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Accountable Care System
An accountable care system is a system of healthcare provision which is intended to be integrated, and in particular to merge the funding of primary care with that for hospital care, therefore providing incentives to keep people healthy and out of hospital. It has features in common with accountable care organizations in the United States. England Accountable care systems were organisations in the English NHS which in some respects are intended to replicate the features of the American accountable care organization. They were defined by NHS England as an area ‘in which commissioners and providers, in partnership with local authorities, take explicit collective responsibility for resources and population health’. After a great deal of hostility to the use of the term it was announced in February 2018 that these organisations were in future to be called integrated care systems, and that all the 44 sustainability and transformation plans will be expected to progress in this direc ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
Accountable Care Organization
An accountable care organization (ACO) is a healthcare organization that ties provider reimbursements to quality metrics and reductions in the cost of care. ACOs in the United States are formed from a group of coordinated health-care practitioners. They use alternative payment models, normally, capitation. The organization is accountable to patients and third-party payers for the quality, appropriateness and efficiency of the health care provided. According to the Centers for Medicare and Medicaid Services, an ACO is "an organization of health care practitioners that agrees to be accountable for the quality, cost, and overall care of Medicare beneficiaries who are enrolled in the traditional fee-for-service program who are assigned to it". History The term ''accountable care organization'' was first used by Elliott Fisher in 2006 during a discussion of the Medicare Payment Advisory Commission. In 2009, the term was included in the federal Patient Protection and Affordable Car ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
National Health Service (England)
The National Health Service (NHS) is the Publicly funded health care, publicly funded healthcare system in England, and one of the four National Health Service systems in the United Kingdom. It is the second largest single-payer healthcare system in the world after the Brazilian Sistema Único de Saúde. Primarily funded by the government from general taxation (plus a small amount from National Insurance contributions), and overseen by the Department of Health and Social Care, the NHS provides healthcare to all legal English residents and residents from other regions of the UK, with most services free at the point of use for most people. The NHS also conducts research through the National Institute for Health and Care Research (NIHR). Free healthcare at the point of use comes from the core principles at the founding of the National Health Service. The 1942 Beveridge cross-party report established the principles of the NHS which was implemented by the Attlee ministry, Labour ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
NHS England
NHS England, officially the NHS Commissioning Board, is an executive non-departmental public body of the Department of Health and Social Care. It oversees the budget, planning, delivery and day-to-day operation of the commissioning side of the National Health Service in England as set out in the Health and Social Care Act 2012. It directly commissions NHS general practitioners, dentists, optometrists and some specialist services. The Secretary of State publishes annually a document known as the ''NHS mandate'' which specifies the objectives which the Board should seek to achieve. National Health Service (Mandate Requirements) Regulations are published each year to give legal force to the mandate. In 2018 it was announced that the organisation, while maintaining its statutory independence, would be merged with NHS Improvement, and seven "single integrated regional teams" would be jointly established. History NHS England is the operating name of the NHS Commissioning Board and ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
Integrated Care System
In England, an integrated care system (ICS) is a statutory partnership of organisations who plan, buy, and provide health and care services in their geographical area. The organisations involved include the NHS, local authorities, voluntary and charity groups, and independent care providers. The NHS Long Term Plan of January 2019 called for the whole of England to be covered by ICSs by April 2021. On 1 July 2022, ICSs replaced clinical commissioning groups in England. Statutory bodies The Health and Care Act 2022 put these systems on a statutory basis, each with an approved constitution. On 1 July 2022, a total of 42 ICSs became statutory. There are more than 70 performance metrics by which they are judged, grouped into six "oversight themes": quality, access and outcomes, preventing ill health and reducing inequalities, leadership, people, and finances. The poorest performers will be put in a "recovery support programme", which will replace the label of special measures. Each syst ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
Sustainability And Transformation Plan
In England, a sustainability and transformation plan (STP) is a non-statutory requirement which promotes integrated provision of healthcare, including purchasing and commissioning, within each geographical area of the National Health Service. The plans were introduced in 2016 but by 2018 had been overtaken by progress towards integrated care systems. Establishment In March 2016, NHS England divided the geographical areas of England into 44 sustainability and transformation plan areas (or footprints) with populations between 300,000 and 3 million, which would implement the Five Year Forward View. These areas were locally agreed between NHS trusts, local authorities and clinical commissioning groups. A leader was appointed for each area, to be responsible for the implementation of the plans which are to be agreed by the component organisations. They were to "work across organisational boundaries to help build a consensus for transformation and the practical steps to deliver it". ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
Canterbury, New Zealand
Canterbury ( mi, Waitaha) is a region of New Zealand, located in the central-eastern South Island. The region covers an area of , making it the largest region in the country by area. It is home to a population of The region in its current form was established in 1989 during nationwide local government reforms. The Kaikoura District joined the region in 1992 following the abolition of the Nelson-Marlborough Regional Council. Christchurch, the South Island's largest city and the country's second-largest urban area, is the seat of the region and home to percent of the region's population. Other major towns and cities include Timaru, Ashburton, Rangiora and Rolleston. History Natural history The land, water, flora, and fauna of Waitaha/Canterbury has a long history stretching from creation of the greywacke basement rocks that make up the Kā Tiritiri o te Moana/Southern Alps to the arrival of the first humans. This history is linked to the creation of the earth, the s ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
Canterbury District Health Board
The Canterbury District Health Board (Canterbury DHB or CDHB) was a district health board with the focus on providing healthcare to the Canterbury, New Zealand, Canterbury region of New Zealand, north of the Rangitata River. It was responsible for roughly 579,000 residents, or 12% of New Zealand's population. The Canterbury District Health Board covered a territory of 26,881 square kilometers and was divided between six territorial local authorities. In July 2022, the Canterbury DHB was merged into the national health service Te Whatu Ora (Health New Zealand). History The Canterbury District Health Board, like most other district health boards, came into effect on 1 January 2001. In 2001, after multiple union contracts fell through, more than 1100 staff members of Princess Margaret Hospital, Christchurch, The Princess Margaret Hospital went on strike to protest the uncertainty regarding their jobs at the hospital, and the full strike involved roughly 3000 people from hospitals t ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
King's Fund
The King's Fund is an independent think tank, which is involved with work relating to the health system in England. It organises conferences and other events. Since 1997, they have jointly funded a yearly award system with GlaxoSmithKline. They reward small to medium-sized health charities who are improving people's health. The Chief Executive is Richard Murray. Before 1948 the body contributed significantly to London's voluntary hospitals. History Founded as the Prince of Wales's Hospital Fund for London in 1897, the fund changed its name in 1902 to King Edward's Hospital Fund after the accession to the throne of King Edward VII. In 1907, Parliament incorporated the fund as the King's Fund. George Stephen, 1st Baron Mount Stephen worked closely with the future George V in building the charity's endowment fund. Lord Mount Stephen was the charity's most important benefactor, having made gifts to the amount of £1,315,000. The fund was originally set up to contribute to Lond ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
Alzira, Valencia
Alzira ( es, Alcira) is a city and municipality of 45.088 inhabitants (62,094 floating population) in Valencia, eastern Spain. It is the capital of the ''comarca'' of Ribera Alta in the province of Valencia. The city is the heart of the second largest urban agglomeration in the province, with a population of over 100,000. Geographic situation Alzira is located in the province of Valencia, on the left bank of the Júcar river, and on the Valencia–Alicante railway. Alzira's climate is typically Mediterranean: warm with no extremes of temperature either in summer or winter. Rainfall is scarce and irregular. Torrential rains usually follow periods of relative drought. The town is situated on the shores of the Júcar river and contains the Murta and Casella valleys. Alzira's borough extends over 111 square kilometres. History Alzira was founded by the Muslim Moors under the name Jazirat Shukr ( ar, جزيرة شَقْر) which later became known as Xúquer Island. It was a ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
Managed Care
The term managed care or managed healthcare is used in the United States to describe a group of activities intended to reduce the cost of providing health care and providing American health insurance while improving the quality of that care ("managed care techniques"). It has become the predominant system of delivering and receiving American health care since its implementation in the early 1980s, and has been largely unaffected by the Affordable Care Act of 2010. ...intended to reduce unnecessary health care costs through a variety of mechanisms, including: economic incentives for physicians and patients to select less costly forms of care; programs for reviewing the medical necessity of specific services; increased beneficiary cost sharing; controls on inpatient admissions and lengths of stay; the establishment of cost-sharing incentives for outpatient surgery; selective contracting with health care providers; and the intensive management of high-cost health care cases. The p ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
Health Care In New Zealand
The healthcare system of New Zealand has undergone significant changes throughout the past several decades. From an essentially fully public system based on the Social Security Act 1938, reforms have introduced market and health insurance elements primarily since the 1980s, creating a mixed public-private system for delivering healthcare. *The Accident Compensation Corporation covers the costs of treatment for cases deemed 'accidents', including medical misadventure, for all people in New Zealand (legally or otherwise). The costs are recovered via levies on employers, employees, petrol and vehicle registration, and contributions from the general tax pool. *The relatively extensive and high-quality system of public hospitals treats citizens or permanent residents free of charge and is managed by district health boards. However, costly or difficult operations often require long waiting list delays unless the treatment is medically urgent. Because of this, a secondary market of he ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
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