Nordic Casemix Centre (NCC) (Nordiskt center för patientgruppering r.f)

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Per-Olof Abrahamsson
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1 Nordic Casemix Centre (NCC) (Nordiskt center för patientgruppering r.f) Mona Heurgren Chair of Board NCC Head of Unit Unit for development of Quality and Efficiency Studies The National Board of Health and Welfare Sweden

2 Agenda Members and Staff of the Centre Organization and tasks The current situation for NordDRG Why a Nordic Centre? - Benefits and disadvantages Future development

3 Members and staff - NCC Board NCC Mona Heurgren Sweden (chair) Leena Kiviluoto Norway Camilla Osterballe Pedersen Denmark Olafur Gunnarsson Island Anu Nemlander Finland (co-chair) Staff Martti Virtanen (Managing director) Maisa Lukander (Assistant director) Gunilla Pettersson (Project Assistant) Associated member Estonia The office is situated in Helsinki.

4 New associated members? Latvia Ukraine South Africa?

5 Infrastructure house M E R V Ä R D E Informationsstruktur

6 The use of DRGs To describe performance and create transparency to the health care system Benchmarking studies Quality work in the hospitals Efficiency and productivity studies Reimbursement and budgeting

7 Mission NCC To simplify and promote co-operation about patient classification system between the authorities in the Nordic countries To work internationally in the interest of the Nordic countries and facilitate influence in classification work To be an arena for meetings and networking between the Nordic countries

8 Tasks NCC To produce 6 versions of NordDRG definition tables to all member countries on a yearly basis Co-ordinate the Nordic work for NordDRG including the up-dating process Keep a homepage for the NordDRG system with manuals and information ( Arrange meetings and networking concerning NordDRG Being a partner in arranging Nordic conferences and work for international collaboration Agreements with suppliers of the grouping system

9 Responsibilities The Nordic countries are responsible for : - their own version of NordDRG definition tables and weight lists - a local organization for the DRG-work in each country and to bring forward and analyze suggestions for improvement from the hospitals - financing the DRG-work - to appoint a member to the board and members to the expert group - take part in conferences and international work

10 Methods of work All formal decisions are taken by the Board All decisions concerning the updating process are prepared in the NordDRG Expert group The expert group discusses all cases concerning changes in the common Nordic version and also gives information about local changes and development work Development can be performed together (ex heart care) or by the single countries but will always be presented to the other countries.

11 Why a common Nordic system (NordDRG)? Small countries - hard to find the right knowledge in each country, sharing of expertise Cheaper Sharing of ideas and co-operation in development work improves the quality of the system Easier to be important on the international arena, more impact for Nordic countries Sharing data for development (only Finland and Sweden have cost data)

12 Disadvantages Slower process when processing new ideas and suggestions for changes Majority decision might not always be in the single country's interest Less transparent up-dating model for counties, municipalities and hospitals

13 Future development New process for up-dating the NordDRG definition tables in co-operation with Datawell New logic for complications and/or co-morbidity patients Refinement for grouping of outpatients Development of cost data Benchmarking studies in the Nordic Countries DRGs in relation to quality efficiency and quality studies

14 Efficiency model EFFEKTIVITET Mål och uppdrag RESURSER Resursomvandling PRODUKTIONS- UTFALL RESULTAT GRAD AV MÅLUPPFYLLELSE PRODUKTIVITET Effektivitet Grad av måluppfyllelse i förhållande till insatta resurser. Mål och uppdrag Målen och uppdraget är basen för arbetet som verksamheten bedriver. Resurser Personal, tid, utrustning, lokaler, kompetens, information mm.. Resursomvandling Utförandet av tjänster eller produktion av varor Produktivitet Produktionsutfallet i förhållande till insatta resurser. Produktionsutfall T.ex. antal besök, antal personer som får insats, DRG, antal operationer, antal boendedygn. Resultat T.ex. antal överlevand e, antal som återgått till arbete, ökad livskvalitet,. Grad av måluppfyllelse Resultaten i förhållande till målen för verksamheten

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