LOGEX tracks effects of COVID-19 on regular hospital care through detailed monthly benchmark reporting

Like in the rest of the world, the care for COVID-19 patients has put great pressure on Dutch hospitals: ICU and ward capacity is rationed for COVID-19 care resulting in the delay or even cancellation of regular treatments on a large scale. The delay of these treatments is resulting in the build-up of a healthcare demand ‘reservoir’. 

Dutch hospital production trend by type of care

Over the past year, many hospitals have struggled with understanding the implications of COVID-19 on their patients and organization. Since the start of the COVID-19 pandemic, LOGEX has shared in-depth (monthly) reports with its hospital customers in The Netherlands, analyzing the progression of regular care production on a national and regional level, as well as the implications on the hospital’s organization and financial position. In these reports, LOGEX has helped hospitals focus on the following elements: 

1. Monitoring hospital production of regular care

  • Understanding the cumulative effects of continued (and halted) treatments on a weekly level, broken down by healthcare cluster (acute care, oncology, chronic diseases, elective treatments), per specialism and diagnose group
  • Developing insights on patient characteristics to understand potential risks, enabling hospitals to respond or correct where needed
  • Establishing national and regional benchmarks to help better understand the hospital’s local trends

2. Estimating and forecasting the ‘reservoir’ of impacted regular care

  • Quantifying and forecasting the cumulative (financial and organizational) impact of healthcare not provided, through historical trend analysis 
  • Estimating the share of treatments not provided, that are not likely return to the hospital. This helps develop a view on the nett remaining healthcare demand that needs to be recovered by the hospital
  • Benchmarking the local ‘reservoir’ buildup with the national trend, to better understand the hospital’s position

3. Understanding the implications of hospital resources

  • Quantifying the impact of delayed treatments that will likely need to be recovered on hospital resources and infrastructure (staff, diagnostics, OR and ward capacity, etc.)
  • Understanding what delayed treatments can be recovered within the existing hospital infrastructure and capacity, in addition to the normal healthcare demand (What are the limitations for recovering delayed treatments? What are likely effects on the hospital’s waiting lists? etc.)

4. Providing tangible guidelines for Appropriate Care initiatives that may help free hospital capacity

  • Establishing a clear list of Appropriate Care topics where hospitals are most likely to improve efficiency and free up capacity for recovering delayed treatments
  • With help of known best practices, LOGEX quantified the potential impact of the various initiative on hospital resources through benchmark analysis indicating the extent of Practice and Process variation between hospitals

Payer <> Provider alignment

  • Understanding the financial implications of healthcare not delivered, as well as the treatments that are likely to be recovered. LOGEX analyzed the effects of COVID-19 on the hospital’s revenues and cost base, to reflect on the implications for existing payer<>provider agreements 
  • The analyses conducted by LOGEX helped support the development of a national COVID-19 compensation scheme between the Association of Health Insurers (Zorgverzekeraars Nederland, ZN) and the Dutch Association of Hospitals (Nederlandse Vereniging van Ziekenhuizen, NVZ) to neutralize the financial effects of COVID-19 and ensure financial stability