28  Enhanced Cost-Benefit Analysis

28.1 Introduction

Comprehensive financial analysis quantifies the true cost of digital pathology operations and identifies high-ROI improvement opportunities.

28.2 Cost Parameters

Cost Assumptions (Adjust for Your Institution)
Parameter Value
Scanner Investment $250,000
Lifespan 10 years
Annual Maintenance $25,000
Labor Cost/Hour $50
Pathologist Cost/Hour $150
Delay Cost/Hour $75

28.3 Annual Cost Breakdown

Where Does the Money Go?
Category Annual Cost % of Total
Scanner Equipment (Annual) $ 14,296 0.2
Maintenance (Annual) $ 14,296 0.2
Labor Cost $ 29,676 0.4
Delay Cost $7,321,657 99.2
Rescan Cost $ 0 0.0

28.4 Cost Metrics

Per-Unit Costs
Metric Value
Cost per Slide $0.57
Cost per Case $154.52
Cost per Case (On-Time) $2.58
Cost per Case (Delayed) $3233.97

Scanner cost per slide: $0.57

28.5 Delay Cost Impact

Hidden Cost of Delays
Metric Value
Cases Delayed (>24h) 2,282
Total Delay Hours 170721 hrs
Total Delay Cost $12,804,056
Avg Cost per Delayed Case $5610.89

28.6 ROI of Improvement Scenarios

Improvement Investment Returns
Scenario Annual Savings ROI
Reduce delays by 50% $3,660,828 12804.1%
Reduce rescans by 50% $ 0 0.0%
Improve scanner efficiency 20% $ 5,935 20.8%
Combined improvements $3,666,764 12824.8%

28.7 Conclusion

Key Findings: 1. Delays represent 99.2% of total cost 2. Highest ROI: Focus on reducing extreme delays 3. Combined improvements could save $3,666,764 annually