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Anders Nordentoft

Anders Nordentoft . Economist. Presentation: Department of Planning Activity Based Budget. I. Organization Chart for Odense University Hospital. Department of economy and planning. Main activities. Strategic planning In-house planning Regional functions

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Anders Nordentoft

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  1. Anders Nordentoft Economist

  2. Presentation: Department of Planning • Activity Based Budget

  3. I

  4. Organization Chart for Odense University Hospital

  5. Department of economy and planning

  6. Main activities • Strategic planning • In-house planning • Regional functions • Calculation of prices and tariffs • Activity Based Budgets • Modelling, monitoring and planning

  7. Strategic planning • Co-operation with the University and Southern Denmark • Strategy for developing of OUH • Planning in connection with Highly Specialized Treatment • The Funen Cancer plan

  8. In-house planning • Surgery organization • Sterile production • Emergency ward for non-surgical patients • Intensive care capacity • etc.

  9. Highly Specialized Treatment • National Board of Health • Counselling groups • Agreements between university hospitals

  10. II Activity Based Budget • By 1.1.07 a minimum of 20 % of exp. budgets must depend on activity constrains. • Developing regional models to be approved by the Ministry of Health • Model of Region of Southern Denmark developed in cooperation between regional administration and regional hospitals

  11. Activity Based Budget • An ”(economic) model to control the economy” • Each hospital has a budget frame with a specific activity (baseline) • The model should give incentives to more out-patient treatment, prevent patients from being treated abroad, in other regions or at private hospitals

  12. Activity • Based on the danish DRG-system • App. 600 drg-groups on in-patients • App. 125 dags-groups on out-patients

  13. Baseline • More or less equal to last year activity • Though adjusted in a number of cases • Plus an additional 3 % in a demand for higher productivity • OUH divides the baseline at department level

  14. The Model: Percentages • Out-patients 55% of DRG-price • In-patients • Emergency/acute 14% • Medical treatment 14% • Surgical treatment, non-acute 55% • Specific patients 70-100%

  15. Reimbursement • Materials • Pacemakers (ICD) etc. • Medicine • List of expensive drugs inadequately covered by DAGS-price with an increase in usage • The region reimburses full rise in costs

  16. Allocating revenues • Incentives to be placed in clinical departments • Allocating revenues from rising activity • Developed a DRG-specific basis for distributing

  17. Strategic planning • Shortening waiting lists • Regional redistribution of treatments • Developing treatments otherwise undertaken by hospitals in Århus or Copenhagen • New treatment & early warnings

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