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SAY 218 - Cost Accounting in Health Care Organizations

Faculty of Health Sciences · Health Management · Undergraduate

ECTS: 5 T+P+L: 3+0+0 Compulsory
Coordinator: Doç. Dr. Gülay EKİNCİ

Course Objective

The aim of this course is to introduce business and cost accounting practices in the healthcare sector, particularly in hospitals; to reveal the cost structure of healthcare services through the correct classification and calculation of costs; to teach how to properly organize the cost of sales/service delivery and income statement; and to contribute to effective cost management and financial decision-making processes in healthcare organizations by introducing different cost systems (order-based, process-based, activity-based, etc.).

Course Content

This course will examine in detail the fundamental concepts of business and cost accounting within the context of the healthcare sector, particularly hospitals; the classification of costs related to clinical/polyclinic, laboratory, imaging, and support service units (e.g., drug-consumables, personnel, medical device depreciation; direct-indirect, fixed-variable); the calculation of the cost of sales/service delivery; the preparation of hospital income statements according to the SUT (Healthcare Services Pricing Regulation); and cost systems (order-based, process-based, activity-based costing, etc.), their classification, and applications in healthcare organizations.

Required Resources

Sağlık Kurumlarında Maliyet Yönetimi, AÖF,2865

Hastane Yönetimi, Haydar SUR-Tuncay PALTEKİ, Nobel Yayınları

Profesyonel Hastane Yönetimine Giriş, Alparslan MERT, İletişimce Yayınları

Maliyet ve Yönetim Muhasebesi, Muzaffer CİVELEK-Azzem ÖZKAN, Detay Yayıncılık

Öğretim Üyesine ait ders notları

Explanations

It is recommended to read the relevant topic from primary sources before the lesson.

Rules

Attendance Requirement: Students are required to attend at least 70% of the lectures.
Punctual Attendance: Arriving on time is essential; latecomers should not disrupt the class.
Class Discipline: Mobile phones, tablets, or computers may only be used for lecture purposes during class.
Assignments and Projects: Must be submitted by the specified dates; late submissions will result in grade deduction.
Exams: Participation in the midterm and final exams is mandatory. Make-up exams are only given in cases with official documentation.
Participation and Discussion: Active participation in class and contributions to discussions are expected.
Academic Integrity: Copying, plagiarism, or similar ethical violations are strictly unacceptable; disciplinary action will be taken.
Communication: Students can ask the instructor questions about the course via email or during office hours.
Ethical Behavior: Ethical behavior and patient confidentiality must be observed during lectures and practical work.

Course Learning Outcomes

  1. Explains the basic concepts of business and cost accounting in the healthcare sector and hospitals.
  2. Classifies the costs of clinical, laboratory, imaging, and support service units (direct-indirect, fixed-variable, etc.).
  3. Identifies and calculates cost elements such as pharmaceuticals, consumables, personnel expenses, and medical device depreciation.
  4. Calculates the cost of sales/service delivery of healthcare services.
  5. Prepares the hospital income statement within the framework of the Health Application Communiqué (SUT).
  6. Recognizes different cost systems (order, process, activity-based, etc.) and selects the appropriate one for healthcare organizations.
  7. Contributes to effective cost management and financial decision-making processes in healthcare organizations using cost data.
  8. Develops suggestions for increasing efficiency in cost control and resource utilization in hospitals.

Core Area Distribution

(34) Business and Administration%40 (72) Health%60

Teaching Methods

ExpressionQuestion-AnswerDiscussionExercise and PracticePresentationBrain StormingCase StudyProblem Solving

Assessment & Evaluation

Performance Assignment ( Lab / Workshop / Field Work / Seminar / Presentation / Completion Study / ThesisTesting (Essay / Tests: True-Falls, multiple-choice, short answer, matching)

ECTS / Workload

ActivityQuantityDuration (h)Total Workload
Course Duration (Including Exam Week)16232
Out of Class Study Period16348
Midterm11010
Quiz000
Assignment111
Practice16232
Final11010

Course Schedule

WeekSubjectPreparation
1Introduction to business and cost accounting in the healthcare sector and hospitals.At least 3 hours of basic and helpful resources will be studied and lessons will be prepared.
2Cost management, organization and recording order in health institutionsAt least 3 hours of basic and helpful resources will be studied and lessons will be prepared.
3Cost elements: direct-indirect costs, fixed-variable costsAt least 1 hours of basic and helpful resources will be studied and lessons will be prepared.
4Cost systems and their classificationAt least 1 hours of basic and helpful resources will be studied and lessons will be prepared.
5Classification of cost elements in healthcare institutions; clinical, laboratory, imaging and support services.At least 1 hours of basic and helpful resources will be studied and lessons will be prepared.
6Cost allocation and expenditure calculations in healthcare services.At least 3 hours of basic and helpful resources will be studied and lessons will be prepared.
7Calculating the cost of sales/service delivery in healthcare.At least 3 hours of basic and helpful resources will be studied and lessons will be prepared
8MidexamGeneral Preparation
9Cost systems: order cost systemAt least 3 hours of basic and helpful resources will be studied and lessons will be prepared
10Cost systems: process cost systemAt least 3 hours of basic and helpful resources will be studied and lessons will be prepared.
11Activity-based costing and its applications in healthcare organizations.At least 3 hours of basic and helpful resources will be studied and lessons will be prepared.
12Health Services Implementation Circular (SUT)At least 3 hours of basic and helpful resources will be studied and lessons will be prepared
13Healthcare cost calculations based on SUT (Healthcare Services Pricing Regulation) (Polyclinic, Clinic, Operating Room, etc.)Lecturer's notes
14The use of cost data in healthcare decision-making processes leads to efficiency and cost control.At least 1 hours of basic and helpful resources will be studied and lessons will be prepared.
15General review, case analyses, and end-of-term evaluation.Lecturer's notes
16Final ExamGeneral Preparation