CaSEmiX
Quarterly
and
are pleased to announce
THE
CASEMIX SUMMER SCHOOL®
10th Edition
Venice , Italy, 23th
– 27th June 2008
All over the world, PATIENT CLASSIFICATION SYSTEMS are
used for financing, clinical management, planning, budgeting, evaluation and
control purposes in hospitals and in other health care services. In a growing number of countries reforms
based on PATIENT CLASSIFICATION SYSTEMS have been implemented. In others,
governments and health research institutions are still evaluating and
experimenting on their possible use.
The CASEMIX SUMMER SCHOOL®
introduces the science of case mix, providing an overview on the most important
patient classification 
schemes, their use in health care quality
evaluation, how they can support appropriate service financing policy, and
their health information system requirements.
The School is
organised by CASEMIX Quarterly, a eJournal which offers a forum for networking and discussing
achievements and developments in casemix evaluation. The faculty of the School
includes some of the most recognised experts on the field in the world. The Summer of 2008 will be the 10th
edition of the School. In the previous years,
more than one hundred people have attended, coming from Japan,
Australia, Singapore, Mexico, South Africa and from as many as 22 different
European Countries. One of the strength of the School is the opportunity it
provides of networking with those involved in the implementation of Casemix systems.
Venice needs no presentation. A perfect place for a cultural and professional
week.
MONDAY 23TH JUNE
|
09.00 |
Overview of the Course and Introduction to the
Faculty and Participants - All faculty |
|
10.30 |
Break |
|
11.00 |
Principles of DRG-based casemix systems- Beth
Reid This
session will provide an introduction to Diagnosis Related Groups (DRGs),
their purpose, history, structure, and how they have been modified in various
countries. The discussion of various applications of DRGs will give
participants an opportunity to explore the strengths and limitations of this classification system |
|
12.30 |
Lunch |
|
14.00 |
Grouper designs, up-coding and data quality- Beth Reid This
session will focus on two issues; how groupers are designed and evaluated,
and data quality. There is a detailed discussion of how the performance of
groupers can be evaluated from both a statistical and clinical perspective.
We will explore such questions as how errors in the data impact on the
quality of the DRGs, what is the evidence regarding up-coding, and how can
the quality of the disease and
procedure coding be evaluated and improved. |
|
15.30 |
Break |
|
16.00 |
Casemix in Primary Health Care - Paolo Piergentili Research
is going on in the development of Casemix tools also in PHC. The module will
review existing classification systems, the problems related to the
Information System, and the possible use of data related to PHC evaluation and
financing. |
TUESDAY 24TH JUNE
|
09.00 |
Introducing Casemix in a Health System - Jugna Shah This session
will cover all of the elements that most countries address as they begin to
introduce a case-mix based financing system in their own country. The session will highlight the most common
implementation issues, questions, strategies, and pitfalls that countries
have faced in the beginning stages of casemix implementation so newcomers to
the field can be aware and try to avoid some of these. In addition, participants will be given
examples of how and what strategies countries lacking “perfect” coding and
cost data were able to do in order to begin implementation. Technical issues related to coding, data
collection, costing, grouping etc. will be addressed in the context of
decision-making in other countries as well as the issues new countries to
case-mix need to think through.
Political, cultural, and economic issues will also be raised as they
related to thinking through the questions of “why DRGs, how, when”, etc. The session will use implementation
examples from other countries to allow participants to understand others
experiences. Finally, the last hour of
the session is intended to be interactive so participants can discuss debate,
ask questions, and perhaps even begin designing their own case-mix
implementation plan. |
|
10.30 |
Break |
|
11.00 |
Introducing Casemix in a Health System (continued) |
|
12.30 |
Lunch |
|
14.00 |
DRG in Australia – Beth
Reid |
|
15.30 |
Break |
|
16.00 |
DRG in USA – Marc Berlinguet
|
WEDNESDAY 25TH JUNE
|
09.00 |
Casemix and
Quality of Care –
Marc Berlinguet 1. Golden
triangle of Access, cost and Quality 2. Quality
of care historic perspective and new
Patient-centered health care refocus 3. US
Agency for Health Care and Research Quality Indicators and others 4. DRG
and other grouping classifications
linked quality indicators 5. Most relevant International initiatives and trends 6. Analytic tools available 7. Impacts and Outlook |
|
10.30 |
Break |
|
11.00 |
Casemix and
Quality of Care
(continued) |
|
12.30 |
Lunch |
|
14.00 |
Casemix for
Ambulatory Care, Rehabilitation and
Long-term Care - Steve Sutch Whilst many countries are able to adopt a similar
view in classification of patients receiving acute hospital care, this does
not apply to the non-acute services. This session will outline the issues and
problems concerned with the casemix development in this area, and describe
examples of differing solutions and developments world-wide |
|
15.30 |
Break |
|
16.00 |
Casemix in Italy - Paolo Piergentili |
THURSDAY 26TH JUNE
|
09.00 |
Tutorials – All
faculty The
Faculty will be available during all the morning to deepen specific issues,
included in the courses and where participants have a specific interest. Participants will express their requests on
the Wednesday evening, and arrangement will be made to put together faculty
member and participants with homogeneous interests |
|
10.30 |
Break |
|
11.00 |
Tutorials (continued). |
Afternoon free
FRIDAY 27TH JUNE
|
09.00 |
Principles of Costing by Case - Jean
Claude Rey This
session will provide an introduction to costing and cover its various
aspects, such as reasons for product costing, costing by case, methods used
(top-down, bottom up, cost-modelling, data required), type of costs (direct,
indirect, overhead), cost-weights (inliers, outliers), inclusion of various
components (nursing, drugs, implants, etc.). Discussion on implications and
problems will give participants the opportunity to explore further the
possibilities, implications and limitations of costing by case. |
|
10.30 |
Break |
|
11.00 |
Principles of Costing by Case (continued) |
|
12.30 |
Lunch |
|
14.00 |
DRG in UK - Steve Sutch |
|
15.30 |
Break |
|
16.00 |
Conclusion and Evaluation - All faculty |
Marc
Berlinguet was
trained as physician and specialist in Community Health (McGill, Harvard and London
School of Economics and Political Sciences Universities) . He became principal
and led Integrated Medical Decision Making Systems Inc. He in this capacity, he
helps introduce and validate DRG classifications, population-based groupers and
quality/performance indicators in Canadian hospitals, and provinces of Quebec, Ontario and Alberta for twenty years from 1981
to 2001. During a three year stint in early 1990’s, he became senior Policy Analyst, for the USA Agency for
Health Care Policy and Research, DHSS (now AHRQ). Since 
2004,
he is the International Medical Manager
of 3M-HIS Inc.
Beth
Reid is the
Professor of Health Information Management in the Faculty of Health Sciences at
the University of Sydney. Her research in the topic of casemix has included:
evaluating the performance of several DRG versions; evaluating and improving
medical record abstract data; developing a protocol for measuring the impact of
output-based payment of hospitals of the quality of care; developing casemix-based information systems in seven
major teaching hospitals; casemix adjusting hospital performance indicators;
and casemix costing in seven major
teaching hospitals.
Jean Claude Rey is the Founder and President of the Swiss Institute for Health and
Economics (ISE) in Lausanne. Since 1990 the Institute is a leading force in the
promotion, introduction and maintenance of DRG’s in Switzerland. Specialized in
case-mix applications, it has produced 
the cost-weights for the six annual
versions of AP-DRG for Swiss hospitals. The Institute is a leader in
introducing and improving data in the various fields of healthcare and has been
trusted with numerous missions at national level, such as Nursing Data, Patient
Classification Systems/Switzerland as well as scientific councillor for
multi-state implementation projects. The Institute is often consulted by the
Swiss Federal Government and recently did the Evaluation Report on legislation
supporting the development of casemix data, case-costing and tariffs.
Jean-Claude Rey is a frequent guest speaker at international conferences, as
well as teacher on case-mix and financing systems in several countries. He is a
member of the Swiss Expert Health Statistics Commission.
Jugna
Shah is the Founder
of Nimitt Consulting Inc., a research and consulting firm dedicated to the
study, evaluation, development, 
and implementation of inpatient (DRGs) and outpatient
(APCs/APGs) case-mix based payment systems both in the United States and
throughout the world. She began working
with international governments and hospitals in 1996 and continues her work
today with the country of Turkey. She is a well-known and popular educator on
all aspects of case-mix classification and payment, including the basics of
coding, collecting and analyzing data, grouping, creating relative weights,
simulating new budgets or payment systems, and ultimately designing country
specific implementation plans that take culture, politics, economics, and infrastructure
into consideration.
Steve Sutch has a special interest in worldwide developments in
Patient Classification and its application in Health planning, funding and
resource allocation. He began working in the English NHS in 1987 as an Operational
Research consultant, modelling hospital and NHS systems. In 1991, he moved to
Wales to manage the investigation of casemix, its introduction, advising the
Welsh Health Department and providing a range of casemix information services
to hospitals and authorities. In 1994, he moved to the national casemix office
in England, continuing work for Wales as a casemix Consultant including the
move from APDRG to HRG. Joining the NHS Information Authority in 1999 he
managed the Analytical and Statistics department supporting the development of
casemix groupings (Healthcare Resource Groups) and related services in England
and Wales until 2004, and from 2004 to 2006 was Principal Casemix Consultant
responsible for the design of casemix groupings for England. In 2006 he set up
a consultancy company specialising in casemix information, design and
reimbursement and works across different countries in Europe and worldwide. He
has also carried out research in casemix classification design and has links
with a number of 
Universities worldwide.
SCHOOL
DIRECTOR Paolo Piergentili
Editor of CASEMIX Quarterly, he is working as Director
for Health Affairs in Pordenone, in a Health Organization in North Eastern
Italy serving a population of 300.000, three hospitals, community and Primary
Care Health Services. From 1984 to 1990 he was responsible for the Italian
National DRG's Project in the Ministry of health, and in more recent years, of
the Regione Veneto DRG's Project. He has conducted many researches and
organised several cultural events on casemix and health service evaluation.
In arrivo!
School Venue.
The
School will be held in the CENTRO ARTIGIANELLI DON ORIONE.
Classes start at 9 am and finish at 17.30 pm roughly. On Thursday the 26th
no afternoon class is scheduled.
Hotel accommodation
A number of rooms have been reserved in thr Centro Artigianelli and in a nearby hotel. The hotel cost is included in the fee. Extra nights and double rooms are available. Inquiry for information.
Registration
|
Until 31 March 2008 |
After 31 March 2008 |
||
|
Basic fee |
Fee VAT included |
Basic fee |
Fee VAT included |
|
2.250,00 |
2.600,00 |
3.000,00 |
3.600,00 |
Fees are in Euros, and include 5 night hotel accommodation (single room
plus breakfast) from 22 to 27 of June.
Inquiry for extra night and double room.
According to Italian Law, a 20% VAT must be added to the fee, unless the
invoice is issued to a Non Profit Health Care Organisation, a University, a
Government Agency. The invoice must be issued to the organisation itself, and
not to the person employed by the organisation. Inquiry for details.