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Health Care and Sustainability

María Heimisdottir, MD, PhD, MBA

CEO Icelandic Health Insurance

Medicare - Hospital Payment Policy

Jeffery Stensland

Principal Policy Analyst, MedPAC

ICD-11 - ICHI - DRG

Robert Jacob

WHO HQ, Geneva

Designing for Sustainability - Seeking more Value from Spending and Improving Health Outcomes

Jason Sutherland, Prof

Centre for Health Services and Policy Research (CHSPR), School of Population and Public Health, in the University of British Columbia’s Faculty of Medicine, and the Program Head of Health Services and Outcomes at the Centre for Health Evaluation and Outcome Sciences

25+ years of Casemix in Middle income countries: why is it taking so long in so many MICs?

Lorraine Hawkins

Health Foundation, WHO EURO

Technology as a door opener - working together for better patient care

Eva Wensaas

Sustainable health services and integrated care - from activity to case-mix and activity based funding

Sissel Husøy and Kristin Dahlen

Collaboration activities and digital health care – challenges for cost analysis

Ann Lisbeth Sandvik and Jostein Bandlien

DRG and the use of digital health care in the Zealand Region

Kristin Hultgren

An Ontology for ICD11 Chapter 1: Certain Infectious or Parasitic Diseases.

Jean Marie Rodrigues (France), Constant Joseph Kone (Cote d'Ivoire), Théophile Tiffet (France), Béatrice Trombert-Paviot (France)

Developing 'facility tools' to improve clinical correct coding and settlements at Aarhus University Hospital

Susanne Øllgaard (Denmark), Niklas Munksgaard Berg (Denmark)

Medical coding error: How will it affect the budgeting of the hospital?

Mohamad Helmi Mohamad Yasim (Malaysia), Amirah Azzeri (Malaysia), Muhammad Khairul Asraf Shah Nizamuddin (Malaysia), Mohd Hafiz Jaafar (Malaysia), Maznah Dahlui (Malaysia)

The disease burden of cardiac in-patient cases in 2020 according to My-DRG code at a teaching hospital

Muhammad Khairul Asraf Shah Nizamuddin (Malaysia), Amirah Azzeri (Malaysia), Mohamad Helmi Mohamad Yasim (Malaysia), Imran Zainal Abidin (Malaysia), Maznah Dahlui (Malaysia)

Using case mix adjustment to devise a fairer resource allocation formula in UK primary care.

David Shepherd (United Kingdom), Alan Thompson (United Kingdom), James Barrett (United States), Stephen Sutch (Netherlands)

Activity Based Funding Implementation Plan 2021-2023 - Progress in a COVID environment

Brian Donovan (Ireland)

New features for the French hospital Financial Incentive for Quality Improvement program (IFAQ)

Marie-Caroline Clement (France), Florent Monier (France), Clément Rallet (France), Joëlle Dubois (France), Véronique Sauvadet-Chouvy (France)

The extension of the hospital Financial Incentive for Quality Improvement program (IFAQ) to psychiatric hospitals in France.

Steve Briand (France), Marie-Caroline Clement (France), Anis Ellini (France), Robin Louvel (France), Florent Monier (France), Clément Rallet (France), Pauline Renaud (France), Véronique Sauvadet-Chouvy (France), Joëlle Dubois (France)

Casemix in aged care: creating the foundations for much-needed reform

Kathy Eagar (Australia), Rob Gordon (Australia), Conrad Kobel (Australia), Carol Loggie (Australia)

DEVELOPMENT OF ORAL HEALTH CASEMIX SYSTEM - An Innovation for Quality and Efficiency of Oral Health Care Services in Malaysia

Rosminah Mohamed (Malaysia), Syed Mohamed Aljunid Syed Junid (Malaysia)

A casemix classification for ambulance services

Deniza Mazevska (Australia), Jim Pearse (Australia), Matthew Bell (Australia), Joe Sakhaei Sakhaei (Australia), Susan Dunn (Australia), Peter Payne (Australia)

Enhancements to the Emergency Visits component of Comprehensive Ambulatory Classification System (CACS) methodology.

Koffi Kpelitse (Canada), Tina Li (Canada), Yvonne Rosehart (Canada)

Defining the Nursing Cost per Patient's Care Day Price

Sanna Kautto

Costing data for primary care

Jan Sölch, Mikael Havasi, Ralph Dahlgren

Development of the payment model

Malle Avarsoo

NordDRG - Developing grouping logic for psychiatric care

Lotta Sokka (Finland)

Another step forward in the Slovenian DRG System

Martina Zorko Kodelja (Slovenia)

Implementation of a Patient Level Costing System and Ancillary Services in the Province of Quebec

Christian Pepin (Canada), André Loiselle (Canada), Marc Hyndman (Canada), Charles Cockburn (Canada), Serge Boulard (Canada)

COVID-19 and Diagnosis Related Group In An Asian Middle-Income Country: Patient classifications and associated hospital costs

Amirah Azzeri (Malaysia), Mohamad Helmi Mohamad Yasim (Malaysia), Muhammad Khairul Asraf Shah Nizamuddin (Malaysia), Mohd Hafiz Jaafar (Malaysia), Maznah Dahlui (Malaysia), Awang Bulgiba (Malaysia), Mohmmad Salleh Yahya (Malaysia), Nazirah Hasnan (Malaysia), Nadia Samsudin (Malaysia), Sharifah Faridah Syed Omar (Malaysia)

The HIPE Review - a happy 50th Birthday for HIPE

Sinead O'Hara (Ireland), Deirdre Murphy (Ireland), Brian McCarthy (Ireland)

A framework for considering hospital payment options

Stephen Duckett (Australia), Andrew Street (United Kingdom), Chris Walters (United Kingdom)

How have COVID-19 and the Policy Objective of Access to Care Altered the Cost-Volume-Profit Relationships of U.S. Hospitals?

Dana Forgione (United States), Arpita Shroff (United States), Benedikt Quosigk (United States), Rabih Zeidan (United States)

New tariff structure for the remuneration of inpatient rehabilitation in Switzerland

Rémi Guidon (Switzerland), Johannes Kofler (Switzerland), Simon Hölzer (Switzerland)

Funding model design and casemix classification development in aged care

Conrad Kobel (Australia)

Introducing Diagnosis-Related Groups in countries with smaller populations - Path towards implementation and typical challenges

Natascha Andres (Germany), Philipp Wacker (Germany)

Case-mix classification for Dutch homecare payment: Developing an instrument to collect data on relevant predictors

Anne O.E. van den Bulck (Netherlands), Maud H. de Korte (Netherlands), Arianne M.J. Elissen (Netherlands), Silke F. Metzelthin (Netherlands), Gertjan S. Verhoeven (Netherlands), Teuntje A.T. de Witte-Breure (Netherlands), Lieuwe C. van der Weij (Netherlands), Misja C. Mikkers (Netherlands), Dirk Ruwaard (Netherlands)

Case-mix classification for Dutch homecare payment: Developing a case-mix model

Maud de Korte (Netherlands), Anne van den Bulck (Netherlands), Gertjan Verhoeven (Netherlands), Lieuwe van der Weij (Netherlands), Arianne Elissen (Netherlands), Silke Metzelthin (Netherlands), Teanne de Witte (Netherlands), Dirk Ruwaard (Netherlands), Misja Mikkers (Netherlands)

Building a new French DRG-classification for non-acute care

Nathalie Raimbaud (France), Nicolas Dapzol (France), Sophie Baron (France), Raphael Schwob (France)

Transforming healthcare - a description of how Gävleborg created new care forms through patient driven triage

Simon Nilsson (Sweden)

How telemedicine is handled in the Danish grouping logic

Katarina Bjerg-Holm (Denmark), Karen Anne Aaskilde (Denmark)

Primary care reimbursment model: Development of financial models for primary health care in IcelandTwo seperate models have been developed, based on model from Vestara Götland in Sweden. One is for the capital area and the other is adjusted for rural area in Iceland.

Arnar Þór Sveinsson

NordDRG Explorer and NordDRG Admin

Ralph Dahlgren

Building a sustainable workforce: Using clinical data to inform workforce planning

Eileen Robertson (Australia), Patrick McElduff (Australia), Jim Pearse (Australia), Susan Mitchell (Australia), Owen Cho (Australia)

Case-mix as a tool to build confidence between partners of newly formed hospital network - preliminary steps.

Peter Heirman (Belgium)

How to switch a manual record collection with an automatic calculation from medico- administrative databases for quality indicators? Example of the quality indicator " Care project, Life project " in rehabilitation care

Sophie Baron (France), Marie-Caroline Clement (France), Robin Louvel (France), Pauline Renaud (France), Joëlle Dubois (France)

An internationally verified audit methodology to identify opportunities for improvements in casemix data quality and use in the Kingdom of Saudi Arabia (KSA)

Jennifer Nobbs (United Kingdom), Manal Al Khalifah (Saudi Arabia), Amani Alobathani (Saudi Arabia), Victoria Hirst (Australia), Josh Riley (Australia)

Estimating cost of COVID-19 hospitalizations in Canada using forecasted financial information

Olga Krylova (Canada), Stephanie Bonnell (Canada), Jun Gao (Canada), Pierre Léveillé (Canada)

Impact COVID-19 on non-COVID-19 Care at University Hospital Brussels (ICON study) - preliminary results

Karen Pien (Belgium), Koen Putman (Belgium), Marie Luka De Deken (Belgium), Kurt Barbé (Belgium)

Quantifying impact of COVID-19 on hospital costs in a post-pandemic environment

Samuel Webster (Australia)

Getting to Net Zero Carbon - Implications for the Classification Community

Mary Ethna Black (United Kingdom)

Development of a population-based classification system for assessing morbidity-related health care needs in Germany

Karen Kinder (Germany), Wilm Dr Quentin (Germany), Maria Klemt (Germany), Chrissa Tsatsaronis (Germany), Benedikt Langenberger (Germany), Reinhard Busse (Germany)

Understanding Population Health Segmentation and Stratification through the use of Patient Need Groups (PNGs)

Mandy Kearney (United States), Klaus Lemke (United States), James Barrett (United Kingdom), Stephen Sutch (United States)

Optimising severity determination in the french DRGs with the exclusions mechanism

Raphael Simon (France), Alexandra Delannoy (France), Nicolas Dapzol (France), Vincent Pisetta (France), Raphael Schwob (France)

Title How to improve severity determination in the French DRGs ?

Nicolas Dapzol (France), Vincent Pisetta (France), Raphael Schwob (France), Alexandra Delannoy (France), Raphael Simon (France)

Three different outlier calculation methods, their impact on DRG homogeneity and hospital funding

Kristine Putnina (Latvia)

International Classification of Health Interventions in relation to Swedish Classifications of Health Care Interventions (KVÅ).

Ann-Helen Almborg (Sweden)

Assessment of disease burden based on realtime national registers on hospital discharges and contacts with primary health care

Sigridur Haraldsdottir

Education of health care professions: The National University Hospital of Iceland: Strategy planning and implementation of DRG and integration with the study program of Health Information Management at the University of Iceland, School of Health Sciences.

Klara K. Fridriksdottir and Gunnvor S. Karlsdottir

Identifying Peer Long-term Care homes using RUG-III: a data driven tool

Rachel Zhang (Canada), Luke Turcotte (Canada)

Predictive Models of the Risk of Hospital Admission and Future Healthcare expenditures: The benefits of recalibration

Stephen Sutch (Netherlands), Klaus Lemke (United States), James Barrett (United States)

The disease burden of ENT in-patient cases in 2020 according to My-DRG code at a teaching hospital

Muhammad Khairul Asraf Shah Nizamuddin (Malaysia), Amirah Azzeri (Malaysia), Mohamad Helmi Mohamad Yasim (Malaysia), Salawati Sidek (Malaysia), Tengku Ahmad Shahrizal Tengku Omar (Malaysia), Maznah Dahlui (Malaysia)

Shaping a value-based healthcare system for Luxembourg based on data

Francois Muller (Luxembourg)

The Evolution of Classifying and Grouping COVID-19 In the US and its Impact on Quality Health Data

Kathy Giannangelo (United States)

COVID-19 Ensuring accuracy of coded data

Helen Nolan (Ireland)

Improving cost and activity data quality in acute hospitals in Ireland

Mark O'Connor (Ireland)

Improving the quality and reliability of Hospital Acquired Complications (HACs) coded data. A sustainable clinical governance approach to reducing HACs for clinicians and clinical coders.

Nicole Payne (Australia), Jennifer Nobbs (United Kingdom)

A Platform for DRG development with seamless integration of medical decision trees and cost calculation

Lukas Nick (Switzerland), Urs Gerber (Switzerland), Simon Hölzer (Switzerland)

REFINING ADMITTED AND ACUTE CARE CLASSIFICATIONS IN AUSTRALIA: NOW AND INTO THE FUTURE

Anne Elsworthy (Australia)

Saudi Billing System: designing a standardized health insurance billing system in Saudi Arabia based on ICD-10 AM/ACHI classification

Husein Reka (Saudi Arabia), Abdullah Almaghrabi (Saudi Arabia), Susan Young (Saudi Arabia), Shabab Alghamdi (Saudi Arabia)

An integrated model for adopting AR-DRG's for publicly funded activity-based health insurance systems.

Winston Piddington (Australia), Christian Theodor Ulrich (Denmark)

Using New Technology to Effectively Capture Residential Aged Care Costs

Patrick Power (Australia)

Abstract: A review of the initial years of the national tariff structure TARPSY

Samuel Noll (Switzerland), Rémi Guidon (Switzerland), Sarah Haag (Switzerland)

Patient Costing Nursing Allocation Methodologies and its Impact on Patient Cost

Shaileja Rajagopal (Canada), Pierre Léveillé (Canada)

Understanding the Risk of Poor Coordination of Care in a UK Population

Alan Thompson (United Kingdom), Stephen Sutch (United States), Paul Molyneux (United Kingdom)

Exploring primary health care EMR data and its impact on building population clinical profiles

Yiwen Chen (Canada), Debra Chen (Canada), Yvonne Rosehart (Canada)

A Global Approach to the Dynamic Shift in Healthcare

Felisha Bochantin (United States)

The dog bit the man, or was it the other way around? Maintaining the syntax of patient record narrative in coded reporting

Veronica Myrelid (Sweden), Sølvi B Henriksen (Norway), Katriina Pernaa Bäckman (Sweden), Bente Nessan (Norway), Anders Jacobsson (Sweden), Maria Svensson-Boreklev (Sweden), Olafr Steinum (Sweden)

Moving data collection from a “vicious” to a “virtuous” cycle – a cycle of continuous improvement

Paul O'Connor (Australia), Beth Reid (Australia), Lee Ridoutt (Australia), Ric Marshall (Australia), Bin Jalaludin (Australia), Carla Cowles (Australia), Cliona O'Donovan (Ireland)

Improving data quality by conducting systemic changes in the collection process: perspectives from the French Technical Agency for Information on Hospital Care.

Sophie Guéant (France), Etienne Joubert (France), Baptiste Pluvinage (France), Joëlle Dubois (France)

Disease and economics burden of five ENT procedures in a teaching hospital

Maznah Dahlui (Malaysia), Amirah Azzeri (Malaysia), Mohamad Helmi Mohamad Yasim (Malaysia), Mohd Hafiz Jaafar (Malaysia), Muhammad Khairul Asraf Shah Nizamuddin (Malaysia), Tengku Ahmad Shahrizal Tengku Omar (Malaysia), Mohd Zulkiflee Abu Bakar (Malaysia)

Rapid diagnostics in gastrointestinal infections to avoid unnecessary costs for isolation

Luis Stiefenhofer (Germany), Michael Wilke (Germany)

ADMISSION AND DISCHARGE MANAGEMENT AND RELATED COST DIFFERENCES OF DEMENTIA PATIENTS IN SWISS PSYCHIATRIC HOSPITALS

Elena Bleibtreu (Switzerland), Irene Salvi (Switzerland), Alexander Geissler (Switzerland)

Using Casemix System Data in Estimating Economic Burden of Influenza Among the Elderly

Syed Mohamed Aljunid (Kuwait), Nur Syazana Mad Tahir (Malaysia), Aniza Ismail (Malaysia), Aznida Firzah Abdul Aziz (Malaysia), Azimatun Noor Aizuddin (Malaysia), Amirah Azzeri (Malaysia)

Introduction of the payment for performance model in acute hospitals in the Republic of Serbia

Mirjana Milosevic (Serbia), Marina Topalovic (Serbia), Simo Vukovic (Serbia), Biljana Trivic Ivanovic (Serbia), Drasko Lazovic (Serbia)

ClinCode - Computer-Assisted Clinical ICD-10 Coding for improving efficiency and quality in healthcare

Hercules Dalianis (Sweden), Taridzo Chomutare (Norway), Andrius Budrionis (Norway), Therese Olsen Svenning (Norway)

Challenges of the calculate a tariffs of services in the polish health care system based on the respiratory diseases

Agnieszka Glab (Poland), Anna Trybus (Poland), Anna Skowronska (Poland)

Evaluation of health services costs in the field of ophthalmology in the polish health care system

Anna Maria Albrycht (Poland), Irena Rutkiewicz (Poland), Anna Pomianowska (Poland)

Casemix Index in Saudi Arabia MOH Hospitals

Abdulrahman S Alshehri (Kingdom of Saudi Arabia), Ehab A Al-Atassi (Kingdom of Saudi Arabia), Ghada Taha Gleeson (Kingdom of Saudi Arabia)