Management Of Nhs Hospital Productivity
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Management Of Nhs Hospital Productivity
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Author : Great Britain: Parliament: House of Commons: Committee of Public Accounts
language : en
Publisher: The Stationery Office
Release Date : 2011-03-15
Management Of Nhs Hospital Productivity written by Great Britain: Parliament: House of Commons: Committee of Public Accounts and has been published by The Stationery Office this book supported file pdf, txt, epub, kindle and other format this book has been release on 2011-03-15 with Medical categories.
Government spending on the NHS has increased by 70%, from £60 billion in 2000-01 to £102 billion in 2010-11., with around 40% spent on services provided by acute and foundation hospitals. There have been significant improvements in the performance of the NHS, particularly in those areas targeted by the Department of Health (the Department) such as hospital waiting times and outcomes for patients with cancer and coronary heart disease. But productivity has actually fallen over the last decade. The Office for National Statistics estimates that, since 2000, total NHS productivity fell by an average of 0.2% a year, and by an average of 1.4% a year in hospitals. The trend of falling productivity will need to be reversed if the NHS is to meet the Department's productivity challenge, to deliver up to £20 billion of efficiency savings a year, by 2014-15, without compromising services. The Payment by Results approach (a tariff for procedures) has driven some improvements, but it only covers 60% of hospital activity and there is substantial variation in hospital costs and activity. The tariff system could, though, prioritise price over quality. National pay contracts have not yet been used to manage staff performance effectively, and consultants' productivity has fallen at the same time as they have had significant pay rises. There are risks to the NHS being able to deliver up to £20 billion savings annually, for reinvestment in healthcare, alongside implementing a substantial agenda of reform. Productivity improvements will be key to delivering these savings.
Management Of Nhs Hospital Productivity
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Author : Great Britain: National Audit Office
language : en
Publisher: The Stationery Office
Release Date : 2010-12-17
Management Of Nhs Hospital Productivity written by Great Britain: National Audit Office and has been published by The Stationery Office this book supported file pdf, txt, epub, kindle and other format this book has been release on 2010-12-17 with Medical categories.
Productivity in hospitals has been falling by around 1.4 per cent a year since 2000 whilst NHS expenditure has increased by over two thirds in ten years. The Department of Health has achieved significant improvements in such areas as waiting times, healthcare associated infection rates, patient outcomes, reduced cancer mortality and the patient experience. However, the NHS pay contracts introduced since 2003 have increased costs but are not always used effectively by hospitals to drive productivity improvements. The NHS needs to deliver between £15 billion and £20 billion of efficiency savings per year by 2013-14. Around 40 per cent of these savings are expected to come from increasing efficiency in hospitals, requiring productivity gains of approximately six per cent per annum. The 'Payment by Results' system of setting national tariffs has promoted some efficient practice, but there is still substantial variation between hospitals. If all hospitals performed at the level of the top 25 per cent in respect of staff costs, use of estate, control of emergency admissions and bed management, the NAO estimates that the NHS could save around £1.6 billion a year. The Department has launched a national initiative (QIPP) to help the NHS deliver annual savings of up to £20 billion. There are risks to the delivery of the initiative, which is the responsibility of Strategic Health Authorities and Primary Care Trusts, whose focus may be distracted by the proposals for their closure by 2013.
Department Of Health
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Author : Great Britain. National Audit Office
language : en
Publisher:
Release Date : 2010
Department Of Health written by Great Britain. National Audit Office and has been published by this book supported file pdf, txt, epub, kindle and other format this book has been release on 2010 with Hospitals categories.
Do Managers Pay Their Way The Impact Of Management Input On Hospital Productivity In The Nhs Internal Market
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Author : Neli Soderlund
language : en
Publisher:
Release Date : 1999
Do Managers Pay Their Way The Impact Of Management Input On Hospital Productivity In The Nhs Internal Market written by Neli Soderlund and has been published by this book supported file pdf, txt, epub, kindle and other format this book has been release on 1999 with categories.
Levels of management staffing in the UK National Health Service (NHS) have received considerable political and media attention in the last four years or so. Both the previous and current governments committed themselves to reducing management expenditure in the health service, and significant cuts appear to have been be made in this area in the last year or so. Few systematic evaluations have been undertaken of the value of general of management input, however, and policy changes appear to have been largely determined by popular opinion. This study attempts to quantify the effect of management input on hospital productivity for the first three years of the go NHS internal market (1991/2-1993/4). An average cost function was used to model the effect of management inputs on hospital costs after adjustment for the levels of outputs produced, input costs, and internal and external exogenous constraints on as hospital functioning. Two measures of management input were used: the proportion of total spending consumed by in top level management, and the proportion consumed by all administrative activities. Cross-sectional and longitudinal models with contemporaneous and lagged management input effects were estimated. Higher spending on top level management was associated with poorer productivity levels in most in instances. Total administrative inputs had a weaker, but still generally negative, association with productivity. No evidence was found that increasing management inputs was associated with improved productivity. On the contrary, spending more on top level managers appeared in fact to be associated with lower productivity levels. Results would thus appear to be in line with decisions to reduce the level of expenditure on management in NHS hospitals. Quality differences could not be measured, however, and it is possible that management input is associated with quality improvements which might reduce or reverse observed productivity losses.
Can Nhs Hospitals Do More With Less
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Author : Jeremy Hurst
language : en
Publisher: Lulu.com
Release Date : 2012-01-12
Can Nhs Hospitals Do More With Less written by Jeremy Hurst and has been published by Lulu.com this book supported file pdf, txt, epub, kindle and other format this book has been release on 2012-01-12 with Science categories.
The financial challenge facing the UK's health services over the next four years, combined with the relentless rise in the demand for services, means that it is imperative that the NHS delivers more for less. The authors of this report studied UK and international literature on hospital efficiency, and surveyed senior managers and clinicians in six hospital trusts that had been 'turned around' following financial difficulties. They found much research evidence on what measures are associated with higher productivity in hospitals. They gleaned practical lessons from the managers about what successful steps had been taken to improve efficiency in their financially challenged hospitals. An accompanying research summary highlights the report's key findings within the context of the current Government health reforms. The publications and other resources, together with more information on our work in this area, can be accessed at www.nuffieldtrust.org.uk/efficiency
Performance Management In Healthcare
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Author : Bryan P. Bergeron, MD
language : en
Publisher: HIMSS
Release Date : 2006
Performance Management In Healthcare written by Bryan P. Bergeron, MD and has been published by HIMSS this book supported file pdf, txt, epub, kindle and other format this book has been release on 2006 with Health facilities categories.
A Study Of Hospital Productivity
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Author : R. O. Boyce
language : en
Publisher:
Release Date : 1973
A Study Of Hospital Productivity written by R. O. Boyce and has been published by this book supported file pdf, txt, epub, kindle and other format this book has been release on 1973 with Hospitals categories.
Performance Management In Health Care
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Author : Jan Walburg
language : en
Publisher: Psychology Press
Release Date : 2006
Performance Management In Health Care written by Jan Walburg and has been published by Psychology Press this book supported file pdf, txt, epub, kindle and other format this book has been release on 2006 with Health facilities categories.
An exploration of the theoretical and philosophical background of performance development, this edited collection focuses sharply on the practical aspects associated with it within the healthcare sector.
Ebook Diagnosis Related Groups In Europe Moving Towards Transparency Efficiency And Quality In Hospitals
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Author : Reinhard Busse
language : en
Publisher: McGraw-Hill Education (UK)
Release Date : 2011-11-16
Ebook Diagnosis Related Groups In Europe Moving Towards Transparency Efficiency And Quality In Hospitals written by Reinhard Busse and has been published by McGraw-Hill Education (UK) this book supported file pdf, txt, epub, kindle and other format this book has been release on 2011-11-16 with Medical categories.
Diagnosis Related Group (DRG) systems were introduced in Europe to increase the transparency of services provided by hospitals and to incentivise greater efficiency in the use of resources invested in acute hospitals. In many countries, these systems were also designed to contribute to improving – or at least protecting – the quality of care. After more than a decade of experience with using DRGs in Europe, this book considers whether the extensive use of DRGs has contributed towards achieving these objectives. Written by authors with extensive experience of these systems, this book is a product of the EuroDRG project and constitutes an important resource for health policy-makers and researchers from Europe and beyond. The book is intended to contribute to the emergence of a ‘common language’ that will facilitate communication between researchers and policy-makers interested in improving the functioning and resourcing of the acute hospital sector. The book includes: A clearly structured introduction to the main ‘building blocks’ of DRG systems An overview of key issues related to DRGs including their impact on efficiency, quality, unintended effects and technological innovation in health care 12 country chapters - Austria, England, Estonia, Finland, France, Germany, Ireland, the Netherlands, Poland, Portugal, Spain and Sweden Clearly structured and detailed information about the most important DRG system characteristics in each of these countries Useful insights for countries and regions in Europe and beyond interested in introducing, extending and/ or optimising DRG systems within the hospital sector
High Performance In Hospital Management
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Author : Edda Weimann
language : en
Publisher: Springer
Release Date : 2017-05-10
High Performance In Hospital Management written by Edda Weimann and has been published by Springer this book supported file pdf, txt, epub, kindle and other format this book has been release on 2017-05-10 with Medical categories.
This book provides a broad overview of what is needed to run hospitals and other health care facilities effectively and efficiently. All of the skills and tools required to achieve this aim are elucidated in the book, including business engineering and change management, strategic planning and the Balanced Scorecard, project management, integrative innovation management, social and ethical aspects of human resource management, communication and conflict management, staff development and leadership. The guidance offered is exceptional and applicable in both developed and developing countries. Furthermore, the relevant theoretical background is outlined and instructive case reports are included. Each chapter finishes with a summary and five reflective questions. Excellence can only be achieved when health care professionals show in addition to their medical skills a high level of managerial competence. High performance in Hospital Management assists managers of health care providers as well as doctors and nurses to engage in the successful management of a health care facility.