Healthcare Data in Decision Making | Assignment

Added on - Oct 2019

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1Using healthcare data for decision makingNameCourseProfessorSchoolCityDate
21.BackgroundPer-diem refers to a hospital activity of charging rates on daily bases where the expensesincurred are all averaged over the entire hospital population.Casemix funding refers to a method of allocating funds considering number of patientstreated and also the types of patients treated(Milovic, 2012). For case mix funding to be usedthere are requirements needed:-Patients treated classified considering the disease treated and type of treatment administered.The total cost of the patients treated.For counting its required for proper administrative health data collections that are maintainedby health departments(Stiggelbout, Van der Weijden, De Wit, Frosch, Légaré, Montori,Trevena and Elwyn, 2012). For classification all patients treated are classified into differentdiagnosis related groups that shows patients those who have similar conditions and requirethe same treatment and resources.Costing includes all cash paid to be reported as a part of good hospital management for bothpatients who are admitted and those who were not admitted.One of the disadvantage of casemix funding is that one cost fund is used in order to fund eachof the Patient considering that not every individual needs the same amount for treatment eachpatient has his/her own charges requirement.Also casemix funding creates financial risks to the patients and also the providers of healthcare unlike for the case of per-diem rate where finances are properly management ensuring nomisusing of funds and every cost is taken care of through proper planning(Ryan, Gerard, andAmaya-Amaya, 2007). Since there is lenient record keeping there are no financial risks at allfor per-diem rate.
3Per-diem helps a lot in covering the staffing needs this is because the staffing needs variesfrom time to time considering the climatic condition of a place where hospitals are located.In Australian hospitals before they paid per diem only but later the national health insurancescheme was introduced and afterthe introduction the hospitals were of the completely newsettlement settings to become much more utilized (Ryan, Gerard and Amaya-Amaya, 2007).Hospitals that offered much more intricate services required extra benefits andthere somemore categories of hospitals were added including surgical, medical and advanced surgical.For patients classifications the government adopted private sector hospital classification thatwas not friendly at all and thus ruined it. Some years later the government introduced patientclassification. In additional casemix funding in Australia is expected to put all hospitalfunding above politics and payments of this funding varies from one hospital to another.Public sector casemix has been introduced also and suggests that repayments would certainlycover up the adjustable expenses of hospitals along with the fixed populace dependent areafinancing would certainly cover up all the fixed expenses.Description of difference between case mix funding and per diem funding modelThe casemix funding method highlight the kind of the mix which the patient was treatedwhen it comes the resources that depends on the parameter of interest. UTS hospital hasclassified people into various groups(Koh and Tan, 2011). On the per diem model there is afixed amount of payment which is offered to the patient per day while in hospital, regardlessof the charges which they incur in the hospital.Statement of aim of analysisThe aims of this analysis was to highlights the difference between the casemix funding andfixed per diem funding. The focus has been on the pros and cons of these methods.
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