Final Action Plan for the Implementation of DRGs-Based Payments

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dc.creatorWorld Bank
dc.date2015-12-08T22:35:33Z
dc.date2015-12-08T22:35:33Z
dc.date2015-05
dc.date.accessioned2026-07-01T00:52:01Z
dc.descriptionBulgaria under the guidance of the Minister of Health is undertaking a major reform of its health system. One input to the reform is a joint study with the World Bank on health financing in Bulgaria (The World Bank Diagnostic Report). The report evaluates the strengths and weaknesses of Bulgaria’s health financing system in terms of the three health financing functions of revenue raising, risk pooling, and purchasing of services. It assesses each of these financing functions in terms of the health financing goals of improving health outcomes, financial protection, and consumer responsiveness in an efficient, equitable, and sustainable manner. The assessment of the health financing system documented significant strengths in the system, but also major challenges in terms of the purchasing function and current hospital payment practices. These challenges included unsustainable growth in hospital spending; lack of incentives for efficiency, quality, or cost control, and strong incentives for hospitalization over treatment in less expensive outpatient settings. Fundamental problems with the current hospital payment system using Clinical Care Pathways (CCPs) were highlighted. The purpose of this report is to provide information to Bulgarian decision-makers on how Bulgaria can move towards implementing a DRG-based hospital budgeting and payment system. The report was prepared by a team of Bulgarian and international DRG experts who have been involved in the country’s DRG assessment and planning since its inception. The report is intended for a wide-ranging audience that includes high-level policy-makers who are weighting the benefits of implementing DRGs, technical staff who may be tasked with implementing the Action Plan, and other key stakeholders who may be less familiar with the use of case-mix as a mechanism to provide payment to hospitals.
dc.formatapplication/pdf
dc.formattext/plain
dc.identifierhttp://documents.worldbank.org/curated/en/2015/11/25465748/final-action-plan-implementation-drgs-based-payments
dc.identifierhttps://hdl.handle.net/10986/23247
dc.identifierhttps://doi.org/10.1596/23247
dc.identifier.urihttp://hdl.handle.net/123456789/412172
dc.languageEnglish
dc.languageen_US
dc.publisherWashington, DC
dc.rightsCC BY 3.0 IGO
dc.rightshttp://creativecommons.org/licenses/by/3.0/igo/
dc.rightsWorld Bank
dc.subjectWASTE
dc.subjectRISKS
dc.subjectE-MAIL
dc.subjectDATA PROCESSING
dc.subjectSUPERVISION
dc.subjectEQUIPMENT
dc.subjectWORKSTATIONS
dc.subjectINFORMATION TECHNOLOGY
dc.subjectMATERIALS
dc.subjectINFORMATION SYSTEM
dc.subjectINTERFACES
dc.subjectLAWS
dc.subjectSECURE AUTHENTICATION
dc.subjectMORBIDITY
dc.subjectPAYMENT SYSTEM
dc.subjectELECTRONIC SIGNATURE
dc.subjectINFORMATION
dc.subjectMONITORING
dc.subjectHEALTH CARE
dc.subjectSOFTWARE SOLUTIONS
dc.subjectIMAGE
dc.subjectPATIENT EDUCATION
dc.subjectCONSULTANTS
dc.subjectHEALTH
dc.subjectIMPLEMENTATION PLANS
dc.subjectTRANSMISSION
dc.subjectCAPACITY BUILDING
dc.subjectIMPLEMENTATION PLAN
dc.subjectPRICE
dc.subjectVERIFICATION
dc.subjectWEB INTERFACE
dc.subjectPILOT PROJECT
dc.subjectHYPERTENSION
dc.subjectINFORMATION SYSTEMS
dc.subjectSOFTWARE PROGRAM
dc.subjectPUBLIC HEALTH
dc.subjectDAY CARE
dc.subjectHOSPITALIZATION
dc.subjectHARDWARE
dc.subjectKNOWLEDGE
dc.subjectTRANSLATION
dc.subjectBEHAVIOR
dc.subjectINSTITUTIONS
dc.subjectDATA LIMITATIONS
dc.subjectHUMAN RESOURCE
dc.subjectLINK
dc.subjectDATA
dc.subjectTECHNICAL ASSISTANCE
dc.subjectLOCAL AREA NETWORK
dc.subjectCOMPUTERS
dc.subjectSOFTWARE PRODUCT
dc.subjectCOST CONTROL
dc.subjectPATIENTS
dc.subjectPATIENT
dc.subjectLICENSE AGREEMENT
dc.subjectINTERVENTION
dc.subjectFUNCTIONALITIES
dc.subjectECONOMIC COOPERATION
dc.subjectBUDGET ALLOCATION
dc.subjectAGGRESSIVE
dc.subjectLICENSE
dc.subjectTECHNICAL EXPERTS
dc.subjectTRAINING MATERIALS
dc.subjectNURSES
dc.subjectMIGRATION
dc.subjectHEALTH MANAGEMENT
dc.subjectMARKETING
dc.subjectFINANCIAL BENEFIT
dc.subjectSTORE MANAGEMENT
dc.subjectCONNECTIVITY
dc.subjectCONSULTANT
dc.subjectWEB
dc.subjectSTANDARDIZATION
dc.subjectACTION PLAN
dc.subjectDATA ANALYSIS
dc.subjectHELP DESK
dc.subjectCAPITAL INVESTMENTS
dc.subjectDATABASES
dc.subjectMENTAL HEALTH
dc.subjectSOFTWARE UPGRADES
dc.subjectMORTALITY
dc.subjectSOFTWARE MODULES
dc.subjectCAPABILITIES
dc.subjectMEDICAL TREATMENT
dc.subjectIMPLEMENTATION STRATEGY
dc.subjectINPUT DATA
dc.subjectTECHNOLOGY
dc.subjectSYSTEM DEVELOPMENT
dc.subjectMONITORING MECHANISMS
dc.subjectPILOT TESTING
dc.subjectTRAINING COURSES
dc.subjectFRAUD
dc.subjectSURGERY
dc.subjectPROGNOSIS
dc.subjectTIME FRAME
dc.subjectSOFTWARE
dc.subjectRESULTS
dc.subjectPCS
dc.subjectENCRYPTION
dc.subjectDATA ELEMENT
dc.subjectMEDICAL SPECIALISTS
dc.subjectCAPACITY-BUILDING
dc.subjectDATA ELEMENTS
dc.subjectDIGITAL SIGNATURE
dc.subjectHEALTH OUTCOMES
dc.subjectMEDICAL DEVICES
dc.subjectTECHNICAL EXPERTISE
dc.subjectEXCHANGE OF DATA
dc.subjectPROTOCOLS
dc.subjectSTRESS
dc.subjectXML
dc.subjectSOFTWARE” MODULE
dc.subjectELECTRONIC FORM
dc.subjectINSTITUTIONAL CAPACITY
dc.subjectNUTRITION
dc.subjectELECTRONIC TOOLS
dc.subjectELECTRONIC DATA
dc.subjectIMAGES
dc.subjectINSURANCE SYSTEM
dc.subjectPILOT PROJECTS
dc.subjectE-LEARNING
dc.subjectINTERNET
dc.subjectADMINISTRATION
dc.subjectWEB PORTALS
dc.subjectRESULT
dc.subjectOUTPATIENT CARE
dc.subjectWEIGHT
dc.subjectPHYSICIANS
dc.subjectICT
dc.subjectTECHNICAL STAFF
dc.subjectSECURITY
dc.subjectNETWORK
dc.subjectBUSINESS
dc.subjectIT INFRASTRUCTURES
dc.subjectID
dc.subjectHUMAN RESOURCES
dc.subjectONLINE REGISTRATION
dc.subjectTECHNICAL EXPERT
dc.subjectSECURE DATA
dc.subjectSERVERS
dc.subjectPERFORMANCE
dc.subjectTECHNICAL KNOWLEDGE
dc.subjectTECHNICAL ASSISTANCE PROJECT
dc.subjectIMPLEMENTATION PROCESS
dc.subjectCERTIFICATES
dc.subjectINSTITUTION
dc.subjectSYSTEMS SOFTWARE
dc.subjectFUNCTIONALITY
dc.subjectPROTOCOL
dc.subjectFINANCIAL SUPPORT
dc.subjectCOMMUNICATION
dc.subjectFINANCIAL RISK
dc.subjectBUSINESS MODEL
dc.subjectSTRATEGY
dc.subjectPERSONAL COMPUTERS
dc.subjectREGISTRATION
dc.subjectINTERFACE
dc.subjectMEDICINES
dc.subjectELECTRONIC FORMAT
dc.subjectDATABASE
dc.subjectPROFITS
dc.subjectHOSPITALS
dc.subjectHEALTH INTERVENTIONS
dc.subjectPAYMENT SYSTEMS
dc.subjectWEB PAGE
dc.subjectMOBILE DEVICES
dc.subjectWEB SITE
dc.subjectAUTHENTICATION
dc.subjectIMPLEMENTATION
dc.subjectTARGET
dc.subjectWEB SERVICE
dc.subjectPRICES
dc.subjectUSES
dc.subjectSOFTWARE SYSTEMS
dc.subjectSERVER
dc.subjectDATA ANALYSES
dc.subjectIT INFRASTRUCTURE
dc.subjectNURSING
dc.titleFinal Action Plan for the Implementation of DRGs-Based Payments
dc.typeReport
dc.typeRapport
dc.typeInforme

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