7th Nordic Casemix Conference: Building Bridges

19–20 May 2016, Reykjavík Iceland

Welcome Address

Dear collegues

It is an honor for the Icelandic Ministry of Health, in collaboration with the Nordic Casemix Centre (NordCase), to host it´s 7th biannual conference, in Reykjavik Iceland in May 2016. The NordCase conferences focus mainly on the development and use of the NordDRG System, developed through cooperation of the Nordic countries and widely used within them as well as in neighboring countries Estonia and Latvia.

After 20 years of cooperation the need to strengthen bonds for future developmental work is clear. It is important to continue the work of linking together all types of services within the healthcare industry, under the framework of the NordDRG System, which the metaphor of ,,building bridges” can apply to.

The NordCase conference is a great opportunity for professionals within the health care industry, either on the service side or the funding side, to get together and share the latest innovations and ideas.

We truly hope that participants will trust bonds, deepen acquaintances, and take home new knowledge. Hopefully the participants will be able to use the opportunity and enjoy Iceland´s nature and take home a wonderful experience and memories of a great adventure.

Welcome to Iceland

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Conference Centre

Suðurlandsbraut 2108 Reykjavik

Hilton Reykjavik Nordica � Suðurlandsbraut 2 � 108 Reykjavík � Tel: +354 444 5000 � Fax: +354 444 5001 conference@icehotels.is meetings@icehotels.is � www.hilton.com

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Prefunction area

Plenary sessionsRoom A

Parallel sessionsRoom F

Parallel sessionsRoom G

Lunch and coffee

Plenary sessions are located in hall A, ground floor.

Parallel sessions are located in hall F & G, first floor

Lunch and coffee is served in the prefunction area in front of hall A

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Friday 20 May Plenum Session/Keynote – Chair: Martti Virtanen

09:00–10:00 Classification Systems for Outpatient Services, Development and UseKati Myllymäki, The Social and Health Care Joint Authority of South Savo, Finland HALL A

Management of the patient care path by integrating primary and secondary health care.

10:00–10:20 Coffee break

10:20–11:20 Primary Classification Through the Wide LensRobert Jakob, M.D., World Health Organization, WHO, Geneva Switzerland HALL A

ICD-11 Developments

Paralell Session; Chair: Petra Kokko Paralell Session; Chair: Kristiina Kahur

Themes Classification Systems for Outpatient Services, Development and Use HALL A

Primary Classification Through the Wide Lens HALL F&G

11:25–11:55 Mats Fernström, SWEDevelopment of casemix system in primary care.

Olafr Steinum, SWEClinical coder exam in Sweden. A first try.

12:00–13:00 Lunch

Themes Classification Systems for Outpatient Services, Development and Use HALL A

Primary Classification Through the Wide Lens HALL F&G

13:00–13:30 Stig Hagström and Irené Wester, SWEThe use and rules of primary-and secondary classifications for outpatients in Stockholm County Council.

Jens Lind Knudsen, DENHow to make your DRG system embrace treatments shifting from hospitals to home. Coding, classification, and financing of home treatment and telemedicine.

13:35–14:05 Eva Wensaas, NORDevelopment of a casemix system for out-patient mental health and interdisciplinary specialised substance abuse treatment.

Fredrik A.S.R. Hanssen, NORTechnical development of a common nordic casemix grouper.

14:05–14:25 Coffee break

14:25–14:55 Poul Erik Hansen, DENDevelopments of a new combined system for outpatient and inpatient care in Denmark.

Sanna Kautto, FINRAFAELA® Nursing Intensity and Staffing System – A Tool for Optimal Resourcing.

15:00–15:30 Eeva Ketola, FINFinnish design for primary health care.

Gunhild Rognstad, NORNew initiatives for codes and classifications in Norway.

15:35–15:45 Closure of ConferenceMartti Virtanen CEO Nordic Casemix Center

Programme

Thursday 19 May 08:00–09:00 Registration

09:00–09:05 Opening – Fredrik A.S.R. Hanssen, Chairman of Board, Nordic Casemix Center

09:05–09:35 Welcome – The Minister of Health/Permenent Secretary

Plenum Session /Keynote – Chair: Poul Erik Hansen

09:35–10:35 Funding and Cost Accounting, Principles and PracticeJeff Hatcher, Senior Consultant with the Canadian Institute for Health Information (CIHI) Canada HALL A

Activity Based Funding – Principles and Development in Canada

10:35–11:00 Coffee break

11:00–12:00 DRG in Acute Care Services, Multi-trauma, Intensive Care, Emergency UnitHans Flaatten, professor, University of Bergen Norway HALL A

Intensive Care Services and the DRG system.

12:00–13:00 Lunch

Paralell Session; Chair: Mona Heurgren Paralell Session; Chair: Fredrik A.S.R Hanssen

Themes Funding and Cost Accounting, Principles and Practice HALL A

DRG in Acute Care Services, Multi-trauma, Intensive Care, Emergency Unit HALL F&G

13:00–13:30 Petra Kokko, FINIs there linkage between cost per patient and state level funding in health care.

Dag Refvem, NORDevelopement of the casemix system for a better description of severity of illness and measures.

13:35–14:05 Göran Atterfors, SWEStrategies for the use of cost accounting.

Kristiina Kahur, FINDevelopment of multitrauma grouping logic.

14:10–14:40 Malle Avarsoo, ESTEvaluation of DRG prices: Calculation proceedures in Estonia.

Katarina Bjerg-Holm, DENThe process and result of implementing a new grouping logic for acute outpatient care.

14:40–15:00 Coffee break

15:00–15:30 Jónas Thor Björnsson, DENGoing from DRG-management to management by indicators – The first step.

Max Köster, SWEAdjusting for medical severity using NordDRG in analysis of death as an out-come.

15:35–16:00 Jesper Iwersen and Poul Erik Hansen, DENPossibilities of working with expenses and price calculations in VAGS.

Kristlaug H. Jónasdóttir, ICECosting of teaching and research at LUH.

18:45 Conference Dinner: Viðey

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DRG in Acute Care Services, Multi-trauma, Intensive Care, Emergency Unit

Hans Flaatten, professor, University of Bergen Norway

Keynote Hans FlaattenHans Flaatten was trained as a Consultant in Anaesthesia and Intensive care (1986) and has worked only with inten-sive care (IC) since 1990. He has lead an academic general ICU from 1994–2014 and is now 50% senior ICU consultant in the ICU. From 2004 associate professor at the University of Bergen and from 2015 full-time professor. Research interest is on various outcomes, also eco-nomic issues, after IC and quality improvement and Quality indicators in Critical Care. He has been engaged in European Society of ICM (ESICM) from 1996, as Council Member, and as Chair of the Division of Professional Development. He now works with intensive care educational courses,

and was chair of the ESICM Clinical Training Committee in 2010–14. From 2014 Chair of the health service and outcome section in ESICM. He was the founder of Norwegian Intensive Care Registry (NIR) in 1999 and is now the chair of the steering group of NIR which is now a National Quality Registry.

Hans.Flaatten@uib.no

Keynote speakers

Classification Systems for Outpatient Services, Development and Use

Kati Myllymäki, Chief Medical Officer, The Social and Health Care Joint Authority of South Savo, Finland

Keynote Kati MyllymäkiKati Myllymäki, MD, MQ, Specialist in family medicine

Kati has been a Medical Director of South Savo Hospital District since 2013.

Previously she was a Medical Director in City of Kouvola from 2009–2013. Prior to that she was a senior Medical Advisor in the Ministry of Social and Health 2002–2008.

Kati worked as a general practitioner from 1984–2001.

She was president of the Finnish Medical Association 1997–2000 and president of the World Medical Association 2001–2002.

kati.myllymaki@esshp.fi

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Funding and Cost Accounting, Principles and Practice

Jeff Hatcher, Senior Consultant with the Canadian Institute for Health Information (CIHI) Canada.

Keynote Jeff Hatcher,Jeff Hatcher is a senior consultant with the Canadian Institute for Health Information (CIHI). Jeff’s role includes working with clients to assist them in the use of case mix systems in their decision-support, utilization management and funding activities. He has also worked extensively on the development and refinement of CIHI’s case mix classifications and cost weight methodologies. His case mix career began in 2002, when he joined CIHI. Jeff is a statistician and economist by training.

Jeff is also the director of the school on Advanced Design and Implementation of Case Mix Funding Models, held annually by Patient Classification Systems International (PCSI).

JHatcher@cihi.ca

Primary Classification Through the Wide Lens

Robert Jakob, M.D., World Health Organization, WHO, Geneva Switzerland

Keynote Robert JakobRobert Jakob, MD is Medical Officer at WHO responsible for development of the ICD and derived classifications since 2005. Other current or past fields of work include ICD-O, verbal autop-sy, procedure classification, patient safety framework, and aspects around implementation of ICD and causes of death reporting.

From 2001 to 2005, he served at the German

Institute for Medical Documentation and Information (DIMDI), a fed-eral authority, which is also a WHO-FIC Collaborating Centre. He led a team that helped formulate a German emergency data set, and other data sets for the German electronic health card, as well as creating a registry for “electronic objects” (OID) in health. He was earlier in charge of ICD use in mortality statistics, the ICD adaptation for Oncology, the ICF (International Classification of Functioning, Disability, and Health), and consulting for the classification of procedures in medicine. Dr Jakob’s fluency in four languages facilitated his participation in the international activities of the Network of the WHO-FIC Collaborating Centres. Dr Jakob was a surgeon at the St Vincenz Hospital in Datteln from 1990–2001, and set up and ran the hospital information system.

jakobr@who.int

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Organizing committee

Conference committee 2016

Fredrik A.S.R.Hanssen, Helsedirektoratet, Norway

Kristin Dahlen, Helsedirektoratet, Norway

Ulla Vig Astrup, SSI, Denmark

Annemette Anker Nielsen, SSI, Denmark

Mona Heurgren, Socialstyrelsen, Sweden

Lisbeth Serden, Socialstyrelsen, Sweden

Helga H Bjarnadottir, Landspitali University Hospital, Iceland

Minna-Liisa Sjöblom, FCG, Finland

Malle Avarsoo, Estonia

Daina Kanepaja, Latvia

Lilija Tararina, Latvia

Martti Virtanen, Nordic Casemix Center

Maisa Lukander, Nordic Casemix Center

Tiina Pasanen, Nordic Casemix Center

Local arrangements:Helga H Bjarnadottir, Landspitali University Hospital, Iceland

Gala dinner – Venue

Conference dinner – Thursday 19 May

Viðey Island is a unique place that combines history, art and nature. It is only a few minutes away from the city by boat and is well known for its tranquility and the spirit of bygone centuries. Viðey has a unique place in Icelandic history. Birdlife abounds on the island, while outstanding works of modern art also make their mark. The Conference dinner will be held in one of Iceland’s oldest houses and the first stone house built. Other noteworthy attention points are Viðey Church, Viðeyjarnaust Cabin, the Old School House, The Peace Tower and the Water Reservoir.

Bus transfers from Hilton Reykjavik Nordica at 18:45.

Departure from Skarfabakki at 19:15

Bus transfers from Reykjavik’s Old Harbor to Hilton after the dinner.

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