scholarly journals Combining DRGs and per diem payments in the private sector: the Equitable Payment Model

2005 ◽  
Vol 29 (1) ◽  
pp. 80 ◽  
Author(s):  
Brian W T Hanning
Keyword(s):  
Length Of Stay ◽  
Private Sector ◽  
Classification System ◽  
Relative Cost ◽  
Private Hospitals ◽  
Payment Model ◽  
Continual Improvement ◽  
Robust Classification ◽  
The Many ◽  
Payment Models

The many types of payment models used in the Australian private sector are reviewed. Their features are compared and contrasted to those desirable in an optimal private sector payment model. The EPMTM (Equitable Payment Model) is discussed and its consistency with the desirable features of an optimal private sector payment model outlined. These include being based on a robust classification system, nationally benchmarked length of stay (LOS) results, nationally benchmarked relative cost and encouraging continual improvement in efficiency to the benefit of both health funds and private hospitals. The advantages in the context of the private sector of EPMTM being a per diem model, albeit very different to current per diem models, are discussed. The advantages of EPMTM for hospitals and health funds are outlined.

New activity-based funding model for Australian private sector overnight rehabilitation cases: the rehabilitation Australian National Sub-Acute and Non-Acute Patient (AN-SNAP) model

2015 ◽  
Vol 39 (4) ◽  
pp. 365
Author(s):  
Brian Hanning ◽  
Nicolle Predl
Keyword(s):  
Health Service ◽  
Private Sector ◽  
Classification System ◽  
Processing System ◽  
Relative Cost ◽  
Payment Model ◽  
Australian Health ◽  
Funding Model ◽  
Acute Patient ◽  
Payment Models

Traditional overnight rehabilitation payment models in the private sector are not based on a rigorous classification system and vary greatly between contracts with no consideration of patient complexity. The payment rates are not based on relative cost and the length-of-stay (LOS) point at which a reduced rate applies (step downs) varies markedly. The rehabilitation Australian National Sub-Acute and Non-Acute Patient (AN-SNAP) model (RAM), which has been in place for over 2 years in some private hospitals, bases payment on a rigorous classification system, relative cost and industry LOS. RAM is in the process of being rolled out more widely. This paper compares and contrasts RAM with traditional overnight rehabilitation payment models. It considers the advantages of RAM for hospitals and Australian Health Service Alliance. It also considers payment model changes in the context of maintaining industry consistency with Electronic Claims Lodgement and Information Processing System Environment (ECLIPSE) and health reform generally. What is known about this topic? The Australian Health Service Alliance is unaware of any recent studies comparing and contrasting current Australian private sector rehabilitation models with AN-SNAP-based models. What does this paper add? This paper outlines the advantages of an AN-SNAP payment model with regard to paying for services in relation to relative cost and avoiding perverse incentives in relation to rehabilitation patient admission and LOS. What are the implications for practitioners? Basing private sector rehabilitation payment models on AN-SNAP can address deficiencies of traditional payment models.

scholarly journals Length of stay benchmarking in the Australian private hospital sector

2007 ◽  
Vol 31 (1) ◽  
pp. 150 ◽  
Author(s):  
Brian W T Hanning
Keyword(s):  
Length Of Stay ◽  
Private Sector ◽  
Significant Variation ◽  
Private Hospital ◽  
Diagnosis Related Groups ◽  
Efficiency Analysis ◽  
Hospital Efficiency ◽  
Steady Increase ◽  
Private Hospitals ◽  
Australian Institute

Length of stay (LOS) benchmarking is a means of comparing hospital efficiency. Analysis of private cases in private facilities using Australian Institute of Health and Welfare (AIHW) data shows interstate variation in same-day (SD) cases and overnight average LOS (ONALOS) on an Australian Refined Diagnosis Related Groups version 4 (ARDRGv4) standardised basis. ARDRGv4 standardised analysis from 1998?99 to 2003?04 shows a steady increase in private sector SD cases (~1.4% per annum) and a decrease in ONALOS (~4.3% per annum). Overall, the data show significant variation in LOS parameters between private hospitals.

scholarly journals Penyuluhan Hukum tentang Tindak Pidana Korupsi kepada Badan Koordinator Organisasi Wanita Provinsi Kepulauan Riau

2021 ◽  
Vol 4 (2) ◽  
pp. 145
Author(s):  
Heni Widiyani ◽  
Ayu Efritadewi ◽  
Elfa Oprasmani ◽  
Marisa Elsera ◽  
Muhammad Jova Febrianto
Keyword(s):  
Private Sector ◽  
Best Practice ◽  
Women's Organizations ◽  
Service Needs ◽  
Good Communication ◽  
Case Surgery ◽  
The Government ◽  
The Many ◽  
Women’S Organizations

AbstrakSaat ini banyak sekali terjadi kasus korupsi di pemerintahan maupun sektor swasta dilakukan oleh para lelaki yang sudah memiliki istri dan anak.Dengan adanya penyuluhan ini, diharapkan wanita khususnya anggota BKOW bisa menjadi pelopor dirumah tangga untuk membentuk keluarga anti korupsi baik kepada anak dan suami. Kegiatan pengabdian ini dilakukan dengan 4 metode yakni: ceramah, dialog, bedah kasus, dan best practice. Hasil dari kegiatan ini, peserta menjadi antusias, yang terlihat dari banyaknya pertanyan yang diajukan serta terbentuknya komunikasi yang baik. Pengabdian ini perlu dilanjutkan kembali, di organisasi-organisasi wanita lainnya agar penyampaian ini  mencakup banyak wanita aktif di kepulauan Riau.Kata Kunci: Penyuluhan Hukum, Korupsi, Organisasi Wanita.AbstractNowadays there are many cases of corruption in the government and private sector carried out by men who already have wives and children. With this counseling, it is hoped that women, especially BKOW members, can be pioneers in the household to form an anti-corruption family for both children and husbands. This devotional activity is carried out with 4 methods namely: lectures, dialogue, case surgery, and best practice. As a result of this activity, participants became enthusiastic, which was evident from the many questions raised as well as the formation of good communication. This service needs to be resumed, in other women's organizations in order for this delivery to include many active women in Riau islands.Keywords: Legal Counseling, Corruption, Women's Organizations.

The Colombian Private Sector in Colombia’s Transition to Peace

2019 ◽  
pp. 255-278
Author(s):  
Angelika Rettberg
Keyword(s):  
Civil War ◽  
Private Sector ◽  
Armed Conflict ◽  
Contextual Factors ◽  
Business Strategies ◽  
Profit Motive ◽  
Civil Action ◽  
The Many ◽  
Over Time ◽  
Armed Actors

During the Colombian civil war, businesses undertook both civil and uncivil actions, but the civil action of a “pro-peace coalition” was among the many factors moving the conflict toward its (uneasy) settlement in 2016. This chapter documents the civil action efforts of a pro-peace coalition, explores how support for these efforts changed over time—particularly in the last two attempts to negotiate peace, in Caguán (1998–2002) and in Havana, Cuba (2012–2016), and focuses on the motivations behind them. Contrary to simplistic analyses, it demonstrates that the profit motive alone cannot explain business strategies in contexts of conflict and peacebuilding. Contextual factors, the type of organization, and access to politics are important in understanding how business factions respond to armed conflict, including those participating in civil action within the “pro-peace coalition” and those aligning themselves with armed actors. The explanation of Colombian business strategies to address armed conflict holds lessons for understanding business-led civil action in other countries.

scholarly journals Mortality and length of stay in a veterans affairs hospital and private sector hospitals serving a common market

2003 ◽  
Vol 18 (8) ◽  
pp. 601-608 ◽  
Author(s):  
Gary E. Rosenthal ◽  
Mary Vaughan Sarrazin ◽  
Dwain L. Harper ◽  
Susan M. Fuehrer
Keyword(s):  
Length Of Stay ◽  
Private Sector ◽  
Veterans Affairs ◽  
Common Market

scholarly journals Alive but not well: the limited validity but continued utility of the concept of schizophrenia

2017 ◽  
Vol 48 (2) ◽  
pp. 245-246 ◽  
Author(s):  
Anthony W. Zoghbi ◽  
Jeffrey A. Lieberman
Keyword(s):  
Classification System ◽  
Clinical Care ◽  
Diagnostic Category ◽  
Status Quo ◽  
Biological Research ◽  
Negative Effects ◽  
New Classification ◽  
The Status ◽  
Poor Outcomes ◽  
The Many

AbstractGuloksuz & van Os boldly challenge the status quo as pertains to schizophrenia. In ‘The Slow Death of the Concept of Schizophrenia, and the Painful Birth of the Psychosis Spectrum’ (Guloksuz & van Os, 2017) they thoughtfully review long-standing concerns about this diagnostic category and present a new conceptualization. The authors question the validity of the schizophrenia concept citing variable clinical outcomes, transdiagnostic manifestations of psychosis, and the difficulty in identifying biomarkers, among other concerns. They also point toward the over-representation of schizophrenia in the psychosis literature and lament that patients and clinicians have come to associate this illness with predominantly poor outcomes. Finally, they propose removing the diagnosis of schizophrenia from the diagnostic nomenclature and instituting a broad new classification system, ‘psychosis spectrum disorder’ (PSD), to capture the many manifestations of psychosis. In this commentary, we advise against the institution of a psychosis spectrum due to the potential negative effects this framework would have on clinical care and progress in biological research.

scholarly journals Types of Conflicts in Doctors in Private and Public Sector Hospitals

2016 ◽  
Vol 22 (2) ◽  
Author(s):  
Shazia Khalid ◽  
Iram Fatima ◽  
Waheeda Khan
Keyword(s):  
Public Sector ◽  
Private Sector ◽  
Organizational Conflict ◽  
Private Hospitals ◽  
Private And Public ◽  
Conflict Types

Objective:  The present research was conducted to assess whether doctors of private and public sector hospitals would differ in organizational conflict types after controlling gender.Material and Method:  The sample comprised of 178 doctors employed in private and public sector hospitals among which 84 were from private hospitals and 94 were from public sector hospitals. Rahim Organizational Conflict Inventory – III was used to assess the types of conflicts.Results:  Results revealed that the doctors from private sector hospital experienced all types of conflicts more than doctors from public sector hospitals, after controlling for the gender. Further substantive conflict was experienced more than other types of conflicts in both settings.Conclusion:  Although, type of sector plays a major role in determining level of conflicts in doctors, yet task related conflicts named as substantive conflicts are dominant in both types of settings whether private or public.

scholarly journals Investigating Perceptions of Patients on Healthcare Pricing Within The Private Healthcare Sector In Sri Lanka

2021 ◽  
Vol 16 (3) ◽  
pp. 235-242
Author(s):  
Kanchana Sajeeva Narangoda ◽  
Estie Kruger ◽  
Marc Tennant
Keyword(s):  
Sri Lanka ◽  
Private Sector ◽  
Healthcare Delivery ◽  
Target Population ◽  
Healthcare Services ◽  
Healthcare Sector ◽  
Sufficient Evidence ◽  
Healthcare Delivery System ◽  
Private Hospitals ◽  
Private Healthcare

Demand for private sector healthcare services in Sri Lanka is on the rise. This is very evident from the increase in the number of registered private healthcare institutions from 1990 to 2017. [1,2] With the increasing utilization of private sector healthcare services, various qualitative factors,  and service-related issues associated with the healthcare delivery system have become common debates. A major concern, patients have expressed, is about the fees charged by doctors and hospitals. Principle aim of this study was to investigate the perceptions of patients on healthcare pricing within the private healthcare sector in Sri Lanka. The target population of the study was defined as Sri Lankans who have been inpatients in private hospitals within the past year. The focus districts were Colombo, Kandy, and Galle. These 3 districts represented nearly 60% of the total private sector bed capacity. From each district, three main private hospitals were selected. Over 700 patients were invited to participate, 246 surveys were completed, and 215 were retained as 31 had excessive missing and/or unclear data. In all 3 districts the majority of patients were either dissatisfied with or remained neutral (69%) on the hospital fees,(66%) on doctor’s fees,(74%) on the overall price they ended up paying,(76%)  on whether they think the healthcare services they received are value for money. This study did not investigate the reasons or the factors that may affect the satisfaction or dissatisfaction of patients towards the fees they paid Multiple factors can affect patient’s perception on the fees they paid. With negative perception on the above it can be concluded that there is sufficient evidence to challenge private sector healthcare satisfaction level vs price/fees equilibrium in Sri Lanka.

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