Brennan Report - Department of Health and Children

More documents

Recommendations

Info

146Number Recommendation IT TimeframeRequirementsANNUAL FINANCIAL STATEMENTS & ANNUAL REPORTSR9.7 The Annual Financial Statement prepared by the health boards should be tied in more clearly and in none immediatea more relevant manner to the services that are being delivered. In this regard,the CEO shouldprepare a reconciliation document that makes it clear how the figures in the final (i.e. December’s)Integrated Management Report of the financial year have appeared in the Annual FinancialStatement and Annual Report.R9.8 The Annual Report prepared by the health boards should be adopted by health boards at the same none asaptime as the Annual Financial Statement which is by 31 March following the previous year end.INFORMATION TECHNOLOGYR10.1 The information systems necessary to support financial management and control systems Systems development n/arecommended in this report should be built around SAP and PPARS.requiredR10.2 This investment should be subject to: none immediate(i) Prior arrangements being put in place to ensure that appropriate use can and will bemade of new systems as evidenced in a detailed business case as outlined in the text above;(ii) Parallel implementation of the wider organisational changes we recommend throughoutthis report; and(iii) The recruitment of certain key financial, human resource management and informationtechnology personnel, necessary to the successful implementation of therecommendations of this report, should be by means of open competition i.e. fromoutside the Common Recruitment Pool (see also recommendation R7.10).R10.3 There should be an acceleration in investment so as to achieve the early implementation of the Systems development asapfollowing:required(i) SAP financials installed in all health boards and the major teaching hospitals;(ii) PPARS (Phase 1) fully implemented in the outstanding sites (South Eastern Health Board,Southern Health Board, Beaumont, Mater, St Vincent’s and Tallaght hospitals); and(iii) PPARS (Phase 2) implemented in the health boards and the major teaching hospitals.R10.4 Roll out of PPARS should continue to be driven by the National PPARS Office, to ensure a Systems development asapconsistent and uniform national approach, and that Office should liase on a monthly basisrequiredwith the Implementation Committee referred to at R11.2.Report of the Commission on Financial Management and Control Systems in the Health Service
Number Recommendation IT TimeframeRequirements147R10.5 Hospital information systems which provide information on patients and their procedures Systems development asap(i.e. number of tests, x-ray, lab time, theatre, drugs, etc) be rolled out to all acute hospitals andrequiredintegrated with the financial and HR systems at R10.3 above.R10.6 Funding for the IT strategy should be ring-fenced to ensure that: none immediate(i) The funding is solely for specified IT investment;(ii) There is increased transparency of where the investment occurs; and(iii) There is clear measurement of the improvements in management information resultingfrom such investments.R10.7 Pending establishment of the Executive, the Department of Health and Children should have full none On establishment ofcontrol over how this funding will be allocated and should report the results of such investmentsImplementation Committeeto the Implementation Committee recommended at R11.2.IMPLEMENTATION OF RECOMMENDATIONSR11.1 Government should give consideration to assigning non-core health activities, currently undertaken none asapby agencies within the health service, to other bodies.R11.2 A National Implementation Committee should be established with the role of none immediate(i) Ensuring the implementation of the recommendations;(ii) Driving the implementation process;(iii) Overseeing the establishment of the Executive and the consequent governance changes inChapter 3; and(iv) Providing progress reports every 3 months.R11.3 The Implementation Committee should, within 2 years of the publication of this report, be in a none asapposition to hand over responsibility for implementation of any outstanding recommendations to theCEO of the Executive.R11.4 The Government should nominate an independent person to chair the Implementation Committee. none immediateR11.5 Membership should also include the Secretary General of the Department of Health and Children, none immediatea Secretary General in the Department of Finance, a health board CEO and three persons from theprivate sector with appropriate expertise and experience in change management and financialmanagement/audit functions.Addendum
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
Page 7 and 8:
Executive SummaryEXECUTIVE SUMMARYT
Page 9 and 10:
Executive SummaryWe do not underest
Page 11 and 12:
Executive Summary"demand-led" schem
Page 13 and 14:
Terms of ReferenceTERMS OF REFERENC
Page 15 and 16:
GlossaryEstimates for Public Servic
Page 17 and 18:
Chapter 1 Introduction and Backgrou
Page 19 and 20:
Chapter 1 Introduction and Backgrou
Page 21 and 22:
Chapter 2 Overview and Issues2.2 OR
Page 23 and 24:
Chapter 2 Overview and IssuesAppend
Page 25 and 26:
Chapter 2 Overview and IssuesFigure
Page 27 and 28:
Chapter 2 Overview and Issuesother
Page 29 and 30:
Chapter 2 Overview and IssuesTable
Page 31 and 32:
Chapter 2 Overview and IssuesFigure
Page 33 and 34:
Chapter 2 Overview and Issues●●
Page 35 and 36:
Chapter 2 Overview and IssuesIn 200
Page 37 and 38:
Chapter 2 Overview and IssuesThe an
Page 39 and 40:
Chapter 2 Overview and IssuesTable
Page 41 and 42:
Chapter 2 Overview and IssuesProble
Page 43 and 44:
Chapter 3 Managing the Health Servi
Page 45 and 46:
Page 47 and 48:
Page 49 and 50:
Page 51 and 52:
Page 53 and 54:
Page 55 and 56:
Page 57 and 58:
Page 59 and 60:
Chapter 4 Service Planning, Budgeti
Page 61 and 62:
Page 63 and 64:
Page 65 and 66:
Chapter 5 Accountability - Hospital
Page 67 and 68:
Page 69 and 70:
Page 71 and 72:
Page 73 and 74:
Page 75 and 76:
Page 77 and 78:
Page 79 and 80:
Chapter 6 Accountability - General
Page 81 and 82:
Page 83 and 84:
Page 85 and 86:
Page 87 and 88:
Page 89 and 90:
Chapter 7 Accountability - Employme
Page 91 and 92:
Page 93 and 94:
Page 95 and 96:
Page 97 and 98:
Page 99 and 100:
Page 101 and 102:
Chapter 8 Audit ReformCHAPTER 8AUDI
Page 103 and 104:
Chapter 8 Audit ReformRecommendatio
Page 105 and 106:
Chapter 8 Audit Reformoutsourcing)
Page 107 and 108:
Chapter 8 Audit Reformaudit reports
Page 109 and 110:
Chapter 8 Audit Reformas relating t
Page 111 and 112:
Chapter 8 Audit Reform●●Penalti
Page 113 and 114:
Chapter 9 External Reporting Proced
Page 115 and 116:
Page 117 and 118:
Page 119 and 120:
Chapter 10 Information SystemsStrat
Page 121 and 122:
Chapter 10 Information SystemsRecom
Page 123 and 124:
Chapter 11 ImplementationRecommenda
Page 125 and 126:
Chapter 11 Implementationbeing brou
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
Page 151 and 152: Appendix 4Approvals Required in lin
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
Page 159 and 160: Appendix 7(vii)(viii)(ix)participat
Page 161 and 162: Appendix 8Appendix 8 - Integrated M
Page 163 and 164: ADDENDUMNumber Recommendation IT Ti
Page 165 and 166: Number Recommendation IT TimeframeR
Page 183: Number Recommendation IT TimeframeR
show all

Brennan Report - Department of Health and Children

Create successful ePaper yourself

Delete template?

Save as template?