Conclusions and recommendations of the 'Root-and-branch' review of casemix leading to the modernistation of the national casemix programme in Ireland after 12 years of Casemix in Ireland, a major review

摘要

Following the recommendations in 1989 of the Commission on Health Funding that hospitalsudshould be funded based on the patients they actually treat (rather than historical budgets) andudthat D.R.G.'s should be used to determine such funding, the National Casemix Programmeudwas instituted immediately and in 1991 the financial allocations for 15 hospitals included audsmall Casemix performance related element. Over the following 12 years the programme hasudbeen expanded incrementally so that now 37 hospitals treating 95% of acute inpatient andudday-case hospital admissions now participate in the national Casemix programme. Theseudhospitals have budgets in excess of €3bn per annum. Presently, 20% of the activity relatedudfunding for these hospitals is now Casemix performance dependant. Each year the number ofudhospitals, the areas within hospitals, and the percentage that is Casemix peer groupudperformance related, grows.