archive-com.com » COM » B » BCAUDITOR.COM

Total: 612

Choose link from "Titles, links and description words view":

Or switch to "Titles and links view".
  • Ministry of Health Expenditures | Auditor General of British Columbia
    health care practitioners in chiropractic physical therapy massage therapy podiatry dentistry naturopathy and optometry In most respects MSP is a fee for service funding model where physicans and supplementary health care practitioners are paid per service provided All British Columbia residents contribute payments called premiums to the plan according to their income level During 2011 12 3 8 billion was spent on MSP Since 2008 09 this amount has steadily increased year over year see Exhibit 6 Each year the MSP program area prepares a budget based on historical spending trends and any known upcoming changes e g new agreements with physicians The budget is reviewed by the ministry s finance area in making budget allocation decisions This review occurs before the health authority budgets are considered although the MSP allocation for a given year will be revisited if the health authority amount is found to be insufficient FUNDING OF PHYSICIANS AND SUPPLEMENTARY HEALTH CARE PRACTITIONERS In 2011 12 a total of 3 8 billion was paid to physicians and supplementary health care practitioners This represents nearly 25 per cent of the health care expenditures incurred by the Ministry of Health in the last fiscal year Exhibit 7 outlines the categories included under Supplementary Health Care Practitioners along with the total amounts paid to each group in 2011 12 As negotiated with the BC Medical Association and outlined in the Physician Master Agreement the Ministry of Health uses four funding models to fund physicians Fee for Service Alternative Payment Program Medical On Call Availability Program and Rural Programs Each model is explained on page 16 Supplementary health care professionals such as massage therapists are funded through the Fee For Service model which as mentioned on the previous page is facilitated through MSP Exhibit 8 illustrates the amount paid to fund

    Original URL path: http://www.bcauditor.com/online/pubs/775/778 (2016-02-12)
    Open archived version from archive

  • Physician Funding Models | Auditor General of British Columbia
    bill for the actual amount of time spent with or on behalf of patients instead of the number and type of services Examples of types of clinical programs funded by APP are psychiatry oncology addictions treatment emergency rooms and primary care Medical On Call Availability Program MOCAP 2011 12 130M This program was created to meet the medical needs of new and unassigned patients requiring emergency care By definition a new or unassigned patient is not a patient of any physician participating in the call group The health authorities are responsible for managing MOCAP funds and they use the available funding to contract with physicians to provide emergency on call services The health authorities have contracts with physician call groups to provide specified coverage and are provided payment in accordance with the MOCAP policies Rural Funding 2011 12 50M The Ministry currently funds nine rural programs focused on recruiting and or maintaining physicians in rural practice Rural Retention Program established to enhance the supply and stability of physician services through payment of annual retention benefits to eligible physicians Rural General Practitioner Locum Program enables eligible general practitioners to have reasonable periods of leave from their practices for continuing medical education maternity leave vacation and health needs Rural Specialist Locum Program enables specialists in certain rural communities to have periods of leave from their practices for continuing medical education maternity leave vacation and health needs Rural Continuing Medical Education makes funds available to eligible physicians to assist with eligible educational expenses Rural Education Action Plan provides funds to support and facilitate the training of physicians in rural practice and undergraduate medical students and postgraduate residents with rural practice experience Recruitment Incentive Fund makes financial benefits available to eligible physicians to fill vacancies identified or pending vacancies Recruitment Contingency Fund makes payments

    Original URL path: http://www.bcauditor.com/online/pubs/775/779 (2016-02-12)
    Open archived version from archive

  • Ministry of Health Expenditures | Auditor General of British Columbia
    the Medical Services Plan MSP and PharmaCare programs on behalf of the provincial government Health Benefits Operations HBO was the administrative unit of the Ministry of Health responsible for registration and claims processing for the Medical Services Plan MSP and PharmaCare In 2004 MAXIMUS was selected by the Province to provide program management and administration services for both MSP and PharmaCare Under this ten year contract MAXIMUS provides services including enrolment account maintenance claims processing services document management and associated IT systems maintenance and production support Exhibit 10 shows the ministry s expenditures on HBO over the past four years For more information please visit the MAXIMUS website HEALTHLINKBC The HealthLinkBC program provides health information to the public by telephone and website On the website users can find medically approved information on more than 5 000 health topics symptoms and medications tips for maintaining a healthy lifestyle an online directory of available health services and a phone number to call from anywhere in British Columbia to speak with a nurse On weekdays a dietitian is also available to talk about nutrition and healthy eating and at night pharmacists are available to answer medication questions In 2011 12 the Ministry of Health spent 31 million on HealthLinkBC VITAL STATISTICS The BC Vital Statistics Agency provides certificates for birth marriage and death Exhibit 11 shows the agency s expenditures over the past four years from 2008 09 to 2011 12 The expenditures on Vital Statistics show a downward trend over the last four years with the expenditures decreasing from 7 3 million in 2008 09 to 5 4 million in 2011 12 This is a 25 per cent decrease Exhibit 12 shows the percentage spent by Vital Statistics in 2011 12 relative to other ministry core business areas in the same year

    Original URL path: http://www.bcauditor.com/online/pubs/775/780 (2016-02-12)
    Open archived version from archive

  • Health Authority: Overview | Auditor General of British Columbia
    and cost of certain province wide health care programs and services Agencies managed by PHSA include the BC Cancer Agency Cardiac Services BC BC Centre for Disease Control and BC Transplant Each health authority must ensure its planning business operations and service delivery activities are aligned with government direction and that in conducting its affairs it achieves its mandate and performance expectations as well as the goals of government In 2011 12 the four goals that guided the British Columbia health system were effective health promotion prevention and self management to improve health and wellness for British Columbians British Columbians have the majority of their health needs met by high quality primary and community based health care and support services British Columbians have access to high quality hospital care services when needed and improved innovation productivity and efficiency in the delivery of health services Exhibit 13 shows the expenditures incurred by the health authorities over the last four fiscal years Health authorities earned revenue of 12 6 billion and incurred expenses of 12 6 billion for the 2011 12 fiscal year Although the Ministry of Health is the largest source of revenue for the health authorities health authorities earn revenue from a number of different sources including parking fees and licenses the federal government foundations and research contributions Please see the following pages for more information Exhibit 14 outlines the average expenses incurred on each member of the population that is served by that health authority in 2011 12 In 2011 12 the approximate population served was VIHA 760 000 people FHA 1 77 million people VCHA 1 million people IHA 740 000 people NHA 280 000 people The PHSA provides specialized health care as needed for all 4 5 million British Columbians and includes BC Transplant and the BC

    Original URL path: http://www.bcauditor.com/online/pubs/775/782 (2016-02-12)
    Open archived version from archive

  • Health Authority Revenues | Auditor General of British Columbia
    operation of a program or service In recent years accounting standards have been changing with the recommendation that the revenue now be recognized in the year the contribution is used As a result if a contribution is received for the purpose of constructing a building the revenue will be recognized over the one or two years it may take to construct the building instead of over the 40 year life span Government issued a regulation directing government organizations to continue deferring capital contributions as they had in the past as long as there was a stipulation about the use of the contribution The Office of the Auditor General does not agree with this accounting treatment since current public sector accounting standards do not allow deferrals based on such a stipulation The stipulation must be such that a liability is created for example if the contribution is not used to construct a building it must be returned In 2011 12 the health authorities recognized 448 million in Amortization of Deferred Capital Contributions The revenues earned by health authority in this category are shown in Exhibit 17 PATIENTS CLIENTS AND RESIDENTS FEES In 2011 12 health authorities earned 344 million in revenue from Patients Clients and Residents Fees These fees include the following categories Residents of B C Self Pay amounts paid by clients for extra non insured services e g access to television during hospital stay Non Residents of B C amounts paid by Canadians whose main residence is outside the province WorkSafe BC amounts compensated by the Workers Compensation Board of BC Non Residents of Canada amounts paid by international patients and Long Term and Extended Care amounts paid by long term and extended care patients The revenues earned by category within Patients Clients and Residents Fees are shown in

    Original URL path: http://www.bcauditor.com/online/pubs/775/783 (2016-02-12)
    Open archived version from archive

  • Health Authority Expenditures | Auditor General of British Columbia
    rolled up into the fees identified under funding of Physicians and Other Health Care Practitioners discussed above Exhibit 21 shows how much each health authority has spent over the past four years on Acute Care HOME AND COMMUNITY CARE RESIDENTIAL In 2011 12 health authorities spent 1 7 billion on the Home and Community Care Residential health sector Home and Community Care Residential refers to facilities that provide 24 hour professional nursing care and supervision for seniors who have complex care needs and can no longer be cared for in their own homes Exhibit 22 shows how much each health authority has spent over the past four years on Home and Community Care Residential In 2011 12 the health authorities reviewed and updated the industry definitions used to assign costs to the different sectors Under the new definitions PHSA identified costs to be included in Home and Community Care Residential CORPORATE In 2011 12 health authorities spent 1 1 billion in the Corporate health sector The expenditures assigned to Corporate vary among the health authorities but could include expenditures incurred on human resources financial services capital planning communications information management technology risk management medical administration and emergency service planning Readers should therefore exercise caution in comparing corporate spending across the health authorities Please refer to page 28 for more information Exhibit 23 shows how much each health authority has spent over the past four years in the Corporate category HOME AND COMMUNITY CARE COMMUNITY In 2011 12 the health authorities spent 943 million on the Home and Community 2009 Care Community health sector Home and Community Care Community refers to services that provide home support community nursing and rehabilitation services for assisted living and adult day programs Exhibit 24 shows how much each health authority has spent over the past

    Original URL path: http://www.bcauditor.com/online/pubs/775/784 (2016-02-12)
    Open archived version from archive

  • Health Authority Capital Expenditures | Auditor General of British Columbia
    land buildings office furniture and equipment computer hardware and software as well as vehicles and other operating equipment The health authorities apply for capital projects that must be approved by the Ministry of Health and Ministry of Finance Spending by the health authorities on capital asset purchases for each of the last four years was as follows 2011 12 622 million 2010 11 685 million 2009 10 677 million 2008 09 676 million Exhibit 27 shows the amount of capital expenditures made by the health authorities over the past four years Important to note is that many health authorities have also engaged in significant long term private public partnerships P3 A public private partnership P3 is an alternative approach to design build and maintain public assets Although P3 projects can involve almost any type of public infrastructure or service some of the more common P3 projects in the health sector include the design build and maintenance of hospitals Health Authority Expenditures up Looking Ahead To Future Health Audits Printer friendly version Health Funding Explained Ministry of Health Revenue Ministry of Health Ministry of Health Expenditures Physician Funding Models Ministry of Health Expenditures Health Authority Overview Health Authority Revenues Health Authority

    Original URL path: http://www.bcauditor.com/online/pubs/775/785 (2016-02-12)
    Open archived version from archive

  • Looking Ahead To Future Health Audits | Auditor General of British Columbia
    system However more work is needed to truly unwind the complexity of health care spending In future the Office may go more in depth to understand the detail behind the high level numbers to further explain where B C s health care dollars are being spent Health Authority Capital Expenditures up Printer friendly version Health Funding Explained Ministry of Health Revenue Ministry of Health Ministry of Health Expenditures Physician Funding

    Original URL path: http://www.bcauditor.com/online/pubs/775/786 (2016-02-12)
    Open archived version from archive



  •