Transitional funding: changing Ontario's global budgeting system.
Lave, Judith R
Date of Pub
Jacobs, Philip; Markel, Frank
In 1988, Ontario introduced transitional funding, a collaborative process between the Ministry of Health and the hospitals
to modify Ontario's global budgeting system. The goals are to achieve greater equity; encourage hospital efficiency, and promote
a shift from inpatient to outpatient services. To implement these goals, inpatient care is being measured in terms of case-mix
groups, i.e., a classification system comparable to the diagnosis-related groups. However, since there is no patient level
cost data, cost weights are being derived from patient-level data from New York State. Transitional funding draws attention
to both positive and negative aspects of global budgeting.
Budgets/organization & administration : Diagnosis-Related Groups/economics : Financial Management, Hospital/legislation &
jurisprudence : Financing, Government/methods : Insurance, Hospitalization/economics : Interinstitutional Relations : Life
Support Care/economics : National Health Programs/economics : Ontario : Organizational Innovation : Support, Non-U.S. Gov't