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Health Care Financing :

Health Care Financing (OR) HOSPITAL FINANCE BY Muhammad Shoaib

Overview :

focus on health financing Definitions for health care financing Different mechanisms of financing Community based financing. How to reduce hospital finance. Conclusion. Overview

Focus on health financing Brief history :

Late 1970s Voluntary community based health insurance attracted considerable attention 1980’s financing of health care moved high on the agenda of the discussions on health policy In developing countries the problem is containing the cost of health care. In developed countries the problem presents itself as how to maintain health spending and how to achieve “health for all” initiative. Focus on health financing Brief history

Definition of health care financing :

Definition of health care financing mobilization of funds for health care allocation of funds to the regions and population groups and for specific types of health care mechanisms for paying health care (Hsaio, W and Liu, Y, 2001) Definition of health care financing

Health service financing source:

Health services financed broadly through : (1)Public expenditure includes all expenditure on health services by central and local government funds spent by state owned as well as government and social insurance contributions (2)Voluntary payments by individuals or employers are private expenditure. (3)External sources refer to the external aid which comes through international non governmental organizations(NGOs). Example: Hango District Hospital. Health service financing source

PowerPoint Presentation:

57.9 4.0 13,653 Singapore 22.0 5.0 1558 Thailand 35.0 2.0 596 Indonesia 48.6 18 473 Sri Lanka 52.9 (3 rd ) 12 (top) 354 (5 th ) Pakistan 21.7 6.0 353 India 60.0 3.5 311 China 43.8 3.2 204 Bangladesh 48.9 4.5 188 Nepal Public Expenditure as % of total Expenditure as % of GDP GDP per capita 1990 (US$) Country Annual Health Care Expenditure for Selected Asian Countries data

Mechanisms of Health Financing :

private insurance premiums, community financing, direct out of pocket payments. Each method distributes the financial burdens and benefits differently each method affects who will have access to health care financial protection Mechanisms of Health Financing

(1)Private insurance:

private contract offered by an insurer to exchange a set of benefits for a payment of a specified premium. marketed either by nonprofit or for profit insurance companies. consumers voluntarily choose to purchase an insurance package that best matches their preference. Under group insurance, the premium is calculated on a group basis. risk is pooled on all group members. (1)Private insurance

(2)Community based financing :

Refers to schemes are based on three principles: (1)community cooperation, (2) local self reliance, (3) pre payment. Factors for success of community financing: Technical strength and institutional capacity of the local group Support received from outside organizations and individuals Links with other local organizations Diversity of funding . Ability to adapt to a changing environment . (2)Community based financing

(3)Direct out of pocket :

made by patients to private providers at the time a service is rendered user fees refer to fees the patients have to pay to public hospitals, clinics, and health providers. proponents of user fees believe that the fee can increase revenue to improve the quality of public health services and expand coverage. (3)Direct out of pocket

Health Financing in world Characteristics :

In a global ranking of the shares of total public expenditure earmarked for health only 12 countries in the world had lower proportions spent on health. The out of pocket private spending dominates with 82 percent spending of all health spending from private sources. This is one of the highest in the world. Globally only five countries have a higher dependence on private financing in the health sector. Health Financing in world Characteristics

7 STEPS TO REDUCE HOSPIAL FINANCE:

1. Automate scheduling :  Pharmacy staff scheduling is often an inefficient process due to the complex nature of the environment. Pharmacy managers do not have the luxury of waiting until workloads slow down to attend to schedule changes. Because the pharmacy is such a critical area of the hospital and directly involved in patient care.  7 STEPS TO REDUCE HOSPIAL FINANCE

2. Convert from paper to digital:

.  Paper-based documentation lend to higher costs — for storage, printing and documentation management — and are prone to more errors. Thus, anywhere the pharmacy can convert paper to digital formats is a winning choice from a budget perspective. When information is maintained in digital format, the trends of this process are eliminated and data is retrieved via the touch of a button.  2. Convert from paper to digital

3. Real-time medication tracking:

By providing real-time tracking of patient medications from preparation in the pharmacy to final delivery in the nursing unit, these solutions dramatically impact productivity, costs and patient satisfaction. It reduces waste of hospital fund. Real-time monitoring also eliminates waste associated with duplicate orders and obsolete inventory. 3. Real-time medication tracking

4. Standardize practices with clinical decision support technology.:

  When pharmacy managers have time to review clinical intervention practices, improvements to drug utilization can be identified and communicated through clinical decision support technology. Through advanced technology, alerts can be built into the system that guide physicians to more appropriate prescribing based on accepted best practices in ways that promote quality and cost efficiency.. 4. Standardize practices with clinical decision support technology.

5. Implement an antimicrobial stewardship program:

. Optimization of antimicrobial use is the overriding goal of any ASP. Ultimately, it's about finding the balance between effective use and overuse of antimicrobials — equating to managing proper selection, duration, dose and route of administration. 5. Implement an antimicrobial stewardship program

6.Make monitoring to identify less costly Interventions:

Patient care is dynamic in nature. Often, daily reports of patient conditions become outdated quickly. Surveillance technology provides rules-based, real-time monitoring that can alert clinicians to immediate opportunities for improved care. Changes to patient care can be made quicker, improving quality and often avoiding unnecessary duplication. 6.Make monitoring to identify less costly I nterventions

7. Spread automated systems for maintaining compliance and patient safety standards:

Managers can also consider checklist management systems that help hospitals document and report on compliance and patient safety issues throughout the facility. 7. Spread automated systems for maintaining compliance and patient safety standards

Conclusion:

Role of health economists be recognized Health financing cannot be dealt separately as it has got to do with good governance, economic growth, education Social inclusion and financial protection seems to be major factors for hospital surveillance. Thanks For Your Patience Conclusion

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