A Study on 128 Slice MDCT unit in a Tertiary Care Teaching Hospital with Special Emphasis on Work Flow and Break-Even Analysis

Abstract

Purpose: To study the Cost Analysis of 128 Slice MDCT unit in a tertiary care teaching hospital Materials and methods: The study followed a biphasic design, comprising both retrospective and prospective components. The retrospective phase involved a record-based analysis conducted over a 3-month period, while the prospective phase included record review, observational methods, interviews, and material evaluation relevant to the study, carried out over the course of 1 month. Results: The cost of running the 128 Slice MDCT unit, including manpower, was calculated for a 3-month period, with an average of 28 cases per day. The unit handles a total workload of 54 TR (15 TR + 35 TR + 4 TR). Power is supplied by a 120KVA UPS located in the unit's UPS room. Depreciation for the building, with a lifespan of 100 years, is set at 1% of the capital cost. For an area of 51.2 sqm, the construction cost totals Rs 19,18,208/-, with a depreciation cost of Rs 47,955/- over 3 months. According to the CPWD manual, the annual maintenance cost is Rs 5104/- per sq.m., resulting in a maintenance expense of Rs 65,331/-. Additional costs for electricity, water, and linen over the 3-month period were also factored in. The breakeven point for the unit is estimated to be 744 days (approximately 2 years and 14 days). Conclusion: Getting each patient into and out of the procedure room in a timely manner can add minutes and maybe even hours to the daily schedules, allowing for the accommodation of a greater number of cases. Increasing the number of procedures performed per day or week can add to overall income.