Mildura Base Hospital have been an Adaptive Costing client of SyRis Consulting since 2003 and have participated in a number of benchmarking projects and reviews over this time.

They have used the Adaptive Costing data on a quarterly basis since 2003 and have found a number of benefits through the use of the service, such as:

- Identification of high cost prostheses use, with resulting contract negotiations and savings in excess of $100,000 per annum.

- Correction of a number of VAED errors including ATSI errors, resulting in additional WIES.

- Identification of high cost ambulance use resulting in the construction of arguments which led to improved funding outcomes

- Isolation and analysis of the Emergency Department costs and profitability, leading to the construction of arguments and approved funding outcomes

- Useful to observe Cost by VMO and LOS by doctor by specialty. This was used to discuss the performance of the orthopaedic clinicians.

- Identified salaried anaesthetists doing private patients in public sessions and the business impact of this practice.

- Issues with ophthalmology and ensuring that there is a level of private throughput to support the losses on public WIES funded throughput.

From the continued use of the Adaptive Costing data, MBH has been able to participate in a number of Benchmarking projects which have been beneficial in:

- Providing networking opportunities to discuss their data with similar sites in order to identify alternative models of care and business performance

- Improving the allocation of HMO costs within the clinical costing data

They have also recently installed the SyWIES10 program to calculate WIES on a daily basis, estimate the value of uncoded WIES and project the estimated throughput per day against the WIES target to the end of the year.