simon moores , director of finance at st. james's hospital
TRANSCRIPT
![Page 1: Simon Moores , Director of Finance at St. James's Hospital](https://reader031.vdocuments.net/reader031/viewer/2022021923/5a6dde0a7f8b9a1f288b4b1f/html5/thumbnails/1.jpg)
Strategy & Roadmap for Implementation
Simon MooresDirector of Finance
![Page 2: Simon Moores , Director of Finance at St. James's Hospital](https://reader031.vdocuments.net/reader031/viewer/2022021923/5a6dde0a7f8b9a1f288b4b1f/html5/thumbnails/2.jpg)
1. Funding Model for Acute Hospitals
2. Strategy for St James’s Hospital
3. Future Opportunities & Challenges
2
![Page 3: Simon Moores , Director of Finance at St. James's Hospital](https://reader031.vdocuments.net/reader031/viewer/2022021923/5a6dde0a7f8b9a1f288b4b1f/html5/thumbnails/3.jpg)
Funding Model for Acute Hospitals
Strategy for St James’s Hospital
Future Opportunities & Challenges
3
![Page 4: Simon Moores , Director of Finance at St. James's Hospital](https://reader031.vdocuments.net/reader031/viewer/2022021923/5a6dde0a7f8b9a1f288b4b1f/html5/thumbnails/4.jpg)
4
BLOCK FUNDING
In-Patient & Day Case =
Activity based funding
Emergency & OPD =
Block funding
2015 2016
Actual costs & revenue per patient key
![Page 5: Simon Moores , Director of Finance at St. James's Hospital](https://reader031.vdocuments.net/reader031/viewer/2022021923/5a6dde0a7f8b9a1f288b4b1f/html5/thumbnails/5.jpg)
5
![Page 6: Simon Moores , Director of Finance at St. James's Hospital](https://reader031.vdocuments.net/reader031/viewer/2022021923/5a6dde0a7f8b9a1f288b4b1f/html5/thumbnails/6.jpg)
6
• Specified Price paid for each Weighted Unit of
in-patient and day case episode of care up to a limit
of specified Activity
National Average Price set by HPO
Historic Activity Level
Complexity of care by DRG
![Page 7: Simon Moores , Director of Finance at St. James's Hospital](https://reader031.vdocuments.net/reader031/viewer/2022021923/5a6dde0a7f8b9a1f288b4b1f/html5/thumbnails/7.jpg)
Funding Model for Acute Hospitals
Strategy for St James’s Hospital
Future Opportunities & Challenges
7
![Page 8: Simon Moores , Director of Finance at St. James's Hospital](https://reader031.vdocuments.net/reader031/viewer/2022021923/5a6dde0a7f8b9a1f288b4b1f/html5/thumbnails/8.jpg)
Understand and manage costs at patient episode level
To be an international leader in Activity Based Funding
8
![Page 9: Simon Moores , Director of Finance at St. James's Hospital](https://reader031.vdocuments.net/reader031/viewer/2022021923/5a6dde0a7f8b9a1f288b4b1f/html5/thumbnails/9.jpg)
9
Appropriate funding & Complexity
Patient level cost visibility
Accountability
![Page 10: Simon Moores , Director of Finance at St. James's Hospital](https://reader031.vdocuments.net/reader031/viewer/2022021923/5a6dde0a7f8b9a1f288b4b1f/html5/thumbnails/10.jpg)
10
Funding
Stream
Management
Absolute
Cost
Identification
Allocation &
Cost Driver
Identification
Service Line
Management
![Page 11: Simon Moores , Director of Finance at St. James's Hospital](https://reader031.vdocuments.net/reader031/viewer/2022021923/5a6dde0a7f8b9a1f288b4b1f/html5/thumbnails/11.jpg)
11
Directorate Specialty DRGCode Description Case Units
LOS Peer ALOS
Revenue Cost Est.
HOPE
Oncology E71B: Respiratory Neoplasms W/O Catastrophic CC 1.0 27 7 €6,218 €17,391
G47B: Other Gastroscopy W/O Catastrophic CC 0.6 16 5 €2,743 €9,188
S65A: HIV-Related Diseases W Catastrophic CC 5.4 50 29 €38,280 €68,888
Radiotherapy K62B: Miscellaneous Metabolic Disorders W/O Catastrophic or Severe CC
0.8 30 3 €11,542 €16,934
MEDICINE Cardiology F15A: Interventional Coronary Procs W/O AMI W Stent Implantation W Cat or Sev CC
1.5 21 7 €6,477 €26,592
1.5 23 7 €6,477 €29,125
Dermatology J64B: Cellulitis W/O Catastrophic or Severe CC 0.6 15 4 €2,489 €8,254
Gastro Enterology
H61A: Malignancy of Hepatobiliary System, Pancreas W Catastrophic CC
2.0 44 18 €15,665 €25,186
H61B: Malignancy of Hepatobiliary System, Pancreas W/O Catastrophic CC
1.1 46 8 €15,136 €25,001
General Medicine A06A: Tracheostomy W Ventilation >95 hours W Catastrophic CC 25.0 223 84 €244,409 €451,563
L63B: Kidney and Urinary Tract Infections W/O Catastrophic or Severe CC
0.6 43 6 €13,935 €21,863
Q01Z: Splenectomy 2.5 48 9 €28,860 €83,497
X62A: Poisoning/Toxic Effects of Drugs and Other Substances W Cat or Sev CC
0.8 20 6 €3,308 €11,603
Genito Urina F63A: Venous Thrombosis W Catastrophic or Severe CC 1.1 23 12 €4,602 €10,382
Neurology X05A: Other Procedures for Injuries to Hand W CC 0.8 14 3 €5,859 €9,543
Rheumatolog y E62A: Respiratory Infections/Inflammations W Catastrophic CC 2.1 59 22 €19,700 €32,639
E66B: Major Chest Trauma W Severe or Moderate CC 0.8 17 6 €3,368 €6,401
E75A: Other Respiratory System Diagnosis W Catastrophic CC 1.5 62 17 €18,068 €31,654
F76B: Arrhythmia, Cardiac Arrest and Conduction Disorders W/O Cat or Sev CC
0.4 13 3 €1,734 €6,900
J64A: Cellulitis W Catastrophic or Severe CC 1.4 37 15 €9,505 €16,937
![Page 12: Simon Moores , Director of Finance at St. James's Hospital](https://reader031.vdocuments.net/reader031/viewer/2022021923/5a6dde0a7f8b9a1f288b4b1f/html5/thumbnails/12.jpg)
12
![Page 13: Simon Moores , Director of Finance at St. James's Hospital](https://reader031.vdocuments.net/reader031/viewer/2022021923/5a6dde0a7f8b9a1f288b4b1f/html5/thumbnails/13.jpg)
13
In Patient,
Day Case,
OPD & ED
Cost Drivers
CONSULTANT
TIME
NUMBER
NCHD’s
ANP /
CLINICAL
NURSE
SPECIALIST
WARD COSTS
ALLIED
HEALTH
OTHER
ANCILLARY
SERVICES
ICT Requirement to capture
data?
![Page 14: Simon Moores , Director of Finance at St. James's Hospital](https://reader031.vdocuments.net/reader031/viewer/2022021923/5a6dde0a7f8b9a1f288b4b1f/html5/thumbnails/14.jpg)
14
![Page 15: Simon Moores , Director of Finance at St. James's Hospital](https://reader031.vdocuments.net/reader031/viewer/2022021923/5a6dde0a7f8b9a1f288b4b1f/html5/thumbnails/15.jpg)
15
![Page 16: Simon Moores , Director of Finance at St. James's Hospital](https://reader031.vdocuments.net/reader031/viewer/2022021923/5a6dde0a7f8b9a1f288b4b1f/html5/thumbnails/16.jpg)
Vision
Aims
Strategic Work
Streams
Strategic Enablers
Funding Stream Management
Absolute Cost Identification
Allocation & Cost Drivers
Service Line Management
16
![Page 17: Simon Moores , Director of Finance at St. James's Hospital](https://reader031.vdocuments.net/reader031/viewer/2022021923/5a6dde0a7f8b9a1f288b4b1f/html5/thumbnails/17.jpg)
Funding Model for Acute Hospital’s
Strategy for St James’s Hospital
Future Opportunities & Challenges
17
![Page 18: Simon Moores , Director of Finance at St. James's Hospital](https://reader031.vdocuments.net/reader031/viewer/2022021923/5a6dde0a7f8b9a1f288b4b1f/html5/thumbnails/18.jpg)
18
• Integrated care pathways
• Insight driven
• Value based healthcare
• Outcome measurement
![Page 19: Simon Moores , Director of Finance at St. James's Hospital](https://reader031.vdocuments.net/reader031/viewer/2022021923/5a6dde0a7f8b9a1f288b4b1f/html5/thumbnails/19.jpg)
19
![Page 20: Simon Moores , Director of Finance at St. James's Hospital](https://reader031.vdocuments.net/reader031/viewer/2022021923/5a6dde0a7f8b9a1f288b4b1f/html5/thumbnails/20.jpg)
20