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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Main Author:	Dredge, Robert
Format:	Working Paper
Language:	English en_US
Published:	World Bank, Washington, DC 2013
Subjects:	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
Online Access:	http://documents.worldbank.org/curated/en/2004/09/5619920/hospital-global-budgeting http://hdl.handle.net/10986/13645

id	okr-10986-13645
recordtype	oai_dc
spelling	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

Hospital Global Budgeting

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