals.

Estimating the number of human resources required for radiology and CT scan units in educational and medical centers in Birjand city based on the workload index (WISN) in 2021
Maryam Dorrani, Roohallah Alborzi,
Volume 10, Issue 3 (Autumn 2024)
Abstract 
Introduction: Failure to pay attention to the number of manpower required in hospital departments affects the efficiency and effectiveness of services. The purpose of this research is to estimate the manpower required in the radiology and CT scan units of educational and medical centers in Birjand by using the WISN method.
Methods: This cross-sectional descriptive study was conducted in 2022 at medical training centers in Birjand. The workload index method was employed to determine the required manpower. To identify workload components, expert meetings were held. Standard time was measured using time-study techniques. Factors influencing available working time were ascertained through interviews and a review of relevant regulations and personnel systems. Annual workload data were collected from the hospital information system and office activity records. Data analysis was performed using Excel 2016 software.
Results: The results of workload index calculations showed that the number of manpower available in the radiology and CT scan units of educational and medical centers in Birjand is more compared to the required number of manpower. Also, in the present study, the Weizen ratio index was calculated above one, which indicates the absence of work pressure on the personnel and excess force in these units.
Discussion: The correct and effective organization of human resources in the hospital can guarantee the provision of safe and quality services in addition to controlling costs and increasing productivity. Health managers can increase productivity in these units by establishing a balance between the number of staff and the volume of services provided, and by emphasizing on the adjustment of emergency programs and increasing the acceptance of outpatients in medical centers.

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