Final Action Plan for the Implementation of DRGs-Based Payments
Bulgaria under the guidance of the Minister of Health is undertaking a major reform of its health system. One input to the reform is a joint study with the World Bank on health financing in Bulgaria (The World Bank Diagnostic Report). The report ev...
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| Format: | Report |
| Language: | English en_US |
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Washington, DC
2015
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| Online Access: | http://documents.worldbank.org/curated/en/2015/11/25465748/final-action-plan-implementation-drgs-based-payments http://hdl.handle.net/10986/23247 |
| id |
okr-10986-23247 |
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| recordtype |
oai_dc |
| repository_type |
Digital Repository |
| institution_category |
Foreign Institution |
| institution |
Digital Repositories |
| building |
World Bank Open Knowledge Repository |
| collection |
World Bank |
| language |
English en_US |
| topic |
WASTE RISKS DATA PROCESSING SUPERVISION EQUIPMENT WORKSTATIONS INFORMATION TECHNOLOGY MATERIALS INFORMATION SYSTEM INTERFACES LAWS SECURE AUTHENTICATION MORBIDITY PAYMENT SYSTEM ELECTRONIC SIGNATURE INFORMATION MONITORING HEALTH CARE SOFTWARE SOLUTIONS IMAGE PATIENT EDUCATION CONSULTANTS HEALTH IMPLEMENTATION PLANS TRANSMISSION CAPACITY BUILDING IMPLEMENTATION PLAN PRICE VERIFICATION WEB INTERFACE PILOT PROJECT HYPERTENSION INFORMATION SYSTEMS SOFTWARE PROGRAM PUBLIC HEALTH DAY CARE HOSPITALIZATION HARDWARE KNOWLEDGE TRANSLATION BEHAVIOR INSTITUTIONS DATA LIMITATIONS HUMAN RESOURCE LINK DATA TECHNICAL ASSISTANCE LOCAL AREA NETWORK COMPUTERS SOFTWARE PRODUCT COST CONTROL PATIENTS PATIENT LICENSE AGREEMENT INTERVENTION FUNCTIONALITIES ECONOMIC COOPERATION BUDGET ALLOCATION AGGRESSIVE LICENSE TECHNICAL EXPERTS TRAINING MATERIALS NURSES MIGRATION HEALTH MANAGEMENT MARKETING FINANCIAL BENEFIT STORE MANAGEMENT CONNECTIVITY CONSULTANT WEB STANDARDIZATION ACTION PLAN DATA ANALYSIS HELP DESK CAPITAL INVESTMENTS DATABASES MENTAL HEALTH SOFTWARE UPGRADES MORTALITY SOFTWARE MODULES CAPABILITIES MEDICAL TREATMENT IMPLEMENTATION STRATEGY INPUT DATA TECHNOLOGY SYSTEM DEVELOPMENT MONITORING MECHANISMS PILOT TESTING TRAINING COURSES FRAUD SURGERY PROGNOSIS TIME FRAME SOFTWARE RESULTS PCS ENCRYPTION DATA ELEMENT MEDICAL SPECIALISTS CAPACITY-BUILDING DATA ELEMENTS DIGITAL SIGNATURE HEALTH OUTCOMES MEDICAL DEVICES TECHNICAL EXPERTISE EXCHANGE OF DATA PROTOCOLS STRESS XML SOFTWARE” MODULE ELECTRONIC FORM INSTITUTIONAL CAPACITY NUTRITION ELECTRONIC TOOLS ELECTRONIC DATA IMAGES INSURANCE SYSTEM PILOT PROJECTS E-LEARNING INTERNET ADMINISTRATION WEB PORTALS RESULT OUTPATIENT CARE WEIGHT PHYSICIANS ICT TECHNICAL STAFF SECURITY NETWORK BUSINESS IT INFRASTRUCTURES ID HUMAN RESOURCES ONLINE REGISTRATION TECHNICAL EXPERT SECURE DATA SERVERS PERFORMANCE TECHNICAL KNOWLEDGE TECHNICAL ASSISTANCE PROJECT IMPLEMENTATION PROCESS CERTIFICATES INSTITUTION SYSTEMS SOFTWARE FUNCTIONALITY PROTOCOL FINANCIAL SUPPORT COMMUNICATION FINANCIAL RISK BUSINESS MODEL STRATEGY PERSONAL COMPUTERS REGISTRATION INTERFACE MEDICINES ELECTRONIC FORMAT DATABASE PROFITS HOSPITALS HEALTH INTERVENTIONS PAYMENT SYSTEMS WEB PAGE MOBILE DEVICES WEB SITE AUTHENTICATION IMPLEMENTATION TARGET WEB SERVICE PRICES USES SOFTWARE SYSTEMS SERVER DATA ANALYSES IT INFRASTRUCTURE NURSING |
| spellingShingle |
WASTE RISKS DATA PROCESSING SUPERVISION EQUIPMENT WORKSTATIONS INFORMATION TECHNOLOGY MATERIALS INFORMATION SYSTEM INTERFACES LAWS SECURE AUTHENTICATION MORBIDITY PAYMENT SYSTEM ELECTRONIC SIGNATURE INFORMATION MONITORING HEALTH CARE SOFTWARE SOLUTIONS IMAGE PATIENT EDUCATION CONSULTANTS HEALTH IMPLEMENTATION PLANS TRANSMISSION CAPACITY BUILDING IMPLEMENTATION PLAN PRICE VERIFICATION WEB INTERFACE PILOT PROJECT HYPERTENSION INFORMATION SYSTEMS SOFTWARE PROGRAM PUBLIC HEALTH DAY CARE HOSPITALIZATION HARDWARE KNOWLEDGE TRANSLATION BEHAVIOR INSTITUTIONS DATA LIMITATIONS HUMAN RESOURCE LINK DATA TECHNICAL ASSISTANCE LOCAL AREA NETWORK COMPUTERS SOFTWARE PRODUCT COST CONTROL PATIENTS PATIENT LICENSE AGREEMENT INTERVENTION FUNCTIONALITIES ECONOMIC COOPERATION BUDGET ALLOCATION AGGRESSIVE LICENSE TECHNICAL EXPERTS TRAINING MATERIALS NURSES MIGRATION HEALTH MANAGEMENT MARKETING FINANCIAL BENEFIT STORE MANAGEMENT CONNECTIVITY CONSULTANT WEB STANDARDIZATION ACTION PLAN DATA ANALYSIS HELP DESK CAPITAL INVESTMENTS DATABASES MENTAL HEALTH SOFTWARE UPGRADES MORTALITY SOFTWARE MODULES CAPABILITIES MEDICAL TREATMENT IMPLEMENTATION STRATEGY INPUT DATA TECHNOLOGY SYSTEM DEVELOPMENT MONITORING MECHANISMS PILOT TESTING TRAINING COURSES FRAUD SURGERY PROGNOSIS TIME FRAME SOFTWARE RESULTS PCS ENCRYPTION DATA ELEMENT MEDICAL SPECIALISTS CAPACITY-BUILDING DATA ELEMENTS DIGITAL SIGNATURE HEALTH OUTCOMES MEDICAL DEVICES TECHNICAL EXPERTISE EXCHANGE OF DATA PROTOCOLS STRESS XML SOFTWARE” MODULE ELECTRONIC FORM INSTITUTIONAL CAPACITY NUTRITION ELECTRONIC TOOLS ELECTRONIC DATA IMAGES INSURANCE SYSTEM PILOT PROJECTS E-LEARNING INTERNET ADMINISTRATION WEB PORTALS RESULT OUTPATIENT CARE WEIGHT PHYSICIANS ICT TECHNICAL STAFF SECURITY NETWORK BUSINESS IT INFRASTRUCTURES ID HUMAN RESOURCES ONLINE REGISTRATION TECHNICAL EXPERT SECURE DATA SERVERS PERFORMANCE TECHNICAL KNOWLEDGE TECHNICAL ASSISTANCE PROJECT IMPLEMENTATION PROCESS CERTIFICATES INSTITUTION SYSTEMS SOFTWARE FUNCTIONALITY PROTOCOL FINANCIAL SUPPORT COMMUNICATION FINANCIAL RISK BUSINESS MODEL STRATEGY PERSONAL COMPUTERS REGISTRATION INTERFACE MEDICINES ELECTRONIC FORMAT DATABASE PROFITS HOSPITALS HEALTH INTERVENTIONS PAYMENT SYSTEMS WEB PAGE MOBILE DEVICES WEB SITE AUTHENTICATION IMPLEMENTATION TARGET WEB SERVICE PRICES USES SOFTWARE SYSTEMS SERVER DATA ANALYSES IT INFRASTRUCTURE NURSING World Bank Final Action Plan for the Implementation of DRGs-Based Payments |
| geographic_facet |
Europe and Central Asia Bulgaria |
| description |
Bulgaria under the guidance of the
Minister of Health is undertaking a major reform of its
health system. One input to the reform is a joint study with
the World Bank on health financing in Bulgaria (The World
Bank Diagnostic Report). The report evaluates the strengths
and weaknesses of Bulgaria’s health financing system in
terms of the three health financing functions of revenue
raising, risk pooling, and purchasing of services. It
assesses each of these financing functions in terms of the
health financing goals of improving health outcomes,
financial protection, and consumer responsiveness in an
efficient, equitable, and sustainable manner. The assessment
of the health financing system documented significant
strengths in the system, but also major challenges in terms
of the purchasing function and current hospital payment
practices. These challenges included unsustainable growth in
hospital spending; lack of incentives for efficiency,
quality, or cost control, and strong incentives for
hospitalization over treatment in less expensive outpatient
settings. Fundamental problems with the current hospital
payment system using Clinical Care Pathways (CCPs) were
highlighted. The purpose of this report is to provide
information to Bulgarian decision-makers on how Bulgaria can
move towards implementing a DRG-based hospital budgeting and
payment system. The report was prepared by a team of
Bulgarian and international DRG experts who have been
involved in the country’s DRG assessment and planning since
its inception. The report is intended for a wide-ranging
audience that includes high-level policy-makers who are
weighting the benefits of implementing DRGs, technical staff
who may be tasked with implementing the Action Plan, and
other key stakeholders who may be less familiar with the use
of case-mix as a mechanism to provide payment to hospitals. |
| format |
Report |
| author |
World Bank |
| author_facet |
World Bank |
| author_sort |
World Bank |
| title |
Final Action Plan for the Implementation of DRGs-Based Payments |
| title_short |
Final Action Plan for the Implementation of DRGs-Based Payments |
| title_full |
Final Action Plan for the Implementation of DRGs-Based Payments |
| title_fullStr |
Final Action Plan for the Implementation of DRGs-Based Payments |
| title_full_unstemmed |
Final Action Plan for the Implementation of DRGs-Based Payments |
| title_sort |
final action plan for the implementation of drgs-based payments |
| publisher |
Washington, DC |
| publishDate |
2015 |
| url |
http://documents.worldbank.org/curated/en/2015/11/25465748/final-action-plan-implementation-drgs-based-payments http://hdl.handle.net/10986/23247 |
| _version_ |
1764453497122586624 |
| spelling |
okr-10986-232472021-04-23T14:04:13Z Final Action Plan for the Implementation of DRGs-Based Payments World Bank WASTE RISKS E-MAIL DATA PROCESSING SUPERVISION EQUIPMENT WORKSTATIONS INFORMATION TECHNOLOGY MATERIALS INFORMATION SYSTEM INTERFACES LAWS SECURE AUTHENTICATION MORBIDITY PAYMENT SYSTEM ELECTRONIC SIGNATURE INFORMATION MONITORING HEALTH CARE SOFTWARE SOLUTIONS IMAGE PATIENT EDUCATION CONSULTANTS HEALTH IMPLEMENTATION PLANS TRANSMISSION CAPACITY BUILDING IMPLEMENTATION PLAN PRICE VERIFICATION WEB INTERFACE PILOT PROJECT HYPERTENSION INFORMATION SYSTEMS SOFTWARE PROGRAM PUBLIC HEALTH DAY CARE HOSPITALIZATION HARDWARE KNOWLEDGE TRANSLATION BEHAVIOR INSTITUTIONS DATA LIMITATIONS HUMAN RESOURCE LINK DATA TECHNICAL ASSISTANCE LOCAL AREA NETWORK COMPUTERS SOFTWARE PRODUCT COST CONTROL PATIENTS PATIENT LICENSE AGREEMENT INTERVENTION FUNCTIONALITIES ECONOMIC COOPERATION BUDGET ALLOCATION AGGRESSIVE LICENSE TECHNICAL EXPERTS TRAINING MATERIALS NURSES MIGRATION HEALTH MANAGEMENT MARKETING FINANCIAL BENEFIT STORE MANAGEMENT CONNECTIVITY CONSULTANT WEB STANDARDIZATION ACTION PLAN DATA ANALYSIS HELP DESK CAPITAL INVESTMENTS DATABASES MENTAL HEALTH SOFTWARE UPGRADES MORTALITY SOFTWARE MODULES CAPABILITIES MEDICAL TREATMENT IMPLEMENTATION STRATEGY INPUT DATA TECHNOLOGY SYSTEM DEVELOPMENT MONITORING MECHANISMS PILOT TESTING TRAINING COURSES FRAUD SURGERY PROGNOSIS TIME FRAME SOFTWARE RESULTS PCS ENCRYPTION DATA ELEMENT MEDICAL SPECIALISTS CAPACITY-BUILDING DATA ELEMENTS DIGITAL SIGNATURE HEALTH OUTCOMES MEDICAL DEVICES TECHNICAL EXPERTISE EXCHANGE OF DATA PROTOCOLS STRESS XML SOFTWARE” MODULE ELECTRONIC FORM INSTITUTIONAL CAPACITY NUTRITION ELECTRONIC TOOLS ELECTRONIC DATA IMAGES INSURANCE SYSTEM PILOT PROJECTS E-LEARNING INTERNET ADMINISTRATION WEB PORTALS RESULT OUTPATIENT CARE WEIGHT PHYSICIANS ICT TECHNICAL STAFF SECURITY NETWORK BUSINESS IT INFRASTRUCTURES ID HUMAN RESOURCES ONLINE REGISTRATION TECHNICAL EXPERT SECURE DATA SERVERS PERFORMANCE TECHNICAL KNOWLEDGE TECHNICAL ASSISTANCE PROJECT IMPLEMENTATION PROCESS CERTIFICATES INSTITUTION SYSTEMS SOFTWARE FUNCTIONALITY PROTOCOL FINANCIAL SUPPORT COMMUNICATION FINANCIAL RISK BUSINESS MODEL STRATEGY PERSONAL COMPUTERS REGISTRATION INTERFACE MEDICINES ELECTRONIC FORMAT DATABASE PROFITS HOSPITALS HEALTH INTERVENTIONS PAYMENT SYSTEMS WEB PAGE MOBILE DEVICES WEB SITE AUTHENTICATION IMPLEMENTATION TARGET WEB SERVICE PRICES USES SOFTWARE SYSTEMS SERVER DATA ANALYSES IT INFRASTRUCTURE NURSING Bulgaria under the guidance of the Minister of Health is undertaking a major reform of its health system. One input to the reform is a joint study with the World Bank on health financing in Bulgaria (The World Bank Diagnostic Report). The report evaluates the strengths and weaknesses of Bulgaria’s health financing system in terms of the three health financing functions of revenue raising, risk pooling, and purchasing of services. It assesses each of these financing functions in terms of the health financing goals of improving health outcomes, financial protection, and consumer responsiveness in an efficient, equitable, and sustainable manner. The assessment of the health financing system documented significant strengths in the system, but also major challenges in terms of the purchasing function and current hospital payment practices. These challenges included unsustainable growth in hospital spending; lack of incentives for efficiency, quality, or cost control, and strong incentives for hospitalization over treatment in less expensive outpatient settings. Fundamental problems with the current hospital payment system using Clinical Care Pathways (CCPs) were highlighted. The purpose of this report is to provide information to Bulgarian decision-makers on how Bulgaria can move towards implementing a DRG-based hospital budgeting and payment system. The report was prepared by a team of Bulgarian and international DRG experts who have been involved in the country’s DRG assessment and planning since its inception. The report is intended for a wide-ranging audience that includes high-level policy-makers who are weighting the benefits of implementing DRGs, technical staff who may be tasked with implementing the Action Plan, and other key stakeholders who may be less familiar with the use of case-mix as a mechanism to provide payment to hospitals. 2015-12-08T22:35:33Z 2015-12-08T22:35:33Z 2015-05 Report http://documents.worldbank.org/curated/en/2015/11/25465748/final-action-plan-implementation-drgs-based-payments http://hdl.handle.net/10986/23247 English en_US CC BY 3.0 IGO http://creativecommons.org/licenses/by/3.0/igo/ World Bank Washington, DC Economic & Sector Work Economic & Sector Work :: Other Health Study Europe and Central Asia Bulgaria |