Finances

In 2019, HUS productivity declined on the previous year.

Up until 2019, productivity was measured at HUS using DRG point cost. As of 2020, productivity will be measured as cost per patient.

The target for 2019 was for the deflated DRG point cost to decrease by 1.5%. Instead, the DRG point cost increased by 1.2%, indicating a decline in productivity. Productivity declined because costs increased more than the DRG point total.

Costs increased by 10.2%, while the DRG point total increased by 7.2%. Deflation was calculated using the price index for public local government expenditure, multiplying the previous year’s costs by the coefficient 1.016.

Costs were increased for instance by ballooning IT system costs related to the Apotti patient and customer information system, additional personnel and wage increases, rising medical and pharmaceutical costs, major facilities projects, rents and transfers of functions.

Psychiatry productivity improved

At HUS, the productivity trend of psychiatry is measured by dividing the actual total costs in Psychiatry with the number of patients treated. These costs (deflated) decreased by 2.6% on the previous year, so productivity in Psychiatry improved.

Cost per patient decreased

In 2019, productivity was also measured by changes in cost per patient and by changes in the ratio of costs to operating volume. Cost per patient (deflated) decreased by 2.2% compared to the same time in 2018, but costs relative to operating volume (deflated) increased by 9.4%.

Costs of somatic service production relative to number of patients treated, 2018 and 2019

Profit area Cost per treated patient (somatic care) Cost per treated patient (somatic care) (deflated)
EUR Jan–Dec 2018 EUR Jan–Dec 2019 Change % Change % *)
Helsinki University Hospital Area 2,680 2,646 −1.3% −2.8%
Helsinki University Hospital Children and Adolescents 2,679 2,395 −10.6% −12.0%
Helsinki University Hospital Emergency Medicine and Services 799 802 0.3% −1.3%
Helsinki University Hospital Head and Neck Center 861 842 −2.3% −3.8%
Helsinki University Hospital Internal Medicine and Rehabilitation** 822 1,246 51.6% 49.3%
Helsinki University Hospital Heart and Lung Center 2,945 2,937 −0.3% −1.8%
Helsinki University Hospital Gynecology and Obstetrics 1,850 1,874 1.3% −0.3%
Helsinki University Hospital Comprehensive Cancer Center 4,412 4,581 3.8% 2.2%
Helsinki University Hospital Musculoskeletal and Plastic Surgery 2,672 2,856 6.9% 5.2%
Helsinki University Hospital Inflammation Center 876 836 −4.5% −6.0%
Helsinki University Hospital Abdominal Center 2,962 3,024 2.1% 0.5%
Helsinki University Hospital Neurocenter 2,421 2,489 2.8% 1.2%
Hyvinkää Hospital Area 1,721 1,785 3.8% 2.1%
Lohja Hospital Area 1,737 1,754 1.0% −0.6%
Porvoo Hospital Area 1,553 1,612 3.8% 2.2%
HUS level 2,293 2,277 −0.7% −2.2%

*) Coefficient for price index of public expenditure, municipal finances, health care (Statistics Finland, October 29, 2019. **) The data for Helsinki University Hospital Internal Medicine and Rehabilitation are not comparable due to reorganization.

Ratio of operating costs and depreciation to volume weighted according to billing share (calculated by unit-specific billing shares), 2018 and 2019

Profit area Costs / Change in volume weighted according to billing share Costs / Volume weighted according to billing share (deflated)
EUR Jan–Dec 2018 EUR Jan–Dec 2019 Change % Change % *)
Helsinki University Hospital Area 2,045 2,252 10.1% 8.4%
Helsinki University Hospital Children and Adolescents 2,296 2,496 8.7% 7.0%
Helsinki University Hospital Psychiatry 672 720 7.2% 5.5%
Helsinki University Hospital Emergency Medicine and Services 3,532 2,817 −20.2% −21.5%
Helsinki University Hospital Head and Neck Center 1,250 1,365 9.2% 7.5%
Helsinki University Hospital Internal Medicine and Rehabilitation** 1,362 2,181 60.2% 57.7%
Helsinki University Hospital Heart and Lung Center 4,789 5,121 6.9% 5.2%
Helsinki University Hospital Gynecology and Obstetrics 1,675 1,712 2.2% 0.6%
Helsinki University Hospital Comprehensive Cancer Center 944 1,097 16.2% 14.3%
Helsinki University Hospital Musculoskeletal and Plastic Surgery 2,901 3,226 11.2% 9.5%
Helsinki University Hospital Inflammation Center 1,263 1,279 1.2% −0.4%
Helsinki University Hospital Abdominal Center 1,860 1,982 6.5% 4.9%
Helsinki University Hospital Neurocenter 3,109 3,390 9.0% 7.3%
Hyvinkää Hospital Area 1,669 1,852 10.9% 9.2%
Lohja Hospital Area 1,936 1,862 −3.8% −5.3%
Porvoo Hospital Area 1,492 1,607 7.7% 6.0%
HUS level 2,302 2,558 11.1% 9.4%

*) Coefficient for price index of public expenditure, municipal finances, health care (Statistics Finland, October 29, 2019. **) The data for Helsinki University Hospital Internal Medicine and Rehabilitation are not comparable due to reorganization.

DRG point cost

Medical service production, excluding psychiatry, known as somatic service production, is productized into DRG products and is made commensurate using DRG points. Labor productivity and overall productivity trends are measured in somatic service production using NordDRG productivity indicators. The DRG point cost is calculated by dividing the actual costs by the number of DRG costs accrued from production. When the DRG point cost drops, productivity improves and, correspondingly, when the DRG point cost rises, productivity declines.   Productivity program