Legislation & Funding Flashcards by Chloe M

What is legislation?

A law that has been enacted by a government body

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What are the purposes of legislation?

Regulate
Authorize
Outlaw
Provide (funds)
Sanction
Grant
Declare
Restrict

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What does legislation provide for organizations?

Foundation/guidelines to create a policy

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What are the levels of government?

International
Federal
Provincial
Municipal

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What is the jurisdiction of federal government?

Regulation and administration over all of Canada such as money, crime, First Nations, national security, postal services

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What matters fall under provincial jurisdiction?

Education, healthcare, highways, social services

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What issues do municipal governments handle?

Local issues affecting small regions of a province such as infrastructure, building permits, waste-water treatment

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What are the three types of legislation?

By-Law
Statute
Regulation

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What is a By-Law?

Same as a regulation, created by a municipal body

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What is a Statute?

Publicly debated, voted upon, broad principles or rules

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What is a Regulation?

Federal or provincial operational implementation of the statute

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What are statutes, legislations, and acts?

Laws passed by parliament with no difference between the titles

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What is a draft legislation called?

Bill

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What is required for a bill to become law?

Assent of the House of Commons, the Senate, and the Crown

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Where can laws in Canada be found?

Federal and provincial government websites

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What do regulations do?

Define the application and enforcement of legislation

Who enacts regulations?

The body to whom the authority to make regulations has been delegated

What is an example of a regulation under the Public Hospitals Act?

Ontario Regulation 965, Hospital Management

What is the Established Programs Financing Act?

Lump sum payment (block funding) based on a population and gross domestic product (GDP)

What did the Canada Health and Social Transfer Act (1995) accomplish?

Combined health and education and expanded beyond the hospital sector into the community

What is the difference between funding and delivery of health care?

Funding - how healthcare services are paid for; Delivery - how healthcare services are managed, structured and distributed

List the sources of funding for Canadian healthcare.

Government through personal and corporate tax
Worker compensation boards
Private medical insurance
Volunteer organizations

What are the four main transfer models for federal health transfer payments?

Territorial Formula
Equalization Payments
Canada Health Transfer (CHT)
Canada Social Transfer (CST)

What occurred regarding health accords prior to 2017?

Canada had a unified ‘health accord’ which was an agreement for the federal government to transfer funding to the provinces for health care

Who does the federal government provide direct healthcare services to?

* First Nations living on reserves * Inuit populations * Canadian Forces * Inmates in federal prisons * Specified groups of refugee claimants * Remote populations

What are the major expenses of hospitals?

The hospital sector represents the largest financial output of health care spending

What strategies have been implemented to reduce hospital length of stay?

* Same-day admissions * Day surgery * Deliveries * Bed management * Timely discharge * Out-patient and community support * Tax credits for caregivers * Palliative care

What are the mechanisms of hospital funding?

* Block or global funding * Health-based allocation * Line-by-line funding * Quality-based procedures * Patient-based funding * Service-based funding * Activity-based funding * Population-based funding

What is the global budget funding method?

A fixed amount is allocated to a provider to cover operating expenses for one year

What are the two main models of hospital mergers?

* Horizontal model * Vertical model

What are the three levels of long-term care?

* Independent * Semi-Independent * Dependent

What are the factors affecting drug spending in Canada?

* Increased usage and costs * An aging population * Introduction of new drugs

What types of payments exist for physician remuneration?

* Fee-for-service * Capitation * Salary * Sessional/Locum * Incentives and Premiums * Mixed/blended Premiums

What is fee-for-service payment model?

Physicians are compensated by the insurer for each service rendered

What is capitation in physician remuneration?

Physicians receive a set fee for each patient on their roster

What is the significance of the Canada Health Infoway?

Responsible for the implementation of a national EHR network

What are the objectives of activity-based funding?

* Increased efficiency of resources * Improved transparency of health care spending * Improved access to care * Increased equity in funding among health care organizations * Better accountability in the health care sector

What does bundled care models provide?

A single payment for an episode of care across multiple settings and providers