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Ontario Guide to Case Costing 

The Ontario Guide to Case Costing (Version 3) is a technical manual that describes how to implement case costing in hospitals. The Guide presents the methodology and standards used to produce case costs. The Guide draws upon the knowledge and experience of the OCCI hospital participants.
The Ontario Guide to Case Costing can be downloaded in its entirety, or by chapter & appendices, in PDF format.

Ontario Guide to Case Costing, Version 3: Full Guide

For a list of most recent updates please see: Costing and Submission Updates

Chapter by Chapter Guide

   Table of Contents
Introduction Introduction to OCCI Guide
Chapter 1: Why the Interest in Case Costing?
Chapter 2: Overview of the Case Costing Methodology
Chapter 3: Step 1 -- Gather the Data
Chapter 4: Step 2 -- Allocate Indirect Costs

Chapter 5:

 Step 3 -- Calculate Functional Centre Unit Costs or Intermediate Product Costs
Chapter 6: Step 4 -- Distribute Costs to Patients
Chapter 7: Bringing it all Together
Chapter 8: Departmental Case Costing Standards
Chapter 9: Ambulatory, Complex Continuing Care and Mental Health Standards
Chapter 10: Costing in a Program Management Hospital
Chapter 11: Implementing Case Costing
Chapter 12: Evaluating Your Case Costing Ability
Chapter 13: Frequently Asked Questions

          Appendices
Appendix List Complete List of Appendices
Appendix 1 A Numerical Example
Appendix A: Additional Reference Materials
Appendix B: Project History
Appendix C: Hospital Profiles
Appendix D: Current and Expected Uses and Analyses of Case Cost Data
Appendix E: Overview of the MIS Guidelines and OHRS
Appendix F: Absorbing Cost Centres
Appendix G: Calculation of Patient-Specific Cost Distribution Percentage
Appendix H: CIHI Acute Inpatient and Day Surgery Data Record
Appendix I: Ambulatory Care Costing Patient Descriptive Minimum Data Set
Appendix J: Indirect Cost Allocation Methodology
Appendix K: Transient Cost Centre Allocation Methodology Table
Appendix L: Case Cost Data Record
Appendix M: Patient Hours Methodology
Appendix N: Case Costing System Requirements
Appendix O: OCCI Milestone Reviews
Appendix P: Case Costing Evaluation Forms
  Appendix P-1
  Appendix P-2
  Appendix P-3
  Appendix P-4
Appendix Q Nursing Per Hour Weights for Rehab and CCC