The HSE released the Casemix Budget Outturns for 2010 today, Tuesday 8th February 2011. These figures relate to the redistribution of acute hospital funding under the National Casemix Programme for the 2011 financial year.
The National Casemix Programme has been in operation since 1993 and there are currently 39 acute hospitals in the Programme which account for almost €5 billion of health spending and over 5.3 million patient episodes across all treatment areas. Casemix ensures that hospitals are funded for the patients they actually treat, at a cost per case determined by their own peers.
Casemix is the comparison of activity and costs between hospitals by categorising hospital throughput into Diagnoses Related Groups (DRG’s). Casemix is an internationally accepted management system for the monitoring and evaluation of health services which allows for the collection, categorisation and interpretation of hospital patient data, related to cases treated, in order to assist hospitals in defining their products, measuring their productivity and assessing quality.
The process also contributes towards equity, efficiency and transparency by using common and consistent criteria to classify and categorise hospital performance. Casemix in Ireland operates a “budget neutral policy” (i.e. no funding is taken out of the system) which rewards efficiency by redirecting funds to hospitals which have demonstrated that additional funding will result in real benefits.
The data in the attached Table A provides details of the 2010 Casemix Budget Adjustments (comprising of 2009/10 activity and 2009 cost data) for inclusion in the 2011 financial allocations. These budget adjustments are a reflection of each hospital’s performance against their peers taking account of each hospital’s unique mix of cases and differing complexities. Hospitals are not penalised for long stay patients, neither are they rewarded for discharging patients too early. The system is designed to take account of each hospital’s “unique” issues and “unique” patients.