Lessons learned from the EURORAI Seminar in Rouen

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Lessons learned from the EURORAI Seminar in Rouen
presentation by Danièle LAMARQUE, Conseillère
maitre president of the Regional Court of
Upper-Normandy. EUROSAI -EURORAI
Conference Copenhagen, 5 June 2003
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Points to be presented

• 1. Context
• 2. Main findings
• 3. Prospects

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1 - Context

• A) Objectives
• improve knowledge on health care systems
• compare audit practices
• address the question of co-operation between SAI
  and RAI
• make people meet and know each other better

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• b) Methods
• develop a comparative approach in 3 countries
• circulate documentation on health care systems
  and audit procedures
• present and comment 3 case studies in 3 workshops

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2 - Main findings

• A) Information systems a key issue for
• financing
• managing hospitals
• auditing

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• Financing hospitals
• relate medical activity to the use of resources
• compare hospitals on a national and a regional
  basis

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• Managing hospitals
• improve efficiency
• make comparisons

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• auditing hospitals
• identify good or poor practices
• measure performance

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• b) Audit methods differences and similarities
• audit planning, scope and focus
• check compliance to regulations
• improve performance
• address health policies issues

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• Audit procedures
• use of data
• methods for assessing performance
• co-operation between SAI and RAI

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• Reporting
• conclusions aim to different stakeholders
• and to different consequences
• co-operation between SAI and RAI
• follow-up

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3 - Prospects

• performance assessment and audit methods to
  carry on RAI co-operation
• information systems and medical activity at stake
• users needs and health policies outcomes