EXPENDITURE ON HEALTHCARE

MANAGEMENT BY VARIOUS
ORGANISATIONS IN THE STATE OF
ALABAMA
Raghavendra Dronavalli
STUDENT MBA-IT
OTTAWA UNIVERSITY
LEFT RIGHT MID AND FIND FUNCTIONS
• I USED LEFT AND RIGHT FUNCTIONS TO IS
OLATE STATE NAMES AND ZIP CODES
• I USED FIND FUNCTION TO LOCATE THE
POSITION OF SPACE BETWEEN THE FIRST AND
LAST NAMES OF SALES REPRESENTATIVE
COLUMN AND LEFT AND RIGHT FUCTIONS
SIMULTANEOUSLY TO DIFFERENTIATE INTO
THE FIRST AND LAST NAMES.
LEFT RIGHT MID AND FIND FUNCTIONS
• I USED LEN FUNCTION IN IDENTIFYING THE
LENGTH OF THE PRODUCT DESCRIPTION AND
FIND FUNTION TO IDENTIFY THE / AND :, AND
USED LEFT, MID AND RIGHT FUNCTIONS TO
SEPERATE THE DESCRIPTION INTO PRODUCT,
AREA AND REVENUE CATEGORIES.
• I USED TRIM FUNCTION TO TRIM ALL THE
SPACES IN WEBSITE COLUMN.
LEFT RIGHT MID AND FIND FUNCTIONS
• I USED DATE FUNCTION TO ARRANGE DATE IN
INTERNATIONAL STANDARD PATTERN.
• LASTLY I USED AMPERSAND FUNCTION TO
UNITE THE FIRST AND LAST NAMES
TOGETHER.
COUNT AND COUNT IF FUNCTIONS
• THIS IS THE DATA BASE OF HEALTH CARE
MANAGEMENT AS ANALYZED IN VARIOUS CITES OF
THE USA OF HOW THE MEDICAL EMERGENCIES ARE
DEALT IN THE QUICKEST POSSIBLE TIMES.
• THIS IS ALL ABOUT THE VARIOUS MEDICAL
EMERGENCIES FACED BY THE CITIZENS OF THE USA
AND THE QUICKEST POSSIBLE MANAGEMENT AND
THEIR DATA ANALYSIS WITH THE TOOLS OF THE
PROCEDURES PERFORMED AND THEIR RESPECTIVE
AMOUNT OF TIME TAKEN ON A SAMPLE OF DATA.
 COUNT AND COUNT IF FUNCTIONS
• I USED THE COUNT FUNCTION TO IDENTIFY IF THE
PROVIDER I D HAS ONLY NUMERICAL AS THE
INTEGRAL COMPONENT, WHICH IS PROVED
WRONG BY THE COUNT FUNCTION WHICH
SHOWED IT AS "0" . IT IS ALSO PROVED AS A
COMBINATION OF NUMBERS AND ALPHABETS AS
THE COUNTA FUNCTION SHOWS THE VALUE TO
BE 1778.
• I USED COUNTBLANK FUNCTION TO SEE IF THERE
ARE ANY VACANT CELLS IN THE SCORE COLUMN,
AND I FOUND IT TO BE "0"
COUNT AND COUNT IF FUNCTIONS
• I DIFFERENTIATED ALL THE MEDICAL EMERGENCIES INTO FOUR
CLASSIFICATIONS LIKE 1. EMERGENCY DEPARTMENT MEASURES, 2.
ACUTE MYOCARDIAL INFARCTION 3. STROKE CARE, 4 BLOOD CLOT
PREVENTION.
• I USED COUNTIF FUNCTION TO DIFFERENTIATE THE MEDICAL
CONDITIONS AND IDENTIFIED THAT CONDITION RELATED TO
EMERGENCY DEPARTMENT MEASURES ARE HIGH AS 762 WHEN
COMPARED TO MYOCARDIAL INFARCTION AS 635, BLOOD CLOT
PREVENTION AS 254 AND STROKE CARE TO BE THE LEAST AS 127.
TO MY SURPRISE THE USAGE OF THE MEDICAL TOOLS FOR THE
MANAGEMENT OF VARIOUS MEDICAL EMERGENCIES IS FOUND
TO BE AN EQUAL AND A CONSTANT VALUE OF 127 WHICH WAS
CALCULATED BY USING COUNTIF FUNCTION, IT LEFT ME WITH A
DOUBT OF THE TRUTHFULNESS OF THE DATA.
COUNT AND COUNT IF FUNCTIONS
• AMONG ALL THE AVAILABLE DATA FOR THE
SCORING OF THE TIME NEEDED TO TREAT THE
EMERGENCIES, ONLY 238 CELLS ARE RECORDED
WITH THE NUMERICAL VALUES AND THE OTHER
CELLS VALUES ARE UNAVAILABLE AND WHEN I
COMPARED THIS INFORMATION WITH THE
SAMPLE SIZE AVAILABLE, I THOUGHT ONLY THE
SAMPLES WITH MORE THAN 10 AS ITS SIZE
RESPONDED BY SHOWING SOME VALUES IN THE
SCORE COLUMN AND THE REST SHOWED THE
ANSWER AS UNAVAILABLE.
COUNT AND COUNT IF FUNCTIONS
• THE VALUE OF R25 AND R27 ARE SURPRISINGLY THE SAME AS I
UNDERSTAND THE SAMPLES WITH SIZES MORE THAN 10 ARE BEING
CONSIDERED FOR SCORING AND THIS IS EVIDENT WITH BOTH VALUES
BEING EQUAL AS 238.
• THE FOOTNOTE COLUMN ALSO SHOWS THAT THE SCORING DATA IS BASED
UPON THE COLUMN SIZE AS SHOWN BY THE COUNTIF FUNCTION IN
R28,R29, AND R30.
• I USED COUNTIFS FUNCTION IN DIFFERENTIATING THE TYPES OF MEDICAL
EMERGENCIES AND THE EARLIEST POSSIBLE RECOVERIES BY USING THE
COUNTIFS FUNCTION ASSUMING THE RECOVERY TIME TO BE LESS THAN
150 HOURS. , FOR EX EARLIEST POSSIBLE RECOVERY IS FOR EMERGENCY
DEPARTMENT MEASURES WHICH HAS A VALUE OF 64, FOLLOWED BY
RECOVERY FROM BLOOD CLOTS WHICH HAS THE VALUE OF 18, FOLLOWED
BY MYOCARDIAL INFARCTION WHICH HAS A VALUE OF 10, FOLLOWED BY
RECOVERY FROM STROKE WHICH HAS VALUE OF 1 AND IS THE MOST
TIME CONSUMING.
 SUM, SUMIF,AVERAGE, AND AVERAGE
IF FUNCTIONS
• I USED THE DATA FROM THE HEALTH CARE ADMINISTRATION OF
VARIOUS HOSPITALS IN THE USA WHICH DETAILS THE EXPENSES
OF DIFFERENT CLAIMS WHICH PARTICIPATES AT VARIOUS PERIODS
OF TIME OF ADMISSION SUCH AS INDEX HOSPITAL ADMISSION, 1-
3 DAYS PRIOR TO IT, 1-30 DAYS POST DISCHARGE.
• I USED SUM IF FUNCTION TO IDENTIFY THE TOTAL AOUNT OF THE
AVERAGE EXPENSES SPENT BY ALL HOSPITALS ON NURSING
FACILITY, DURABLE MEDICAL EQUIPMENT, CARRIER,HOME HEALTH
AGENCY, HOSPICE, INPATIENT AND OUTPATIENT, WHICH SHOWS
THAT MAXIMUM EXPENDITURE IS SPENT ON INPATIENT WHICH IS
477897USD,FOLLOWED BY NURSING FACILITY OF 138361USD,
FOLLOWED BY CAREER OF 113543 USD,FOLLOWED BY HOME
HEALTH AGENCY OF 43429USD, FOLLOWED BY OUTPATIENT OF
29086 USD THEN HOSPICE OF 8681 USD AND LAST BY DURABLE
MEDICAL EQUIPMENT OF 6453USD.
SUM, SUMIF,AVERAGE, AND AVERAGE
IF FUNCTIONS
• USED AVERAGIFS FUNCTION TO IDENTIFY THE
AVERAGE EXPENSES BORE BY THE HOSPITAL ON
NURSING ANI D MEDICAL EQUIPMENT, WHICH
SHOWED THE SAME ORDER OF THE RESULT AS ABOVE
IN THE 6TH ROW , IT IS ELICITED IN THE COLUMN "S“
• I USED A COMBINATION OF THREE SUMIF FUNCTIONS
TO ASSESS THE EXPENSES BORE BY THE COMBINATION
OF HOSPITAL, STATE AND NATION ON DIFFERENT
HEALTH SERVICES AND THE RESULTS SHOW THAT THE
MAXIMUM AMOUNT IS BEING SPENT ON INPATIENT
WITH AN AMOUNT OF 1616284USD AND MINIMUM
ON MEDICAL EQUIPMENT OF 20997, AS SHOWN IN
COLUMN "U".
 SUM AND OFFSET,AVERAGE AND
OFFSET FUNCTIONS
• I USED THE SAME DATA SET WHICH I USED IN THE
PREVIOUS ASSIGNMENT WHICH IS RELATED HEALTH CARE
INDUSTRY IN THE STATE OF ALABAMA.
• I USED THE COMBINATION OF THE SUM AND OFFSET
FUNCTION IN IDENTIFYING THE TOTAL AVERAGE EXPENSES
BORE BY THE HOSPITAL IN DIFFERENT CLAIMS DURING THE
VARIOUS PERIODIC EPISODES DEPENDING ON THE TIME OF
ADMISSION AND DISCHARGE.
• I USED THE COMBINATION OF AVERAGE AND OFFSET
FUNCTION IN IDENTIFYING THE AVERAGE OF THE AVERAGE
EXPENSES BORE BY THE HOSPITAL, STATE AND NATION FOR
DIFFERENT EPISODES OF THE PROCESSES OF HOSPITAL
ADMISSION AND DISCHARGE.
 SUM AND OFFSET,AVERAGE AND
OFFSET FUNCTIONS
• I USED THE AVERAGE AND OFFSET FUNCTIONS AND SUM AND
OFFSET FUNCTIONS TO IDENTIFY THE PERCENTAGE OF EXPENSES
BORE BY THE COMBINATION OF HOSPITAL, STATE, AND NATION
PUT TOGETHER.
• I USED THE SUM OFFSET AND MATCH FUNCTIONS TO IDENTIFY
THE EXPENSES BY THE INDIVIDUAL CLAIM OF EACH PERIODIC
EPISODE OF ADMISSION AND DISCHARGE.
• IT IS UNDERSTOOD THAT A NATION SPENDS MORE MONEY THAN
THE STATE OR HOSPITAL AS PER THE VALUES SEEN IN COLUMN Y.
• COLUMN "W" HAS THE STATISTICS TO PROVE THAT NURSING
STAFF IS MORE EXPENSIVE FOLLOWED BY THE INPATIENT
DEPARTMENT, THE LEAST EXPENSIVE BEING THE DURABLE
MEDICAL DEPARTMENT. THIS COLUMN SHOWS THE INDIVIDUAL
EXPENSES OF EACH CLAIM IN THE HELEN KELLER HOSPITAL.
 PARETO CHARTS
• I USED THE SUM FUNCTION TO MAKE A TOTAL OF THE AVERAGE
EXPENSES BORE BY A HOSPITAL, STATE AND NATION PER SE ON
THE MEDICAL EMERGENCIES AND THEIR MANAGEENT.
• I ESSENTIALLY USED PARETO CHARTS TO DIFFENENTIATE THE
AMOUNT OF MONEY BEING EXPENSED IN THE MAINTENANCE OF
VARIOUS DEPARTMENTS OF THE HOSPITAL ORGANIZATION.
• THE FIRST CHART PROVES THAT,AMONGST THE EXPENSES MADE
BY ALL THE HOSPITALS OF ALABAMA, IT IS MOSTLY SPENT ON
HOSPICE ARE MORE, FOLLOWED BY CAREER, HOME HEALTH
AGENCY, DURABLE MEDICAL EQUIPMENT, INPATIENT
,OUTPATIENT, AND LEAST MONEY IS BEING EXPENSED ON SKILLED
NURSING ACTIVITIES.
• THE PRIMARY X-AXIS SHOWS THE TOTAL AVERAGE AMOUNT
SPENT IN DOLLARS AND THE SECONDARY X-AXIS SHOWS THE
CUMULATIVE PERCENTAGE.
 PARETO CHARTS
• THE SECOND PARETO CHART SHOWS THE TOTAL AVERAGE AMOUNT OF
MONEY EXPENDED BY THE STATE ON THE TOP TEN MEDICAL CENTRES,
WHICH SHOWS ,MAXIMUM EXPENDITURE ON INPATIENT CARE,
FOLLOWED BY, CARRIER CLAIM, NURSING FACILITY, HOME HEALTH
AGENCY, OUTPATIENT CLAIM, HOSPICE CLAIM, AND LEAST AMOUNT ON
DUABLE MEDICAL EQUIPMENT CLAIM. IT SHOWS THE VARIATION OF THE
AMOUNT OF MONEY SPENT AND THE VARIATION OF THE EXPENDITURE
DEALT AT THE STATE LEVEL.
• THE THIRD PARETO CHART EXPLAINS THAT MAXIMUM MONEY HAS BEEN
EXPENDED ON INPATIENT, FOLLOWED BY, NURSING,CAREER, OUTPATIENT,
HOME HEALTH,DURABLE MEDICAL EQUIPMENT AND LEAST BEING
HOSPICE FACILITY.HERE,80% OF THE EXPENSES ARE BETWEEN 60,000 AND
70,000 USD.
• THUS, WE CAN USE PARETO CHARTS IN DIFFENTIATION OF THE COURSE
OF EXPENSES OF THE HOSPITAL, STATE AND CENTRE. WE CAN ALSO
DIFFENTIATE THE NUMBER OF MONEY EXPENSED ON VARIOUS
DEPARTMENTS BY THE STATE, CENTER AND HOSPITAL.
 CONSTANT AND DYNAMIC
CONSOLIDATION
• I USED THE CONSTANT CONSOLIDATION FUNCTION IN THE SHEET
5 FOR MAKING A CONSOLIDATED EXPENSES OF THE HEALTH CARE
IN THE MONTHS OF JANUARY FEBRUARY MARCH AND APRIL
2017.
• I USED DYNAMIC CONSOLIDATION FUNCTION IN THE SHEET 6 BUT
THERE IS A CHANCE OF REPEATIVITE ADDITION OF THE DATA
WHICH IS A FLAW, WHICH CAN BE CORRECTED BY USING THE
SUBTOTAL FUNCTION.
• I USED THE SUM FORMULA IN THE SHEET 7, WHERE IN I
DYNAMICALLY FILLED ALL THE SAME INFO OF THE FOUR SHEETS
BUT USING THE FORMULA, SO ANY ALTERATION WILL BE
DEPICTED AS AN IMMEDIATE THING.
• THE RESULTS OF SHEEET 5 AND SHEET 7 ARE ALIKE, UNLIKE SHEET
6 BECAUSE OF REPEATIVE ADDING OF THE DATA WHICH COULD
HAVE BEEN PREVENTED BY USING SUB TOTAL FUNCTION..
CHARTING OF MULTIPLE DATA SETS
• I USED SCATTERED CHART TO DEPICT THE
CURVES OF THE EXPENSES OF THE HOSPITAL,
STATE, NATION, SOCIAL SERVICES AND TOTAL
REVENUE ON THE HEALTH CARE
MANAGEMENT OF THE STATE OF ALABAMA.
• TWO GRAPHS WERE REPRESENTED, ONE WITH
PRIMARY AXIS AND THE OTHER WITH
PRIMARY AND SECONDARY AXIS.