TDABC checklist validation
It is a pleasure for us to invite you to collaborate with us in  the development of a standardised framework to assist in the design and reporting of  Time-driven Activity-based Costing (TDABC)  studies in health care.

The proposed framework is a checklist, based on expert recommendations, will  describe basic elements that may be included in TDABC  study design, in order to standardise how TDABC studies are presented and published.  The checklist will be useful for journal reviewers and the readers of the TDABC literature. Some variability is inevitable, but we hope to agree on a core number of elements that will ultimately help spur applications and research on TDABC as a key tool for promoting value for patients and health systems world-wide.

The intended article with the proposed  framework will be accompanied with the launching of the TDABC in Health Care Consortium: a collaborative group of researchers and institutions dedicated to improving the quality of projects that apply the TDABC method in health care and to share methodological advances for TDABC around the globe.

Please, visit: www.tdabcconsortium.com

By answering the questionnaire, you are immediately being added as a Consortium Member, and as soon as we receive your questionnaire answer, Ana will email you asking for current credentials to be mentioned on the Consortium Website.

We thank you for accepting our invitation to contribute with the validation of the TDABC checklist. Once everyone responds, the results will be shared with all experts who contributed to the checklist development and all collaborators will be acknowledged in the publication.

If you would like  to understand the origin of each element in the checklist, that information will be  attached to the manuscript draft. Please note that once you have received the link, you are agreeing to not share the content before it is  published in a scientific journal.
 
Time expected to answer: 20-30 minutes.

This TDABC checklist research is being developed by the Center for Perioperative Research (Brigham Women's Hospital, Boston, USA) and the Brazilian National Health Technology Assessment Institute (IATS/CNPq).
If you have any questions, please email Ana at: anabsetges@gmail.com.

Instructions:

The questions are based on Table 2 of the attached manuscript, the “elements” column. The final version of the consensus statement will describe which of the elements is truly essential and which is optional.
For each question below, please respond with your recommendation for including the element  in the framework,  according to the following scale:
1.Mandatory; 2. Strongly Suggested, but not mandatory; 3. Suggested; 4. Optional; 5. Do not include.


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element:  "It is defined if the results are being explored for general health service management or redesign and value or only to assess costs?": *
Required
element:  "Is the clinical pathway, technology or procedure studied justified because of an interest from government, hospital, society or a HTA analysis?" : *
Required
element:  "Is the TDABC method selection being justified?" : *
Required
element:  "Are authors using specific methodologies to design the process of care that is being evaluated?" : *
Required
element: "Are authors exploring a multidisciplinary team to apply the TDABC? (Design the process, correctly consider clinical characteristics, correctly evaluate costs.)" : *
Required
element:  "Are authors reporting activities in the process map in a macro level?" : *
Required
element:  "Is the full process map (or a part of) being presented in a picture or graphic display?" : *
Required
element:  "Is a table or a map being presented to illustrate the association between activities and resources? " : *
Required
element:  "It is being defined and justified resources that are included in the analysis?" : *
Required
element:  "Are authors reporting observation in situ approach to better identify resources used in each activity?" : *
Required
element:  "Are authors interviewing the professionals to better identify resources used in each activity?" : *
Required
element:  "When using hospital financial database, it is being stated how those data were collected and analysed?" : *
Required
element:  "Are authors defining the currency and applying discount rates when it is necessary?": *
Required
element:  "When using external financial databases, it is being defined which one and how data were accessed?": *
Required
element:  "When mixed financial database are being used (for example, salaries from external reference and structural costs from the hospital) it is being stated the data origin of each variable?": *
Required
element:  "Are authors explaining how the overhead costs are being considered? ": *
Required
element:  "Are authors defining if the capacity data used represents the total capacity per resource or it is being considered an expected idleness?": *
Required
element:  "When authors are considering an expected idleness, it is explained how actual performance data were collected and analysed?": *
Required
element:  "Are authors explaining how time data were collected?": *
Required
element:  "Are authors explaining how time data were collected?": *
Required
element:  "Are authors using interviews with professionals crossed with medical record review to estimate time data?": *
Required
element:  "When using chronanalysis, is it being explained the sample of time data collected? Or is it being defined the time horizon? ": *
Required
element:  "Is it being explained if the chronanalysis used a digital technology to collect real time data, such as mobile app, wearable, drone, etc.? ": *
Required
element:  "Are the median or average cost per patient (or per technology) being calculated?": *
Required
element:  "Are authors presenting the cost per patient included in the sample? (Chart bar, table, etc.)?": *
Required
element: "Are the median or average cost per activity in a macro level being presented?": *
Required
element: "Are the median or average cost per activity in a micro level being presented?": *
Required
element: "Are the median or average cost per resource being presented?": *
Required
element: "Are authors performing capacity idleness analysis?": *
Required
element:  "Are authors exploring statistical analyses to better understand costs along the process of care?": *
Required
element: "When it was defined as an objective to use the study to support management and value decisions, are authors reporting how achieved or are planning to achieve that?": *
Required
element:  "Are study limitations being presented?" : *
Required
Would you like to rewrite any questions? If yes, please, indicate the question and provide its new version.
Would you like to add questions? If yes, please, provide the TDABC step (1,2,3,4,5,6,7) and the question.
Would you like to provide an additional commentary or a suggestion?
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