Hoteling medical consumables in the Inpatient emergency department, cost or income? A prospective observational study

Estimates and available statistics indicate that, on average, 20% to 30% of the costs of a hospitalized patient are related to drugs and consumables, and on the other hand, more than 95% of treatment processes depend on drugs and medical supplies. Consumption requirements for the inpatients are divided into two main categories: 1) Consumption requirements are mentioned with the same name and with a specific number and price in the patient's invoice. 2) Hoteling consumption requirements that the number and amount of this consumption requirements are not recorded anywhere in the patient's file, and the costs of this consumption are covered by three percent of the six percent of nursing services.

This descriptive cross-sectional study was performed as a prospective observation in the inpatient emergency department of 'Hazrate Rasoole Akram Hospital in Tehran in the second half of 2018, and 898 patients were monitored.

The study ward had 40 inpatient bed counts, where 898 patients were admitted and hospitalized. The Inpatient Bed Occupancy Rate was over 100%, and the inpatient bed count day was 1706. The frequency distribution of hospitalized patients was 47 different diseases. The cost of their hoteling consumables was 976,776,808 Rials that 186,909,360 Rials of those costs were collected from various insurance deposits and cash receipts, and the rest of the costs, which was equivalent to 81% of the cost of hoteling consumables in December, remained uncollected.

Considering that the cost of Hoteling consumption requirements is provided as 3% of the 6% of nursing services, and on the other hand, the list of Hoteling consumption requirements in different insurances and hospital revenue units is not clear, it is suggested: Firstly, a complete and telling list of hoteling medical consumables should be prepared and communicated, and secondly, according to the existing inflation and the inadequacy of the daily bed tariff and market conditions, the relevant percentage should be adjusted to cover the costs.