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Knowledge Documents

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  • Tools and Guidelines (26)

Tools And Guidelines

Tools and Guidelines

Primary Health Care (PHC) Per Capita Payment Systems: Summary of Key Aspects of Design and Implementation

Author/s: Cheryl Cashin
This summary document is based on a synthesis of international evidence and experience related to the design and implementation1 of per capita PHC payment systems. It summarizes lessons learned and consolidates specific technical recommendations about steps in the design and implementation of capitated payment systems. A brief case study is presented from the Karaganda region of Kazakhstan, where a PHC per capita payment system has driven profound changes in the relationships between the government/purchaser, providers and the population and set in motion a dynamic of change in the region’s health sector in spite of system barriers.
[download, 724.21 KB] May 2010
Tools and Guidelines

Health Management Information Systems (HMIS): Linking Payers and Providers (A 2009 Update)

Author/s: Dennis J. Streveler
This is a summary of Chapter 5: Health Management Information Systems (HMIS): Linking Payers and Providers (a 2009 update) in the book - Designing and Implementing Health Care Provider Payment Systems: How-To Manuals. This summary highlights the frequently changing area of health information systems and the components needed—information systems for providers, information systems for payers, and the electronic links between the two. Also highlighted are different functions of both payer and provider systems and appropriate ways to implement them.
[download, 690.35 KB] May 2010
Tools and Guidelines

Case-Based Hospital Payment Systems: Summary of Key Aspects of Design and Implementation

Author/s: Cheryl Cashin
Provider payment systems can be powerful tools to promote the development of health systems and achieve health policy objectives. Because the hospital inpatient sector almost always consumes the greatest share of health care resources, the way hospitals are paid can have a particularly strong influence on the performance of the health care system as a whole. Countries throughout the world are taking new approaches to paying hospitals in an effort to improve hospital performance and meet broader health system objectives.
[download, 955.93 KB] April 2010
Tools and Guidelines

Overview of Designing and Implementing Health Care Provider Payments Systems – How to Manuals

Author/s: John C. Langenbrunner
An overview of this 2009 book, describes provider payment methods and systems, powerful tools to promote health system development and achieve policy objectives. Describes the payment systems currently used for primary health care providers and hospitals, summarizing factors to be considered when choosing payment systems.
[download, 519.37 KB] April 2010
Tools and Guidelines

Web summaries of sections from the book "Performance-Based Contracting for Health Services in a Developing Country"

Author/s: Michael Mcdowell
These are summaries of sections 1, 2, and 5 of the book Performance-Based Contracting for Health Services in a Developing Country. It defines the definition and basic aspects of "performance-based contracting" and some points to determine whether it should be used.
[download, 331 KB] January 2010
Tools and Guidelines

Hospital Global Budgeting

Author/s: Robert Dredge
Hospital funding mechanisms are a key part of the process of reform in many health care systems. Many countries with publicly funded systems have introduced, or modified, systems of global budgets. Global budgets can be used to deliver changes to service delivery patterns.
[download, 524.03 KB] February 2010
Tools and Guidelines

Designing and Implementing Health Care Provider Payment Systems: "How-to" Manuals

Author/s: John C. Langenbrunner, Cheryl Cashin, Sheila O'Dougherty
The book has chapters on three of the most effective provider payment systems: primary care per capita (capitation) payment, case-based hospital payment, and hospital global budgets. It also includes a primer on a second policy lever used by purchasers, namely, contracting. This primer can be especially useful with one provider payment method: hospital global budgets. The volume's final chapter provides an outline for designing, launching, and running a health management information system, as well as the necessary infrastructure for strategic purchasing.
[Designing and Implementing Health Care Provider Payment Systems: "How-to" Manuals -> external link] February 2010
Tools and Guidelines

Performance Incentives for Global Health: Potential and Pitfalls

Author/s: Rena Eichler, Ruth Levine, Performance-Based Incentives Working Group
This book documents a host of experiences with incentives for maternal and child health care, tuberculosis, child nutrition, HIV/AIDS, chronic conditions and more.
[Center for Global Development -> external link] July 2009
Tools and Guidelines

A Guide to Competitive Vouchers in Health

Author/s: World Bank
This guide aims at providing policymakers and donors with the tools needed to determine the appropriateness of competitive vouchers, as well as information on the design, execution, and monitoring of projects under this type of scheme.
[World Bank Health, Nutrition, and Population - Publications -> external link]
Tools and Guidelines

Health Results-based Financing Impact Evaluation Network

A key element of the Norwegian Health Results-based Financing (HRBF) Grant is that each of the 8 pilot countries will incorporate a rigorous and well designed impact evaluation into the program design and implementation.
[download, 276.47 KB] June 2009
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