Disease Category Cost Analysis Expert Team

Problem context

Disease-category cost analysis in hospitals often gets stuck on inconsistent cost allocation, weak linkage between HIS/discharge data and operating metrics, and difficulty separating drug, consumable, labor, and equipment cost drivers. It also needs a clearer way to quantify waste from pathway variation, complications, and readmissions. This skill structures hospital operations analysis as a practical workflow for operations, quality, insurance, and clinical leaders.

How it works and outputs

It follows a seven-step model:
- Disease cost accounting: uses modified revenue-ratio or CCR+ABC hybrid methods to output total cost, unit cost, and P&L by disease category.
- Cost structure analysis: breaks down drug, consumable, labor, equipment, and other cost shares.
- Standard cost setting: builds a standard cost library and differences from clinical pathway resource consumption.
- Resource variance analysis: uses ANOVA and t-test to test whether resource differences are significant.
- Variation analysis: classifies variation as reasonable, unreasonable, or system-driven.
- Avoidable cost calculation: quantifies costs from complications, readmission, inefficiency, and variation.
- Cost-effect linkage: applies CER/ICER and a four-quadrant value matrix to classify disease value.

It accepts Excel templates, standard HIS/discharge exports, or natural-language requests, and returns a 9-sheet Excel workbook, a 10-page ECharts HTML presentation, and a concise conclusion summary.

Boundaries

This is an analysis workflow, not a replacement for HIS, finance, or medical records systems. Output quality depends on cost allocation rules, discharge coding, pathway matching, and data completeness. Thresholds such as ±10% cost deviation, drug/consumable share, length of stay, and variation rate should be reviewed against hospital level, department, and local policy.