Hospital Global Budgeting
This paper is a practitioners guide to the introduction of a global budget into a hospital setting based on real World Bank projects in emerging, former soviet countries and in the UK NHS. It traces the steps from a centrally allocated, line item t...
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Online Access: | http://documents.worldbank.org/curated/en/2004/09/5619920/hospital-global-budgeting http://hdl.handle.net/10986/13645 |
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okr-10986-136452021-04-23T14:03:09Z Hospital Global Budgeting Dredge, Robert ACCOUNT ACCOUNTABILITY BUDGETING CAPITATION CLINICAL INTERVENTIONS COST CONTAINMENT COST EFFECTIVENESS COST EFFICIENCY DECENTRALIZATION DEPRECIATION DOCTORS EMPLOYMENT EXPENDITURE FEE FOR SERVICE FIXED COSTS GLOBAL BUDGETS HEALTH CARE HEALTH CARE FINANCING HEALTH CARE PROVISION HEALTH INSURANCE HEALTH NEEDS HEALTH PLANNING HEALTH POLICY HEALTH SECTOR HEALTH SERVICES HEALTH STATUS HEALTH SYSTEM HEALTH SYSTEM GOALS HEALTHCARE RESOURCES HOSPITAL SERVICES HOSPITALS HUMAN DEVELOPMENT HUMAN RESOURCES INCOME INFORMATION NEEDS INTEGRATION LAWS LESSONS LEARNED MANAGEMENT CAPACITY MANAGERS MEDICAL EQUIPMENT NURSING NURSING HOMES NUTRITION OPERATING BUDGETS OPERATING COSTS PATIENT CARE PATIENTS PERFORMANCE INCENTIVES PROBABILITY PROMOTING HEALTH PUBLIC SECTOR PUBLIC SPENDING PURCHASING QUALITY OF HEALTH CARE QUALITY OF SERVICE QUALITY STANDARDS REFORM PROCESS REFORMS RESOURCE ALLOCATION SCREENING SERVICE DELIVERY SERVICE PROVISION TRANSPARENCY UNIT COSTS This paper is a practitioners guide to the introduction of a global budget into a hospital setting based on real World Bank projects in emerging, former soviet countries and in the UK NHS. It traces the steps from a centrally allocated, line item type allocated budget to one that is set on predetermined objective and measurable factors. These are based, where possible, on the health needs of the population served by the hospital. It considers how a global budget can be established and managed to generate local ownership and commitment to its delivery. It deals with incentives for both efficiency and performance. Examples of different contracting regimes, and how they fit into a global budget framework are given. Mechanisms for the periodic revision of the budget for issues such as inflation are given. There are separate notes on how a global budget can fit into a policy regime, how to cost services, and how to arrange contract for individual services. There are also suggestions on how to fund special payments that may vary from year to year, such as capital, research and development and Training and Education. 2013-05-29T18:30:14Z 2013-05-29T18:30:14Z 2004-09 http://documents.worldbank.org/curated/en/2004/09/5619920/hospital-global-budgeting http://hdl.handle.net/10986/13645 English en_US Health, Nutrition and Population (HNP) discussion paper; CC BY 3.0 IGO http://creativecommons.org/licenses/by/3.0/igo/ World Bank World Bank, Washington, DC Publications & Research :: Working Paper Publications & Research |
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 |
ACCOUNT ACCOUNTABILITY BUDGETING CAPITATION CLINICAL INTERVENTIONS COST CONTAINMENT COST EFFECTIVENESS COST EFFICIENCY DECENTRALIZATION DEPRECIATION DOCTORS EMPLOYMENT EXPENDITURE FEE FOR SERVICE FIXED COSTS GLOBAL BUDGETS HEALTH CARE HEALTH CARE FINANCING HEALTH CARE PROVISION HEALTH INSURANCE HEALTH NEEDS HEALTH PLANNING HEALTH POLICY HEALTH SECTOR HEALTH SERVICES HEALTH STATUS HEALTH SYSTEM HEALTH SYSTEM GOALS HEALTHCARE RESOURCES HOSPITAL SERVICES HOSPITALS HUMAN DEVELOPMENT HUMAN RESOURCES INCOME INFORMATION NEEDS INTEGRATION LAWS LESSONS LEARNED MANAGEMENT CAPACITY MANAGERS MEDICAL EQUIPMENT NURSING NURSING HOMES NUTRITION OPERATING BUDGETS OPERATING COSTS PATIENT CARE PATIENTS PERFORMANCE INCENTIVES PROBABILITY PROMOTING HEALTH PUBLIC SECTOR PUBLIC SPENDING PURCHASING QUALITY OF HEALTH CARE QUALITY OF SERVICE QUALITY STANDARDS REFORM PROCESS REFORMS RESOURCE ALLOCATION SCREENING SERVICE DELIVERY SERVICE PROVISION TRANSPARENCY UNIT COSTS |
spellingShingle |
ACCOUNT ACCOUNTABILITY BUDGETING CAPITATION CLINICAL INTERVENTIONS COST CONTAINMENT COST EFFECTIVENESS COST EFFICIENCY DECENTRALIZATION DEPRECIATION DOCTORS EMPLOYMENT EXPENDITURE FEE FOR SERVICE FIXED COSTS GLOBAL BUDGETS HEALTH CARE HEALTH CARE FINANCING HEALTH CARE PROVISION HEALTH INSURANCE HEALTH NEEDS HEALTH PLANNING HEALTH POLICY HEALTH SECTOR HEALTH SERVICES HEALTH STATUS HEALTH SYSTEM HEALTH SYSTEM GOALS HEALTHCARE RESOURCES HOSPITAL SERVICES HOSPITALS HUMAN DEVELOPMENT HUMAN RESOURCES INCOME INFORMATION NEEDS INTEGRATION LAWS LESSONS LEARNED MANAGEMENT CAPACITY MANAGERS MEDICAL EQUIPMENT NURSING NURSING HOMES NUTRITION OPERATING BUDGETS OPERATING COSTS PATIENT CARE PATIENTS PERFORMANCE INCENTIVES PROBABILITY PROMOTING HEALTH PUBLIC SECTOR PUBLIC SPENDING PURCHASING QUALITY OF HEALTH CARE QUALITY OF SERVICE QUALITY STANDARDS REFORM PROCESS REFORMS RESOURCE ALLOCATION SCREENING SERVICE DELIVERY SERVICE PROVISION TRANSPARENCY UNIT COSTS Dredge, Robert Hospital Global Budgeting |
relation |
Health, Nutrition and Population (HNP)
discussion paper; |
description |
This paper is a practitioners guide to
the introduction of a global budget into a hospital setting
based on real World Bank projects in emerging, former soviet
countries and in the UK NHS. It traces the steps from a
centrally allocated, line item type allocated budget to one
that is set on predetermined objective and measurable
factors. These are based, where possible, on the health
needs of the population served by the hospital. It considers
how a global budget can be established and managed to
generate local ownership and commitment to its delivery. It
deals with incentives for both efficiency and performance.
Examples of different contracting regimes, and how they fit
into a global budget framework are given. Mechanisms for the
periodic revision of the budget for issues such as inflation
are given. There are separate notes on how a global budget
can fit into a policy regime, how to cost services, and how
to arrange contract for individual services. There are also
suggestions on how to fund special payments that may vary
from year to year, such as capital, research and development
and Training and Education. |
format |
Publications & Research :: Working Paper |
author |
Dredge, Robert |
author_facet |
Dredge, Robert |
author_sort |
Dredge, Robert |
title |
Hospital Global Budgeting |
title_short |
Hospital Global Budgeting |
title_full |
Hospital Global Budgeting |
title_fullStr |
Hospital Global Budgeting |
title_full_unstemmed |
Hospital Global Budgeting |
title_sort |
hospital global budgeting |
publisher |
World Bank, Washington, DC |
publishDate |
2013 |
url |
http://documents.worldbank.org/curated/en/2004/09/5619920/hospital-global-budgeting http://hdl.handle.net/10986/13645 |
_version_ |
1764424153271631872 |