Brennan Report - Department of Health and Children

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134Number Recommendation IT TimeframeRequirementsR5.16 The health board/hospital CEO should be responsible for determining the appropriate level and none Immediate and ongoingquantum of training and for putting in place the mechanisms necessary to ensure that training isdelivered.R5.17 The Executive should liaise with educators to prepare/train clinical Consultants/Heads of none Immediate and ongoingDepartment on an ongoing basis to understand and to work with new financial managementinformation systems.R5.18 The Department of Health and Children should liaise with the Higher Education Authority to none Immediate and ongoingintroduce a requirement for medical schools to develop programmes to ensure that every medicalstudent receives at least one module on health economics, technology assessment and financialmanagement and control issues.R5.19 A working group under the aegis of the Executive, in consultation with the Department of Health none On establishment ofand Children, should examine and make recommendations on appropriate incentives for thoseExecutiveclinical Consultants/departments that successfully implement recommendations above.PUBLIC PRIVATE MIX & SERVICE PLANNINGR5.20 All Service Plans, Practice Plans and monthly, quarterly and annual reports should include a clear While existing systems are immediatebreakdown between public and private costs and activities.sufficient to allowcommencement, full andeffective implementationwill require incrementalsystems developmentR5.21 A coding system should be put in place in all cases (e.g. outpatient activity, private patients having While existing systems are asaptests in a public hospital etc.) and in all hospitals to explicitly identify all activity as relating tosufficient to allowpublic or private patients, as appropriate.commencement, full andeffective implementationwill require incrementalsystems developmentR5.22 The coding system referred to at R5.21 above should allow for allocating of general overheads Systems development See R5.21incurred by hospitals between public and private patients so that the full cost of treating public andrequiredprivate patients can be calculated. The objective should be to identify the costs of treatingindividual patientsReport of the Commission on Financial Management and Control Systems in the Health Service
Number Recommendation IT TimeframeRequirements135R5.23 The Executive should publish in its Annual Report a comprehensive analysis of the amount of Systems development On establishmentpublic resources consumed by private patients within the public hospital sector. required of ExecutiveR5.24 Recognising that implementation of the information systems recommended in Chapter 10 will be While existing systems are immediatenecessary to produce accurate information in respect of R5.23 above and the lead in time for thesufficient to allowestablishment of the Executive, the Department of Health and Children should, on an interim basis, commencement, full andpublish such information using the best estimates that are available to it.effective implementation willrequire incremental systemsdevelopmentEXECUTIVE MANAGEMENT COMMITTEER5.4 Where they do not already exist, chief executive officers in all hospitals should immediately establish none immediatean Executive Management Committee.R5.5. The role of the Executive Management Committee should include: none See R5.4(i) Agree the hospital Service Plan;(ii) Monitor performance against budget;(iii) Agree corrective measures; and(iv) Advise on policy matters that may arise from time to time.R5.6 The membership of the Executive Management Committee should include, at a minimum: none See R5.4(i) The hospital CEO/manager (as Chairman);(ii) The head of the hospital’s finance function;(iii) A clinical Consultant; and(iv) The Director of Nursing.SERVICE PLANNING IN NON-HOSPITAL PROGRAMMESR5.27 In all other areas of the health service (i.e. non-hospital), the individual responsible for the budget none Following R5.33(whether clinical or non-clinical personnel) should be held formally accountable for financialperformance.R5.28 The CEO of the Executive and the health board CEOs should analyse the totality of non-hospital none On establishmentrelated health board activities into clearly defined care groups (e.g. community care, mental healthof Executiveetc) that are consistent throughout the system.Addendum
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Commission onFinancial Managementan
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TABLE OF CONTENTSEXECUTIVE SUMMARY
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6.4 COMMUNITY DRUG SCHEMES 80Medica
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Executive SummaryEXECUTIVE SUMMARYT
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Executive SummaryWe do not underest
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Executive Summary"demand-led" schem
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Terms of ReferenceTERMS OF REFERENC
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GlossaryEstimates for Public Servic
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Chapter 1 Introduction and Backgrou
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Chapter 1 Introduction and Backgrou
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Chapter 2 Overview and Issues2.2 OR
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Chapter 2 Overview and IssuesAppend
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Chapter 2 Overview and IssuesFigure
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Chapter 2 Overview and Issuesother
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Chapter 2 Overview and IssuesTable
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Chapter 2 Overview and IssuesFigure
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Chapter 2 Overview and Issues●●
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Chapter 2 Overview and IssuesIn 200
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Chapter 2 Overview and IssuesThe an
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Chapter 2 Overview and IssuesTable
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Chapter 2 Overview and IssuesProble
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Chapter 3 Managing the Health Servi
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Chapter 4 Service Planning, Budgeti
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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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Page 123 and 124: Chapter 11 ImplementationRecommenda
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Page 127 and 128: Appendix 1Appendix 1COMMISSION MEMB
Page 129 and 130: Appendix 1He has held this position
Page 131 and 132: Appendix 2SIPTU*South Eastern Healt
Page 133 and 134: Appendix 3Name of AgencyBord na Rad
Page 135 and 136: Appendix 3Name of AgencyIrish Blood
Page 137 and 138: Appendix 3Name of AgencyWomen’s H
Page 139 and 140: Appendix 4Department of Health and
Page 141 and 142: Appendix 4collated and assessed by
Page 143 and 144: Appendix 4The most detailed element
Page 145 and 146: Appendix 4Ratifying and Submitting
Page 147 and 148: Appendix 4changes to the Service Pl
Page 149 and 150: Appendix 4advised of their existenc
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Page 153 and 154: Appendix 5Appendix 5DIAGNOSIS RELAT
Page 155 and 156: Appendix 5Figure: Ax.1 Casemix Adju
Page 157 and 158: Appendix 6Appendix 6AUDIT OF STRUCT
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Page 163 and 164: ADDENDUMNumber Recommendation IT Ti
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Brennan Report - Department of Health and Children

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