scholarly journals The strategy of casemix

1995 ◽  
Vol 18 (4) ◽  
pp. 105
Author(s):  
John Dowling

While the political debate rages over whether casemix brings economic benefitsfor Australian health care, managers are observing a pragmatic change to theirbusiness and some are using casemix to understand and manage their businessbetter. Casemix is a useful tool in this environment of increasing managementaccountability and process re-engineering.This article reviews casemix from a process innovation perspective; commentson its real use for strategic health care management; and suggests a simple matrixused by St John of God hospitals throughout Australia to implement and measureprogress towards quality casemix-managed hospitals. The management motivationfor this matrix was to promote hospital resourcing decisions supplemented bycasemix information.

2005 ◽  
Vol 10 (1_suppl) ◽  
pp. 35-48 ◽  
Author(s):  
John Lavis ◽  
Huw Davies ◽  
Andy Oxman ◽  
Jean-Louis Denis ◽  
Karen Golden-Biddle ◽  
...  

Objectives To identify ways to improve the usefulness of systematic reviews for health care managers and policy-makers that could then be evaluated prospectively. Methods We systematically reviewed studies of decision-making by health care managers and policy-makers, conducted interviews with a purposive sample of them in Canada and the United Kingdom (n=29), and reviewed the websites of research funders, producers/purveyors of research, and journals that include them among their target audiences (n=45). Results Our systematic review identified that factors such as interactions between researchers and health care policy-makers and timing/timeliness appear to increase the prospects for research use among policy-makers. Our interviews with health care managers and policy-makers suggest that they would benefit from having information that is relevant for decisions highlighted for them (e.g. contextual factors that affect a review's local applicability and information about the benefits, harms/risks and costs of interventions) and having reviews presented in a way that allows for rapid scanning for relevance and then graded entry (such as one page of take-home messages, a three-page executive summary and a 25-page report). Managers and policy-makers have mixed views about the helpfulness of recommendations. Our analysis of websites found that contextual factors were rarely highlighted, recommendations were often provided and graded entry formats were rarely used. Conclusions Researchers could help to ensure that the future flow of systematic reviews will better inform health care management and policy-making by involving health care managers and policy-makers in their production and better highlighting information that is relevant for decisions. Research funders could help to ensure that the global stock of systematic reviews will better inform health care management and policy-making by supporting and evaluating local adaptation processes such as developing and making available online more user-friendly ‘front ends’ for potentially relevant systematic reviews.


2007 ◽  
Vol 31 (1) ◽  
pp. 73
Author(s):  
Christopher A Bain ◽  
Leon K Au

This paper reports on a survey of health care managers and other stakeholders which assesses the need for a framework regarding predictive technologies in health care management. In the context of this paper, predictive technologies are defined as those that enable an insight into, or measurement of, events yet to occur. A framework could include the ability to classify the problems confronting managers, and the range of possible tools and techniques that could be used to address those problems. This could be of mutual benefit to health care managers, technologists and modellers. The survey was intended to clarify the level of interest in such a framework, and also the possible dimensions that it ought to contain. Our results indicate that there is strong support for a proposed framework, with 97% of respondents indicating that a framework would be possibly or very useful. The results also show a low level of background knowledge in relation to existing tools, techniques and technologies. The draft framework is also presented. It includes dimensions relating to problem and tool definitions, scenarios to be investigated and the findings of those investigations.


Author(s):  
Gail L. Warden

Originally presented as an endowed lecture, this paper outlines the values that have always driven health care management and how those values can be used to confront today's challenges. The challenges are discussed in a way that clearly calls for promises to build upon the values that will improve the health care environment and the obligations that health care managers have to fulfill those promises.


2020 ◽  
Vol 6 (1) ◽  
pp. 63-69
Author(s):  
Donald L. Zimmerman ◽  
Lisheng Yu ◽  
Ruoh-yi Cheng ◽  
Randy Kearns

Overview. A partnership between the undergraduate health care management program at a U.S. public research university and a Chinese university provided ongoing opportunities for U.S. faculty to teach introductory health care management courses in China. These courses have been offered every semester since Spring 2018 with course enrollment ranging from 18 to 52 students. Method. This research was based in grounded theory and aimed at creating an effective teaching strategy for Chinese students. The premises used for this task were cultural humility, ongoing personal reflection and self-critique, the active use of student feedback, and ongoing collaboration with Chinese faculty. Findings. Three pedagogical barriers were addressed as the most parsimonious and useful framework for improving teaching practice in China: (1) Differences between U.S. and Chinese health care systems made comparisons problematic. Response: A new teaching model for visualizing the core components of a health care system was successfully developed and used. (2) Differences between English and Mandarin Chinese created translation gaps. Response: Bilingual presentation materials were developed based on a scaffolding of “thick translations.” (3) There were difficulties in navigating the political landscape. Response: U.S. faculty shifted focus from locating their presentations in the political landscape of China to offering a window into the U.S. health care system from American perspective. To date, Chinese student evaluations have been extremely positive across all courses. Need for Further Research. While U.S. faculty have made significant progress in creating effective teaching strategies for Chinese students, additional research is needed to further identify and refine best practices.


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