2021 Volume 22 Issue 1 Pages 2-7
The number of hospitals participating in the DPC survey has increased, especially those with pay for service reimbursement due to the tightening of the requirements for submission of DPC data. The major difference from the past is that after the FY2020 revision of medical fees, it has been expanded to include small and medium-sized rehabilitation and convalescent beds with less than 200 beds.
In terms of revenue, we conducted a revenue simulation of DPC data submission addition by bed size and bed type. As a result, there is an approximately 2.7-fold difference in annual points between general and convalescent hospitals, and approximately 2.2-fold difference in care mix hospitals.
In terms of cost, we calculated an average of 10 estimates for an electronic medical record system for a 100-bed X hospital as an actual example. As a result, the initial cost was 37.1 million yen, the average maintenance cost was 3.96 million yen, the average 5-year total cost was 57 million yen, or about 11.4 million yen per year. In addition, 3.59 million yen per year was required for the hiring of a health information manager as added personnel. Surprisingly, these totals accounted for between 0.6 and 1.5 percent of the operating revenues of similarly sized medical corporations, with a minimum of 24 percent and a maximum of 84 percent against operating and recurring income.
In terms of revenue and costs, the revenue from the DPC data submissions was only about the amount of money needed to hire a new health information manager. Small and medium-sized hospitals will have to spend a large percentage of their medical or business profits over the long term, especially since the cost of implementing an electronic health record system will be enormous.
