Dáil Éireann - Volume 603 - 31 May, 2005

Written Answers. - Hospital Procedures.

  169. Mr. O’Connor asked the Tánaiste and Minister for Health and Children the number of hospitals that have had financial penalties imposed on them for inefficiencies since 2002; and the total of the fines imposed since 2002. [18204/05]

  Ms Harney: Casemix is an internationally accepted management system for monitoring and [662] evaluating health services which allows for the collection, categorisation and interpretation of hospital patient data related to the types of cases treated, in order to assist hospitals define their products, measure their productivity and assess quality. Casemix is used as part of the budgetary process in order to base funding on measured costs and activity rather than on less objective systems of resource allocation and to fund hospitals based on their mix of patients.

The national Casemix programme compares the costs and activity of the 37 hospitals that participate in the programme. It operates a ‘budget neutral’ policy which rewards efficiency by retargeting funds from less efficient hospitals to those who have demonstrated that additional funding will result in real benefits. The Casemix budget adjustments that were applied as part of the financial allocations for 2002-05 are set out in the following table. Many hospitals that lose funding under the programme review their management and go on to gain funding in following years.

I am committed to rewarding good performance and as Casemix is the most internationally accepted ‘performance related’ acute hospital activity programme, I am committed to the expansion of Casemix in order that it be used as a central pillar in acute hospital funding policy.

2002

2003

2004

2005

Total

Beaumont

(215,148)

141,115

526,012

101,548

553,527

Cork University

403,143

213,043

(253,820)

765,904

1,128,787

Connolly Hospital

(107,389)

(331,370)

(1,079,638)

(1,339,389)

(2,857,787)

Mater

341,246

(310,771)

344,156

436,654

811,285

St. James’s

(544,743)

(334,589)

(560,471)

(827,625)

(2,267,428)

St. Vincent’s

365,155

(195,990)

(1,208,000)

179,025

(859,810)

AMNCH, Tallaght

(1,253,061)

(1,515,688)

26,343

(119,054)

(2,861,461)

UCH Galway

1,010,798

2,193,282

2,205,418

802,937

6,212,434

Cavan

(68,283)

315,606

747,973

(346,384)

648,912

Croom

(231,229)

(228,280)

(139,602)

(195,039)

(794,151)

Letterkenny

543,938

565,903

998,889

1,195,119

3,303,849

Limerick

(138,169)

510,863

(468,650)

(491,316)

(587,273)

Longford/Westmeath

187,662

10,668

716,976

901,434

1,816,740

Lourdes Drogheda

(468,930)

(674,611)

(88,950)

(69,746)

(1,302,237)

Louth General

186,544

273,151

501,182

417,897

1,378,774

Mallow

66,913

48,506

84,495

127,113

327,026

Mayo General

469,495

103,110

(728,063)

(613,409)

(768,867)

Mercy

(148,313)

(636,673)

(200,905)

(157,017)

(1,142,908)

Merlin Park

371,706

596,609

380,939

416,490

1,765,981

Monaghan

(303,578)

(394,563)

n/a*

(368,606)

(1,066,747)

Navan

43,257

(73,142)

(228,417)

(284,153)

(542,455)

Portiuncula

45,314

331,228

(195,987)

59,006

239,561

Portlaoise

32,081

(158,463)

(117,712)

(163,802)

(407,894)

South Infirmary

42,826

299,757

80,164

517,443

940,190

Sligo

(202,499)

(273,359)

65,978

(313,136)

(723,016)

St. Columcille’s

(371,706)

(579,006)

(871,662)

(1,055,679)

(2,878,012)

St. Luke’s Kilkenny

79,335

40,135

(126,373)

286,445

279,542

St. Mary’s Orthopaedic

(190,227)

(185,617)

(298,093)

(388,548)

(1,062,486)

Tralee

(31,760)

(63,133)

(330,208)

(320,656)

(745,757)

Tullamore

28,130

(442,661)

(546,911)

(449,676)

(1,411,118)

[663] Waterford

(14,446)

685,539

356,317

554,430

1,581,839

Wexford

71,700

69,404

408,581

741,791

1,291,475

Coombe**

n/a

n/a

(52,971)

18,862

(34,109)

National Maternity**

n/a

n/a

25,245

(3,601)

21,644

Rotunda**

n/a

n/a

27,726

(15,260)

12,465

OLHSC, Crumlin**

n/a

n/a

n/a

6,922

6,922

CUH, Temple Street**

n/a

n/a

n/a

(6,922)

(6,922)

Negative adjustments in brackets.

* Monaghan hospital was excluded from the Casemix programme in 2004 due to operational difficulties at the hospital.

** The Coombe, National Maternity and Rotunda hospitals joined the Casemix programme in 2004 and OLHSC, Crumlin and CUH, Temple Street joined in 2005.