HLST 3230 Lecture Notes - Lecture 10: Long-Term Care, Knee Replacement

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Lecture 10 - integrated funding models: global funding. An historical approach in which every hospital received lump-sum funding. Does not take into account complexity of patients. Does not re ect service levels and costs. Does not provide incentives for performance: patient-based funding (hbam and qbps) An evidence-based model with incentives to deliver the highest quality, most e cient care. The speci c needs of the population they serve. Enables government to equitably allocate available funding for local health services. Estimates future expenses based on past service levels and e ciency as well as population and health information. Ie. age, gender, population growth rates, diagnosis and procedures. This funding model estimates expected healthcare expenses based on demographics and clinical data. Clusters of patients with clinically related diagnosis/treatments and functional needs identi ed by an evidence-based framework as providing opportunity for: Aligning incentives to facilitate adoption of best clinical evidence-informed practices.

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