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Health System Funding Reform

Health System Funding Reform. 2014-15 Funding Release – HNHB “ Dramatically improving the patient experience through Quality, Integration and Value” Audit Committee Meeting October 29, 2014. Outline. HSFR Roll-Out Plan for Hospitals HSFR Overview 2014-15 HSFR Summary

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Health System Funding Reform

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  1. Health System Funding Reform 2014-15 Funding Release – HNHB “Dramatically improving the patient experience through Quality, Integration and Value” Audit Committee Meeting October 29, 2014

  2. Outline • HSFR Roll-Out Plan for Hospitals • HSFR Overview • 2014-15 HSFR Summary • Pre-Mitigation Funding Calculation • The Health Based Allocation Model (HBAM) • The Quality Based Procedure • Mitigation Funding Calculation • Impact Analysis Workbook Review • Funding Impact Analysis • Support Resources • Q&A Session

  3. Releasing HSFR Funding Information

  4. Change is Necessary

  5. Health System Funding Reform

  6. Health System Funding Reform

  7. HSFR Implementation

  8. Quality Based Procedures

  9. 2014-15 HSFR Summary

  10. 2014-15 HSFR Summary

  11. 2014-15 QBP Methodology Updates

  12. 2014-15 QBP Approach

  13. Other Methodology Updates

  14. What is HBAM? • HBAM is an evidenced-based, health-based funding formula. • HBAM estimates future expense levels based upon past service levels and unit costs, as well as population and health information. • Population information includes: • Age, Gender, Growth Projections, Socio-Economic Status (SES), Rural Geography • Health information includes indirect measures and health status • Care-type specific diagnostics and procedural information

  15. HBAM Overview

  16. HBAM – Expected Results

  17. QBP Funding Calculation & Allocation

  18. 2014-15 Mitigation Funding

  19. HNHB Results – 2014-15 - Hospitals

  20. HNHB Results – 2014-15 - CCAC • Mitigation Remains in CCAC Sector: -1% to +3% • HBAM represents approximately 30% of total funding allocation

  21. Small Hospitals • Fewer than 2,700 acute inpatient and/or day surgery weighted cases in any two of the prior three years of the most recent data • Two Hospitals in HNHB • Haldimand War Memorial Hospital • West Haldimand General Hospital • Continue to receive funding on Global basis (no HBAM or QBP)

  22. Thank you

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