Brennan Report - Department of Health and Children

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Report of the Commission on Financial Management and Control Systems in the Health ServiceGLOSSARYTERMAccounting OfficerAnnual Financial StatementAnnual ReportAppropriations-in-AidCapitation FeeCasemixCensus of Health Service EmployeesCorporate GovernanceDeterminationDevelopment FundingDiagnosis Related GroupDispensing FeeDEFINITIONAn Accounting Officer has responsibility for the proprietyaspects of the accounts, for economy and efficiency in the use ofresources and for the management system used to evaluateeffectiveness. When required to do so, the Accounting Officer isrequired to give evidence on these issues before the PublicAccounts Committee.Statutory accounts of health boards.Report/statement on the services provided by a healthboard in the preceding year and any other particulars(including financial statements) that the board considersappropriate.Income and Receipts on the Health Vote.A flat rate payment to GPs for each medical card holderregistered to his/her practice.The comparison of activity and costs between hospitals bymeasuring hospital output. The rationale for Casemix is to basefunding on measured costs and activity, rather than on lessobjective systems of resource allocation.The Census is a snapshot of total employment levels in thehealth service conducted annually by all health boards, onthe instruction of the Department of Health and Children, overthe last two weeks in each calendar year. See also "Whole-timeEquivalent".The way in which an organisation is directed and controlled soas to achieve its organisational goals and to deliveraccountability, transparency and probity.The annual allocation of funds from the Department of Healthand Children to each health board.Funding provided specifically for the development of newservices.Diagnosis Related Groups are groups of cases with similarclinical attributes and resource requirements – e.g. a simpleappendicitis versus one where the appendix had burst. See alsoCasemix.Fee paid to pharmacists in respect of each prescriptionfilled under community drugs schemes.12
GlossaryEstimates for Public ServicesExisting Level of ServiceGroup 1 HospitalsGroup 2 HospitalsHealth Board HospitalIntegrated Management ReportInternal AuditNet ExpenditureOperational PlansPerformance IndicatorPPARSPublic/Private MixReserved FunctionsSAPThe breakdown by Department of planned Governmentexpenditure for the year. An "abridged" version ispublished annually prior to the Budget. A "revised" versionis published annually post-Budget.An assessment of the costs of maintaining all publicservices, including health services, at their existing level.The major academic training hospitals (i.e. Beaumont Hospital,Cork University Hospital, James Connolly Memorial Hospital,Mater Hospital, St. James’ Hospital, St. Vincents’ Hospital andUniversity College Hospital Galway).Non-teaching hospitals (i.e. all hospitals other than thosecategorised as Group 1).A hospital fully owned and managed by a health board.This is the main means by which health boards report ontheir financial performance to the Department of Healthand Children.An independent, objective assurance activity designed to addvalue and improve an organisation's operations. It helps anorganisation accomplish its objectives by bringing a systematic,disciplined approach to evaluate and improve the effectiveness ofrisk management, control and governance processes.Total expenditure less appropriations-in-aid.Within each health board, in addition to the formal healthboard-wide Service Plan, each care group (e.g. communitycare, mental health etc.), prepares its own OperationalPlan. This underpins the Service Plan, but at a greater levelof detail.The health board Service Plans include key performanceindicators across a number of headings as well as targetsfor delivery of service developments. They are output-basedindicators.Personnel, Pay, Attendance and Recruitment System - the humanresource module of SAP.This is the mix of activity in respect of public and private patientswithin a public hospital setting.Functions "reserved" under statute to the members of thehealth board.A fully integrated software package with available modulesincluding financials, materials management, human resources,payroll, asset management and asset maintenance.13
Page 1 and 2: Commission onFinancial Managementan
Page 3 and 4: TABLE OF CONTENTSEXECUTIVE SUMMARY
Page 5 and 6: 6.4 COMMUNITY DRUG SCHEMES 80Medica
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Page 9 and 10: Executive SummaryWe do not underest
Page 11 and 12: Executive Summary"demand-led" schem
Page 13: Terms of ReferenceTERMS OF REFERENC
Page 17 and 18: Chapter 1 Introduction and Backgrou
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Page 21 and 22: Chapter 2 Overview and Issues2.2 OR
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Page 41 and 42: Chapter 2 Overview and IssuesProble
Page 43 and 44: Chapter 3 Managing the Health Servi
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Chapter 5 Accountability - Hospital
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Chapter 6 Accountability - General
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Chapter 7 Accountability - Employme
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Chapter 8 Audit ReformCHAPTER 8AUDI
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Chapter 8 Audit ReformRecommendatio
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Chapter 8 Audit Reformoutsourcing)
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Chapter 8 Audit Reformaudit reports
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Chapter 8 Audit Reformas relating t
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Chapter 8 Audit Reform●●Penalti
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Chapter 9 External Reporting Proced
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Chapter 10 Information SystemsStrat
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Chapter 10 Information SystemsRecom
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Chapter 11 ImplementationRecommenda
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Chapter 11 Implementationbeing brou
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Appendix 1Appendix 1COMMISSION MEMB
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Appendix 1He has held this position
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Appendix 2SIPTU*South Eastern Healt
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Appendix 3Name of AgencyBord na Rad
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Appendix 3Name of AgencyIrish Blood
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Appendix 3Name of AgencyWomen’s H
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Appendix 4Department of Health and
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Appendix 4collated and assessed by
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Appendix 4The most detailed element
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Appendix 4Ratifying and Submitting
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Appendix 4changes to the Service Pl
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Appendix 4advised of their existenc
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Appendix 4Approvals Required in lin
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Appendix 5Appendix 5DIAGNOSIS RELAT
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Appendix 5Figure: Ax.1 Casemix Adju
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Appendix 6Appendix 6AUDIT OF STRUCT
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Appendix 7(vii)(viii)(ix)participat
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Appendix 8Appendix 8 - Integrated M
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ADDENDUMNumber Recommendation IT Ti
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Number Recommendation IT TimeframeR
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Brennan Report - Department of Health and Children

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