Casemix Funding

Der Internist ◽  
2001 ◽  
Vol 42 (4) ◽  
pp. M75-M79 ◽  
Author(s):  
The Victorian Healthcare Association
Keyword(s):  
Casemix Funding

scholarly journals An assessment of the effects of casemix funding on hospital utilisation: A Northern Territory perspective

2000 ◽  
Vol 23 (1) ◽  
pp. 122 ◽  
Author(s):  
Jianguo Xiao ◽  
Andy Lee ◽  
Siva Ram Vemuri
Keyword(s):  
Average Length ◽  
Community Health Services ◽  
Long Term Effects ◽  
Cost Shifting ◽  
Average Length Of Stay ◽  
Casemix Funding ◽  
Bed Days ◽  
Hospital Utilisation

This article is concerned with the methodological issues of assessing the effects of casemixfunding on hospital utilisation. Time-series analysis and intervention analysis are proposedto ascertain the effects. It was found there had been a decline in average length of stay andnumber of bed-days, an increase in weighted separations for teaching and non-teachinghospitals, and no apparent increase of costliness in terms of a comprehensive casemix index.No evidence of decline in quality of care can be established in terms of readmission rates.The long-term effects of casemix funding, and specific issues in terms of the funding modelused, patients and cost shifting between hospital services and community health services,remain to be studied.

Funding issues for Victorian hospitals:the risk-adjusted vision beyond casemix funding

2000 ◽  
Vol 23 (3) ◽  
pp. 145 ◽  
Author(s):  
Kathryn Antioch ◽  
Michael Walsh
Keyword(s):  
Cystic Fibrosis ◽  
State Government ◽  
Health Maintenance Organisation ◽  
Teaching Hospitals ◽  
Averaging Principle ◽  
Average Price ◽  
Health Maintenance ◽  
Australian Health ◽  
Funding Model ◽  
Casemix Funding

This paper discusses casemix funding issues in Victoria impacting on teaching hospitals. For casemix payments to beacceptable, the average price and cost weights must be set at an appropriate standard. The average price is based ona normative, policy basis rather than benchmarking. The 'averaging principle' inherent in cost weights has resulted insome AN-DRG weights being too low for teaching hospitals that are key State-wide providers of high complexityservices such as neurosurgery and trauma. Casemix data have been analysed using international risk adjustmentmethodologies to successfully negotiate with the Victorian State Government for specified grants for several highcomplexity AN-DRGs. A risk-adjusted capitation funding model has also been developed for cystic fibrosis patientstreated by The Alfred, called an Australian Health Maintenance Organisation (AHMO). This will facilitate thedevelopment of similar models by both the Victorian and Federal governments.

Casemix funding of hospitals: Ethical objections

1996 ◽  
Vol 4 (3) ◽  
pp. 194-196
Author(s):  
Maureen Ramsay
Keyword(s):  
Casemix Funding

Is It Possible For Caring To Be An Expression of Human Agape In The 21 st Century?

1998 ◽  
Vol 2 (3) ◽  
pp. 32-39 ◽  
Author(s):  
Les Fitzgerald
Keyword(s):  
Health Care ◽  
Health Care System ◽  
Delivery System ◽  
Health Care Delivery ◽  
Care Delivery ◽  
Health Care Delivery System ◽  
Casemix Funding ◽  
Care Models ◽  
Caring Relationship ◽  
Paradigmatic Change

In Australia and in particular the State of Victoria, the health care delivery system is undergoing paradigmatic change. The development of a bureaucratic health care system that incorporates Casemix Funding, Australian National-Diagnostic Related Groupings and Managed Care models has resulted in the quantification of health care, which has undervalued the art of nursing. This article suggests that in human agape, regard for one’s neighbour and also one’s self clarifies the caring relationship and can assist the emancipation of the artisan component of nursing. A vision of nursing in the future shows a profession engaged in discourse and everyday dialogue about the concept of love as it relates to caring in nursing.

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