Medical specialties - Finance Department | CLINICAL CENTRE

Activities and tasks of the Patient Population Statistics Group

• Performance
  • Preliminary calculations on inpatient and outpatient performance and the notification of the ward physicians and the management about the results:
    • planning, optimization, coordination and supervision of capacities, performance,
    • recommendations for the improvement of capacities and income,
    • identification of problems and recommendations for the termination of the reasons of such problems;
  • preparation, verification and compilation of data for monthly reports on the basis of the effective provisions to the National Health Insurance Fund: inpatient and outpatient care, dentistry, EU, same-day surgery, utilization of tools and medicines related to case-based financing, dialysis treatment, sick leave, transportation of corpses;
  • making corrections of reports, preparing supplementary reports and the correction of mistakes (cases with missing Hungarian Social Security numbers, overlapping patient care between institutions);
  • Consultation regarding reports and corrections, data reconciliation with the external authorities (National Health Insurance Fund, National Public Health Centre, Hajdú-Bihar County Government Office);
• Continuous analysis of the professional indicators of performance
  • case numbers, score/event, event/hour, score/intervention, mean rate analysis;
  • occupancy rate of doctor’s offices;
  • contracted capacity optimization;
  • Case mix index (CMI);
  • care duration;
  • financed cases;
  • bed utilization;
  • professional profile and financial viability analysis;
  • competence monitoring;
  • case composition analysis;
  • ratio of patients cared for from within and outside the regional obligation area;
  • coordination and regulation of the use of external service providers (Blood supply, Clinical Centre of the University of Debrecen, HQ-Lab, lithotripsy, cholelithotripsy etc.);
  • monitoring of patient paths, analysis of Hungarian Social Security Number cases;
  • analyses of prevention activity;
  • monitoring of the quality of care activity;
  • analyses of morbidity data;
  • analyses of service provider activity;
  • analyses of medicine consumption;
  • cost-effectiveness analyses;
  • making and handling of professional analysis and indicators;
  • cost-based case studies;
  • profession-based case studies;
  • seasonal analyses;
  • impact assessment;
  • identification of mistakes;
  • further complex analyses;
• Division of income costs between professional units on the basis of payment from the National Health Insurance Fund;
• administration related to the care of international patients;
• monitoring of the monthly changes in personnel background (OBP – physician reporting program);

Activities and tasks of the Accounting Group;

• Budget management tasks related medical and professional cooperation
  • registry and handling of agreements related to budget management, monitoring, commenting on and correcting of changes;
  • performance certification of the invoices of professional contractors (checking of invoices of on-call and standby performance);
  • verification of the accounting of cooperation performance;
  • measurement and assessment of the performance of specialist physicians;
  • data supply for invoicing;
  • monitoring of the budget;

Activities and tasks of the Authorization Management Group

• Cooperation in professional projects;
  • cooperation in the modification of the registry system;
  • facilitation of the improvement of the processes of the divisions;
  • cooperation in the elaboration of regulations;
• Contracting;
  • initiation and administration of the modification of operating permit (National Public Health Centre),
  • updates according to the legal regulations (National Health Insurance Fund);
• Coordination of professional control;
  • Preparation for the audits of the National Health Insurance Fund and the National Public Health Centre, active participation during the audit;

Tasks related to the shared activities of the Finance Department

• Information supply
  • preparing statistical reports for the supervisory and monitoring authorities (National Health Insurance Fund and National Public Health Centre);
  • data supply for operating permits and contracts, if necessary;
  • data supply for professional agreements;
  • collection of results and statistics of divisions and the forwarding these to the director general;
  • making management information boards and statistics, monitoring of management plans and objectives, decision-making support;
  • Waiting list supervisory activity;
  • Implant register supervisory activity;
• Facilitation the work of experts and financial consultants
  • reporting patient care activity of the division every day and every ten days of the month;
  • preparing National Health Insurance Fund income plans for the financial management plan;
  • preparing analyses supporting medical-professional decisions;
  • development of capacity structure (contracted-actual, personnel conditions, patient population indices);
• data supply for the work of fellow management departments;
  • financial director: National Health Insurance Fund income calculation for the business plan;
  • Legal and human resources director: financing conditions of agreements;
  • IT department: more efficient operation of the Meditcom system, queries;
  • employment group and payroll accounting department: performance of on-duty and on-call contributors;
  • controlling department: for logistics of the divisions and managing the medicines budgets;
• Consultations for the continuous monitoring and analysis of the encoding activity of patient care units
  • performance analysis of divisions, units, preparation of reports and remedying mistakes and deficiencies revealed during supervision.
  • Contact with external authorities (National Health Insurance Fund, National Public Health Centre) related to activities of the department.