The 'Healthcare Costs And Performance In The OECD' presentation was given by Alex Rascanu to University of Toronto class on Economics for Public Management - Expenses in June 2009. More information on the author:
http://www.rascanu.com
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www.sils-sherbrooke.com
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in the developing countries were Technology Adoption Model (TAM), Unified Theory of Acceptance and
Use of Technology (UTAUT) framework and Technology Organization Environment (TOE) framework,
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One of the biggest preoccupations of any healthcare provider is trying to eliminate the mistakes during treatment. Using Cloud computing permits to host all information in one place and make it accessible anywhere, anytime, and any channel, especially when it comes to the disease diabetes mellitus. Diabetes mellitus is a group of diseases characterized by an elevated blood glucose level (hyperglycemia) resulting from defects in insulin secretion, in insulin action, or both. It is, today, the most challenging syndrome in the world. In the latest survey, the world’s 65% of the population is suffering from either Type 1 or Type 2 diabetes mellitus. The patient’s blood glucose level is not the same 24x7 hours in most of the cases and take medication 24x7 hours is impossible. Cloud Computing is so the best solution to check in the patient’s blood glucose control and try to balance it, especially at remote areas where healthcare services aren't easily available.
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Budgeting for healthcare - Camila Vammalle, OECDOECD Governance
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Well-being Analytics for Policy Use in Italy, Michele CecchiniStatsCommunications
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photo 1.JPGphoto 2.JPGLESSON 16 Transition to Elec.docxrandymartin91030
photo 1.JPG
photo 2.JPG
LESSON 16
Transition to Electronic Health Record
LEARNING OUTCOMES
______________________________________________________________________________
In this lesson, you will do the following:
Evaluate the factors that drive an organization to adopt a strategy to create an electronic health
care record.
READINGS
The following reading assignments are for Lessons 13 through 16:
Gartee Text:
Chapter 2, pp. 27 - 41
Chapter 7, pp. 152 - 181
Chapter 8, pp. 182 - 206
ACTIVITIES / ASSESSMENTS
The following activities/assessments are for Lessons 13 through 16:
1. Read the assigned pages from the Gartee text, Unit 4 PowerPoint, and Lecture Notes.
2. Participate in the weekly discussion question.
3. Complete the written assignment.
WRITTEN ASSIGNMENTS
Research and discuss three challenges facing an organization, and review how the conversion to
a full electronic health record could address the challenges identified.
PLEASE NOTE: All graded assignments for the lessons in this unit should be grouped together
and submitted as ONE document using the Assignment Submission form accessed from your
course homepage or http://www.sjcme.edu/gps/assignments.
All activities/assignments for this unit should be as follows:
1. Should include a cover sheet for each assignment stating the following:
Course (HA 214)
Your Name
Unit and Lesson Number
Date Submitted
2. Each individual assignment number and copy of the assignment directions should be
included in the submission as the starting header of each lesson.
3. Carefully check grammar and spelling.
4. Use APA format for any research or sources that are being used or quoted.
5. Email the instructor if you have questions regarding the assignments.
http://www.sjcme.edu/gps/assignments
LESSON 16
Transition to Electronic Health Record
LECTURE NOTES
______________________________________________________________________________________
The push for the conversion from paper-based to electronic health records is clear and definite.
The mandate comes from the federal government in terms of regulatory requirements, financial
incentives, and a desire to reduce costs and improve quality. Research and experience has
indicated that a fully deployed electronic health record system will achieve these desired
outcomes. The ability to enhance the productivity of personnel is another business outcome that
health care providers will need to consider. However, there are major challenges and barriers to
achieving full implementation of interoperable electronic health records.
Costs of Care
The costs of health care in the United States are reported to be almost 17% of the gross national
product (GNP), or about $7000 per capita for every person in the country. The costs for health
care continue to rise faster than consumer inflation.
This makes the cost of h.
Fuzzy Bi-Objective Preventive Health Care Network DesignGurdal Ertek
Preventive healthcare is unlike healthcare for a cute ailments, as people are less alert to their unknown medical problems.In order to motivate public and to attain desired participation levels for preventive programs,the attractiveness of the healthcare facility is a major concern.Health economics literature indicates that attractiveness to a facility is significantly influenced by proximity of the clients to it.Hence attractiveness is generally modeled as a function of distance.However, abundant empirical evidence suggests that other qualitative factors such as perceived quality, attractions nearby, amenities, etc. also influence attractiveness. Therefore, are alistic measures hould in corporate the vagueness in the concept of attractiveness to the model.The public policymakers should also maintain the equity among various neighborhoods, which should be considered as a second objective.Finally, even though general tendency in the literature is to focus on health benefits,the cost effectiveness is still a factor that should be considered.In this paper,a fuzzy bi-objective model with budget constraints of the problem is developed.Later,by modelling the attractiveness by means of fuzzy triangular numbers and treating the budget constraint as a soft constraint, a modified (and more realistic)version of the model is introduced. Two solution methodologies, namely fuzzy goal programming and fuzzy chance constrained optimization are proposed as solutions.Both the original and the modified models are solved within the framework of a case study in Istanbul,Turkey.In the case study,the Microsoft Bing Map is utilized in order to determine more accurate distance measures among the nodes.
http://ertekprojects.com/gurdal-ertek-publications/
https://link.springer.com/article/10.1007/s10729-014-9293-z
EMR implementation: Money Maker or Bust?
Purpose:
To identify whether EHR implementation will end up costing financially more than it benefits
To identify the recipients of any costs or savings
DELSA/GOV 3rd Health meeting - Gijs VAN DER VLUGT, Camila VAMMALLE, Claudia H...OECD Governance
This presentation by Gijs VAN DER VLUGT, Camila VAMMALLE and Claudia HULBERT was made at the 3rd Joint DELSA/GOV Health Meeting, Paris 24-25 April 2014. Find out more at www.oecd.org/gov/budgeting/3rdmeetingdelsagovnetworkfiscalsustainabilityofhealthsystems2014.htm
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Healthcare Costs And Performance In The OECD
1. Healthcare COSTSand PERFORMANCE in the OECD Adapted from Presentation to Economics for Public Management – Expenses class University of Toronto, June 2009 Presented by Alex Rascanu alexandru.rascanu@utoronto.ca www.rascanu.com
2. Healthcare Expense =consumption of health goods and services +capital investment in healthcare infrastructure Good Health Determined by : a. Bio-medical, lifestyle and socio-economic factors b. Level of healthcare resources available Key driver of a population’s productivity and consequent economic growth
3. OECD aimed at international cooperation forbetter economic and social policies; 30 industrialized countries aremembers
4. AGENDA 1. Costs in OECD 2. Performance-Related Goals in OECD 3. Costs & Performance in OECD
5. PART 1: OECD Countries Healthcare Costs Expenditure on health As a percentage of GDP, 2006 (i.e. latest available year) 15.3% 11.3% 10% 8.7% 8.9% 8.4% 5.7% Health care costs across the OECD: expected to increase each year until 2050 by 2 to 4 % of GDP Data: OECD Health Data 2008 (June 2008).
6. International Comparison of Spending on Health, 1980–2006 Average spending on healthper capita ($US PPP) Total expenditures on healthas % of GDP 1990: USA was the only country that spent more than 10% of their GDP on health goods and services 2000: 4 countries were spending that much on health goods and services 2006: The number has risen to 6 countries. Data: OECD Health Data 2008 (June 2008).
7. OECD Expenditure on health Per capita ($US PPP), 2006 $6714 $4311 $3678 $2999 $2824 $2760 $591 Canada’s expense on healthcare was 20% larger than the OECD average. Data: OECD Health Data 2008 (June 2008).
8. OECD Out-of-Pocket Health Care Spendingper Capita, 2006Adjusted for Differences in the Cost of Living $1,305 Out-of-pocket citizens’ healthcare spending is another relevant consideration. Swiss citizens pay on average 50% more than the Americas and 150% more than the Canadians. Data: OECD Health Data 2008 (June 2008).
9. PART 2: OECD Countries Healthcare System Performance-Related Goals 1. Access to services - Provide healthcare insurance coverage - Ensure timely service availability 2. Cost control Easier to control spending in countries with single-payer systems or national health services 3. Efficiency Very difficult to measure efficiency, but availability of cross-national data helps. 4. Effectiveness Reduce errors in delivery, increase workforce’s technical skills, better meet the expectations of patients and consumers.
10. PART 3: Healthcare Systems Cost and Performance: Canada, Australia and USA WHO healthcare systems ranking: Canada #30, Australia #32, USA #37. Main challenges in Canada’s healthcare system: i. wait times (“This is a country in which dogs can get a hip replacement in under a week and in which humans wait two to three years” –Dr. quoted in NYT); ii. medical professionals shortage (1 less doctor per thousand people as compared to OECD average, 1.1 less nurses per thousand people as compared to OECD average)
11. Magnetic Resonance Imaging (MRI) Unitsper Million Population, 2006 In recent years there has been rapid growth in the availability of diagnostic technologies such as MRI units. The number of MRIs used in Canada has increased to 6.2 per million population, but is still lagging behind the OECD average of 10.2. Data: OECD Health Data 2008 (June 2008).
12. Life Expectancy at Birth, 2006 Years 83.5 84.2 82.3 82.7 79.2 80.4 78 78.7 77.1 75.2 Large gains in life expectancy over the past decades, due to improvements in living conditions, public health interventions and progress in medical care. In 2005, life expectancy at birth in Canada was 1 ½ year higher than the OECD average. Data: OECD Health Data 2008 (June 2008).
13. Conclusion There is some positive correlation between public healthcare costs and subsequent performance, but citizens’ health is also heavily influenced by lifestyle and socio-economic factors.
14. Thank you! Alex Rascanu alexandru.rascanu@utoronto.ca www.rascanu.com
15. Bibliography Organization for Economic Cooperation an. (2009). OECD Health Data 2008. How does Canada Compare. Retrieved June 7, 2009 from OECD website: www.oecd.org/health/healthdata Docteur, E. (June 2003). Reforming Health Systems in OECD Countries. Presentation given during OECD Breakfast Series in Partnership with NABE, Washington, DC. The Canadian Press (2008, November 13). Health-care spending to reach $5,170 per person. CTV (Toronto, ON). Retrieved on June 9, 2009 from http://www.ctv.ca/servlet/ArticleNews/story/CTVNews/20081113/healthcare_inflation_081113/20081113?hub=Canada Anderson, G. F. & Markovich, P. (November 2008). Multinational Comparisonsof Health Systems Data, 2008. Study released by the Commonwealth Fund, New York, NY. 5. Wilkie, J., & Young, A. (2009). Why health matters for economic performance. Australian Treasury Economic Roundup. 3(1). 57-72. Retrieved June 10, 2009, from http://www.treasury.gov.au/documents/1496/PDF/05_Why_health_matters.pdf
16. 6. Organization for Economic Cooperation an. (2009). OECD Factbook 2009. Health Expenditure, 220-221. 7. About OECD. (n.d). Retrieved June 9, 2009 from OECD website: http://www.oecd.org/pages/0,3417,en_36734052_36734103_1_1_1_1_1,00.html 8. Docteur, E. (January 2004). More value for money: Improving efficiency in OECD health systems. Presentation given during conference Health Systems - Approaching the Future, Berlin, Germany. Bibliography
17. Appendix: Part 1 OECD Countries Expenditure on health As a percentage of GDP, 2006 (i.e. latest available year) Data: OECD Health Data 2008 (June 2008).
18. Appendix: Part 2 Case: Waiting times for elective surgery Waiting times reported by those needing elective surgery in 2001 AUS CAN US ____________________________ Less than 1 month 51% 37% 63% 1 to less than 4 months 26 36 32 4 months or more 23 27 5 SOURCE: Blendon et al. 2002
19. Appendix: Part 3 - Personal Remarks Improving efficiency in OECD health systems Within OECD: very large cross-country variation in resources, activity and health system performance Highest spending and activity levels do not always translate into best results(e.g. health-care outcomes, waiting times, patient and consumer satisfaction, equitable access to care) Reforms Required: - Demand-side reforms - Supply-side reforms - Structural reforms
20. Personal Remarks: Concluding Thoughts on Healthcare Costs and Performance in the OECD Systems could benefit from move away from blunt cost containment instruments to more sophisticated approaches that take quality, outcomes, and value into account Increasing efficiency may require some additional, targeted investments (e.g., in information systems or management Improvements) Important to adopt an evidence-based approach – Evidence-based medicine – Evidence-based policy making