Dollars and Sense of Health Care Funding

What are the four main health models

Territorial Health Model, Equalization Payments, Canadian Health Transfer, Canadian Social Transfer

What is the Territorial Health Model?

calculates money given to the territorial governments

what are equalization payments?

given to provinces with low fiscal capacity (don't make a lot)(excludes the territories)

What is the Canadian Health Transfere?

the income that was promised to be used in health spending

What is the Canada Social Model

the income that was promised to be used in education and childcare

Block funding
(hospital funding model)

based on the previous years spendings

line-by-line funding model (hospital funding model)

the hospital gives a final "receipt" and is paied back (NB)

service-based funding
(hospital funding model)

based on the amount of cervices

Population-based funding
(hospital funding model)

given money based off of demographics

how we reduced hospital stays

same-day admission, technology and day surgery, timely discharge, at-home services, discharge of post-opt patients, palliative choices, non-for-profit health centers

what are the top 3 expenditures in Canada

hospital, drugs, physicians

what is Publically funded health care

health care services whose finances are managed by the government or a government agency for the good of the entire population.

what is Privately funded health care

health care services whose finances are managed by the patient or, if they are lucky, their private health insurance. There is no government money to help offset the costs paid for by the patient.

fee-for-service
(How physicians get paid)

receive payment of reach service

capitation
(How physicians get paid)

a set amount for each patient

indirect capitation
(How physicians get paid)

RHA receives an amount fora population base

global budget
(How physicians get paid)

paid to practice in a certain area

salary
(How physicians get paid)

set amount per time frame

specialists' compensation
(How physicians get paid)

salary for teaching

Government grants

are the tax dollars paid for the merchandise, food, etc.

Provincial governments

are responsible for hospital provisions.

who established Facilicorp NB who was responsible for the provision of non- clinical services

New Brunswick

fee

Dispensing ________- the ________ the pharmacy charges to dispense drugs.

Donations

volunteer organizations contribute to the cost.

Canadian Health Act

Adherence to the principles and conditions of the ________ binds the provinces and territories to a predetermined rate.

Hazardous Materials Information Review Commission

makes decisions on compliance of safety with Prov., Fed., Ter., legislation.

Co payment deductible

the amount left that you have to pay after the insurance.

Alert Phase II

activities to protect the public are exhausted.

who is responsible for healthcare administration in a defined geographic location within the provinces and territories

Regional Health Authorities

medically necessary

provided by the hospital under the province/territory

primary health care

health care professional you see first

secondary health care

health care professionals you get referred to

tertiary health care

health care professionals that the specialists refer you to

regional health authorities (RHA)

Health authority boards are accountable to the Minister of Health and are responsible for the mandate, resources and performance of the health authority

eligibility

the state of having the right for a service

insured services

payed for either by the government or privately

co-payment deductible

the amount left that you have to pay after the insurance

dispensing fee

the fees the pharmacy charges to dispense drugs

nonprofit reciprocal agreements

a formal written agreement between a nonprofit and an external or third party

drug identification number (DIN)

Any product defined as a drug under the Canadian Food and Drugs Act must have an associated drug identification number

Quaternary

typically clinical trials

homecare

helps individuals with basic personal care, meals, and household maintenance, allowing them to stay at home longer

respite care

allows non-professional caregivers relief (family)

hospice care

a home-like setting for those unwilling to die at home

Palliative care

medication and supplies for people dying at home or in a hospital

level 1

clients are mobile but need 24-hour supervision

level 2

require help and some supervision 24 hours a day

level 3

medically stable are typically medically and mentally stable

level 4

typically mentally/behaviorally unstable

payroll taxes

taxes taken directly from each paycheck

government grants

are the tax dollars paid for the merchandise, food, etc