Development Of Pharmacy Service Weights In The Implementation Of Casemix System For Provider Payment

Author : Dr Syed M. Aljunid,Dr Saad A. Ali Jadoo
Publisher : Partridge Publishing Singapore
Page : 152 pages
File Size : 40,7 Mb
Release : 2017-09-19
Category : Medical
ISBN : 9781543742909

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Development of Pharmacy Service Weights in the Implementation of Casemix System for Provider Payment by Dr Syed M. Aljunid,Dr Saad A. Ali Jadoo Pdf

This book outlines the use of the casemix system as a provider payment tool in the health system with special focus on cost of pharmacy services of in-patient care. Casemix system, which is traditionally called Diagnosis Related Groups or DRG in more advanced economies, is now being implemented in many developing countries that plan to or have embarked on social health insurance programs as a source of the health funding. Extensive research has been carried out by the authors involving 13,673 patients that were prescribed with 111,794 items of drugs and admitted to one of the premier teaching hospital in Malaysia. Data from this research was vigorously analysed to impute the pharmacy service weights of all relevant casemix groups. This book provides the best reference for pharmacy service weights that can be used as a guide for effective implementation of the casemix system in any country in the world that plans to use the system.

Author : E.J.S. Hovenga,H. Grain
Publisher : IOS Press
Page : 384 pages
File Size : 55,6 Mb
Release : 2013-09-12
Category : Medical
ISBN : 9781614992912

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Health Information Governance in a Digital Environment by E.J.S. Hovenga,H. Grain Pdf

Delivering the desired benefits from using information technology in healthcare requires a high degree of data standardization, effective governance and semantic interoperability between systems in the health industry. Corporate chief executive officers (CEOs) and company boards need to be more aware of their governance responsibility. This publication explains these concepts to assist the reader to collaboratively work with others to meet these challenges. With contributions from internationally distinguished authors, this book is a valuable cutting edge resource for anyone working in or for the health industry today and especially for: • Policy and decision makers, • Healthcare professionals, • Health information managers, • Health informaticians and • ICT professionals about: • Data governance. • Semantic interoperability • IT in health care • Information security governance The book is suitable for use as a basic text or reference supporting professional, undergraduate and postgraduate curricula preparing students for practice as health or IT professionals working in today's healthcare system.

Author : OECD,World Health Organization,Barber Sarah L,Lorenzoni Luca,Ong Paul
Publisher : OECD Publishing
Page : 298 pages
File Size : 48,5 Mb
Release : 2019-06-26
Category : Electronic
ISBN : 9789264508866

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Price Setting and Price Regulation in Health Care by OECD,World Health Organization,Barber Sarah L,Lorenzoni Luca,Ong Paul Pdf

The objectives of this study are to describe experiences in price setting and how pricing has been used to attain better coverage, quality, financial protection, and health outcomes. It builds on newly commissioned case studies and lessons learned in calculating prices, negotiating with providers, and monitoring changes. Recognising that no single model is applicable to all settings, the study aimed to generate best practices and identify areas for future research, particularly in low- and middle-income settings. The report and the case studies were jointly developed by the OECD and the WHO Centre for Health Development in Kobe (Japan).

Author : OECD,World Health Organization
Publisher : OECD Publishing
Page : 132 pages
File Size : 48,5 Mb
Release : 2015-11-02
Category : Electronic
ISBN : 9789290617327

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Case-based Payment Systems for Hospital Funding in Asia An Investigation of Current Status and Future Directions by OECD,World Health Organization Pdf

The report focuses on a review of the implementation experience of case-based and DRG mechanisms in the Asia and Pacific region, drawing particularly on research in Australia, Japan, New Zealand, the Republic of Korea, Singapore and Thailand.

Author : Evelyn Hovenga,Cherrie Lowe
Publisher : Academic Press
Page : 500 pages
File Size : 55,9 Mb
Release : 2020-03-13
Category : Science
ISBN : 9780128169780

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Measuring Capacity to Care Using Nursing Data by Evelyn Hovenga,Cherrie Lowe Pdf

Measuring Capacity to Care Using Nursing Data presents evidence-based solutions regarding the adoption of safe staffing principles and the optimum use of operational data to enable health service delivery strategies that result in improved patient and organizational outcomes. Readers will learn how to make better use of informatics to collect, share, link and process data collected operationally for the purpose of providing real-time information to decision- makers. The book discusses topics such as dynamic health care environments, health care operational inefficiencies and costly events, how to measure nursing care demand, nursing models of care, data quality and governance, and big data. The content of the book is a valuable source for graduate students in informatics, nurses, nursing managers and several members involved in health care who are interested in learning more about the beneficial use of informatics for improving their services. Presents and discusses evidences from real-world case studies from multiple countries Provides detailed insights of health system complexity in order to improve decision- making Demonstrates the link between nursing data and its use for efficient and effective healthcare service management Discusses several limitations currently experienced and their impact on health service delivery

Author : Reinhard Busse,Alexander Geissler,Wilm Quentin,Miriam Wiley
Publisher : McGraw-Hill Education (UK)
Page : 490 pages
File Size : 41,5 Mb
Release : 2011-11-16
Category : Medical
ISBN : 9780335245581

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EBOOK: Diagnosis-Related Groups in Europe: Moving towards transparency, efficiency and quality in hospitals by Reinhard Busse,Alexander Geissler,Wilm Quentin,Miriam Wiley Pdf

Diagnosis Related Group (DRG) systems were introduced in Europe to increase the transparency of services provided by hospitals and to incentivise greater efficiency in the use of resources invested in acute hospitals. In many countries, these systems were also designed to contribute to improving – or at least protecting – the quality of care. After more than a decade of experience with using DRGs in Europe, this book considers whether the extensive use of DRGs has contributed towards achieving these objectives. Written by authors with extensive experience of these systems, this book is a product of the EuroDRG project and constitutes an important resource for health policy-makers and researchers from Europe and beyond. The book is intended to contribute to the emergence of a ‘common language’ that will facilitate communication between researchers and policy-makers interested in improving the functioning and resourcing of the acute hospital sector. The book includes: A clearly structured introduction to the main ‘building blocks’ of DRG systems An overview of key issues related to DRGs including their impact on efficiency, quality, unintended effects and technological innovation in health care 12 country chapters - Austria, England, Estonia, Finland, France, Germany, Ireland, the Netherlands, Poland, Portugal, Spain and Sweden Clearly structured and detailed information about the most important DRG system characteristics in each of these countries Useful insights for countries and regions in Europe and beyond interested in introducing, extending and/ or optimising DRG systems within the hospital sector

Author : Institute of Medicine,Division of Health Care Services,Committee on Improving Quality in Long-Term Care
Publisher : National Academies Press
Page : 344 pages
File Size : 49,7 Mb
Release : 2001-02-27
Category : Medical
ISBN : 9780309132749

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Improving the Quality of Long-Term Care by Institute of Medicine,Division of Health Care Services,Committee on Improving Quality in Long-Term Care Pdf

Among the issues confronting America is long-term care for frail, older persons and others with chronic conditions and functional limitations that limit their ability to care for themselves. Improving the Quality of Long-Term Care takes a comprehensive look at the quality of care and quality of life in long-term care, including nursing homes, home health agencies, residential care facilities, family members and a variety of others. This book describes the current state of long-term care, identifying problem areas and offering recommendations for federal and state policymakers. Who uses long-term care? How have the characteristics of this population changed over time? What paths do people follow in long term care? The committee provides the latest information on these and other key questions. This book explores strengths and limitations of available data and research literature especially for settings other than nursing homes, on methods to measure, oversee, and improve the quality of long-term care. The committee makes recommendations on setting and enforcing standards of care, strengthening the caregiving workforce, reimbursement issues, and expanding the knowledge base to guide organizational and individual caregivers in improving the quality of care.

Author : Anonim
Publisher : Unknown
Page : 732 pages
File Size : 42,7 Mb
Release : 1992
Category : Physical therapy
ISBN : NWU:35558003097256

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The Australian Journal of Physiotherapy by Anonim Pdf

Author : Iowa
Publisher : Unknown
Page : 1366 pages
File Size : 48,5 Mb
Release : 2005
Category : Law
ISBN : IOWA:31858053092460

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Code of Iowa by Iowa Pdf

Author : Jonathan Cylus,Irene Papanicolas,Peter C. Smith
Publisher : Health Policy
Page : 264 pages
File Size : 52,5 Mb
Release : 2016-12-15
Category : Medical
ISBN : 9289050411

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Health System Efficiency by Jonathan Cylus,Irene Papanicolas,Peter C. Smith Pdf

In this book the authors explore the state of the art on efficiency measurement in health systems and international experts offer insights into the pitfalls and potential associated with various measurement techniques. The authors show that: - The core idea of efficiency is easy to understand in principle - maximizing valued outputs relative to inputs, but is often difficult to make operational in real-life situations - There have been numerous advances in data collection and availability, as well as innovative methodological approaches that give valuable insights into how efficiently health care is delivered - Our simple analytical framework can facilitate the development and interpretation of efficiency indicators.

Author : Anonim
Publisher : Unknown
Page : 776 pages
File Size : 53,8 Mb
Release : 1991
Category : Medical care
ISBN : OSU:32437010790281

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Health Care Financing Review by Anonim Pdf

Author : Jack Langenbrunner,Cheryl Cashin,Sheila O'Dougherty
Publisher : World Bank Publications
Page : 348 pages
File Size : 49,8 Mb
Release : 2009-01-01
Category : Medical
ISBN : 9780821378243

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Designing and Implementing Health Care Provider Payment Systems by Jack Langenbrunner,Cheryl Cashin,Sheila O'Dougherty Pdf

Strategic purchasing of health services involves a continuous search for the best ways to maximize health system performance by deciding which interventions should be purchased, from whom these should be purchased, and how to pay for them. In such an arrangement, the passive cashier is replaced by an intelligent purchaser that can focus scarce resources on existing and emerging priorities rather than continuing entrenched historical spending patterns.Having experimented with different ways of paying providers of health care services, countries increasingly want to know not only what to do when paying providers, but also how to do it, particularly how to design, manage, and implement the transition from current to reformed systems. 'Designing and Implementing Health Care Provider Payment Systems: How-To Manuals' addresses this need.The book has chapters on three of the most effective provider payment systems: primary care per capita (capitation) payment, case-based hospital payment, and hospital global budgets. It also includes a primer on a second policy lever used by purchasers, namely, contracting. This primer can be especially useful with one provider payment method: hospital global budgets. The volume's final chapter provides an outline for designing, launching, and running a health management information system, as well as the necessary infrastructure for strategic purchasing.

Author : Jeremy Lim
Publisher : Unknown
Page : 128 pages
File Size : 49,8 Mb
Release : 2014-01-01
Category : Electronic
ISBN : 9881410525

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Magician of 1919 by Jeremy Lim Pdf

Interest in Singapore's healthcare system has soared because of the country's impressive health statistics. However, how Singapore achieves these impressive results is made even more remarkable when we consider that the country spends only 4% of its GDP on healthcare, which is comparably half of what the UK spends. This book explains how Singapore manages to achieve such an impressive degree of efficiency in the delivery of quality healthcare services.

Author : Anonim
Publisher : Unknown
Page : 540 pages
File Size : 51,9 Mb
Release : 2013-12
Category : Delegated legislation
ISBN : UCR:31210024752113

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Federal Register by Anonim Pdf

Author : Institute of Medicine,Committee on the Learning Health Care System in America
Publisher : National Academies Press
Page : 437 pages
File Size : 54,5 Mb
Release : 2013-05-10
Category : Medical
ISBN : 9780309282819

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Best Care at Lower Cost by Institute of Medicine,Committee on the Learning Health Care System in America Pdf

America's health care system has become too complex and costly to continue business as usual. Best Care at Lower Cost explains that inefficiencies, an overwhelming amount of data, and other economic and quality barriers hinder progress in improving health and threaten the nation's economic stability and global competitiveness. According to this report, the knowledge and tools exist to put the health system on the right course to achieve continuous improvement and better quality care at a lower cost. The costs of the system's current inefficiency underscore the urgent need for a systemwide transformation. About 30 percent of health spending in 2009-roughly $750 billion-was wasted on unnecessary services, excessive administrative costs, fraud, and other problems. Moreover, inefficiencies cause needless suffering. By one estimate, roughly 75,000 deaths might have been averted in 2005 if every state had delivered care at the quality level of the best performing state. This report states that the way health care providers currently train, practice, and learn new information cannot keep pace with the flood of research discoveries and technological advances. About 75 million Americans have more than one chronic condition, requiring coordination among multiple specialists and therapies, which can increase the potential for miscommunication, misdiagnosis, potentially conflicting interventions, and dangerous drug interactions. Best Care at Lower Cost emphasizes that a better use of data is a critical element of a continuously improving health system, such as mobile technologies and electronic health records that offer significant potential to capture and share health data better. In order for this to occur, the National Coordinator for Health Information Technology, IT developers, and standard-setting organizations should ensure that these systems are robust and interoperable. Clinicians and care organizations should fully adopt these technologies, and patients should be encouraged to use tools, such as personal health information portals, to actively engage in their care. This book is a call to action that will guide health care providers; administrators; caregivers; policy makers; health professionals; federal, state, and local government agencies; private and public health organizations; and educational institutions.