Michael Rachlis MD

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Thoughts about Alberta and activity based funding

25 October 2009, 4:51 PM

After being home for a week from my trip to Alberta speaking on behalf of Friends of Medicare, I have a few reflections:

Activity-based funding

Alberta is moving to pursue a policy named “activity-based funding”. Essentially ABF is fee for service payment for hospital care. Hospitals would be paid a specific free for an episode of care such as a hip replacement. The United States government moved most of its hospital funding through their Medicare program into Diagnosis Related Groups or DRGs in 1983.

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Filed under Travel, Wait Times

It's been a busy couple of weeks on wait times.

15 May 2009, 3:16 PM

On Tuesday May 5th, I met with the New Brunswick deputy minister, Don Ferguson in Fredericton with Mike McBane, the coordinator of the Canadian Health Coalition and Debbie Lacelle, co-chairperson of the New Brunswick Health Coalition. We also met with assistant deputy ministers: Jean-Marc Depuis (Planning, sustainability, and e-health), Roberte O’Reagan, Executive Director Hospital Services, and Kelli Simmonds, Executive Director Research, Planning, Evaluation, and Policy. The meeting went very well. I gave a presentation on the application of queueing theory to reduce waits and delays in our system and then we had a frank talk about public sector solutions to wait times.

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Filed under Interviews, Meetings, Presentations, Travel, Wait Times

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