Upgrade to remove ads
Canadian healthcare system
Terms in this set (33)
what is the federal governments role in health care?
to set and administer national standards for the health care system consistent with the Canada Health Act (CHA).
how much of the healthcare system is publicly funded?
what are considered private health services?
home care, medical supplies, drugs vision care and dental care
how is the CHA financed?
government tax revenues, private insurance, private out-of-pocket, workers comp.
how does the provincial health care system base their spending?
in part on provincial priorities, and on the provinces ability to pay
what is happening to the provincial health care budget each year?
it is increasing (43% in 2005)
what is the goal of regionalizing the healthcare system within provinces?
to make the complex health care systems more coordinated and efficient
how many regional health authorities are in bc?
what is the role of the ministry of health services?
sets performance and accountability standards, and provides annual funding allocation to the health authorities
who are the health authorities accountable to?
the ministry of health services, and the province
what is the role of the provincial health services authority?
-plans, coordinates, and evaluates special non-regional health services such as trauma surgery
-operates provincial agencies such as BC childrens hospital
-provides a suite of core corporate services such as accounting, payroll, supply chain, information technology, as well as medical imaging, a clinical service
what is a population/needs-based funding system?
based on the demographic make up and needs for particular health services within each health authority
-directly related to its total population, also age and health status of the population
what are the responsibilites of the ministry of health?
-Developing provincial goals and provincial standards
-Holding health authorities accountable for fulfilling their responsibilities; and
-Ensuring appropriate health outcomes are achieved province-wide
-Developing legislation, policy and standards
-Monitoring the health care system
-Improving performance when necessary
what does the ministry of health services measure the performance of the health authorities on?
-Work life balance / human resources
-Finance, efficiency, affordability
what control mechanisms does the ministry use?
administrative- (influences/determines health care organizational structure)
quality - (establishes minimum standards of care)
financial - (controls through capital funding and operating funding)
what is the performance agreement?
and agreement made between the ministry and each health authority containing performance expectations, performance measures, reporting requirements, and incentives and penalties
how long does the performance agreement last?
how often is the performance agreement updated?
how does the ministry hold the health authorites accountable with this agreement>
each yr 10% of the annual compensation of the CEO of each authority is withheld until is is confirmed that the health authority has met its targets
what are the 4 allocation methodologies that the authorities should base their fund allocations on?
equity, efficiency, consistency, simplicity
what are the 3 major phases of budgeting?
planning phase, preparation phase, control phase
what are the major types of budgets used in health care organizations?
-operating budget (estimates revenues, and expenses such as salaries, materials, insurance, electricity, heating)
-capital budget (estimates purchase and financing of items of significant expense)
-statistical budget (workload) (estimates volume of activity or workload at department level)
-cash flow (estimates amount of actual cash balance in accounts)
-strategic financial plan (3-5yr plan)
what is the order of heirarchy for the budgeting process?
province of BC <---> ministry of health <---> health authority <---> hospitals <---> hospital departments
what are the 2 biggest expenses in an operating budget?
salaries and benefits
-situational: a new site, a new boss, new team roles, new policy....change is external
-a tangible event that occurs when there is an alteration in the workplace environment.
-psychological process we experience as we accept a new situation
-an internal process related to the human psychological experience.
what are the 3 levels of change?
-First order change is change that keeps the existing system primarily in tact, improving aspects of the system such as refining processes, adding functions to existing technology, and adjusting policies.
-Second order change is considered transformational in the system is almost entirely altered in the way it conducts business or delivers services (i.e., on a strategic level). For example, an integrated delivery system within a hospital would be a second order change.
-Middle-order change lies in-between the two extremes of first order and second order change. This type of change introduces significant change in the organization that does not alter the basic business of the organization. For example, focusing on the customer service aspects of serving patients.
what are the driving forces of change within healthcare?
-Soaring Costs: Rising costs are driving the health care industry to find more efficient methods of delivering it services to Canadians.
-Patient Expectations: People are expecting to live longer, healthier lives with advances in technology and medical treatments.
-Globalization: Globalization has increased the rate of new technologies entering the health care market, causing health care professionals, their organizations, and other authorities, such as government to constantly scan the technological environment, assess technologies that have a potential benefit on their service or product, and if appropriate, regulate or implement them.
-Workforce Diversity: Our workforce in Canada is increasingly become diverse with more women and international professionals. The workforce is also changing with respect to an aging population, a mix of educational levels, and the migration of technical professionals out of Canada or areas of need, to cities or countries where they can realize a higher buying power and standard of living.
-Law, Ethics, and Accountability: Demonstrating value and responsiveness, while maintaining public trust, all under the watchful eye of powerful groups, politicians, and the popular media require an increased ability of organizations to demonstrate accountability in a proactive and transparent way.
what causes change to fail?
-Allowing too much complacency
-Failing to create a sufficiently powerful guiding coalition
-Underestimating the power of vision
-Under communicating the vision by a factor of 10
-Permitting obstacles to block the new vision
-Failing to create short term wins
-Declaring victory too soon
-Neglecting to anchor the changes firmly to the organization's culture
what makes change work?
-Focus on real work goals and processes
-Focus on improving performance
-Involve people who have the power to take action regarding these goals
-Seek to balance action and reflection, connecting inquiry and experimentation
-Afford people an opportunity to think and reflect without pressure to make a decision
-Are designed to increase peoples capacity, such as through technology, learning, proximity, commitment, or by attracting resources
-Focus on learning about learning in settings that matter
what are the 5 stages of change?
Organizational Planning & Assessment, Change Analysis and Design, Change Development, Change Implementation, Follow-up Assessment and Renewal Planning
what are the 5 criteria of the CHA?
public administration, comprehensiveness, universality, portability, and accessibility
what are the conditions of the CHA?
-Information The federal government must be given information from each province or territory regarding insured health services as well as extended health care services within that province or territory.
-Recognition The federal government must be recognised for its financial contributions by each province and territory's government.
THIS SET IS OFTEN IN FOLDERS WITH...
Ch 9 Culture and Ethnicity
Chapter 11: Functional Organization of Nervous Tis…
Canadian Healthcare System
YOU MIGHT ALSO LIKE...
Health Policy & Management
HIS LESSON 3
HIS LESSON 2
HC Delivery Ch. 1-7 Review Questions
OTHER SETS BY THIS CREATOR
Reproductive System & Pelvis
abdominal arteries & veins