Results 19,041-19,060 of 26,148 for speaker:Kieran O'Donnell
- Public Accounts Committee: Special Report No. 83 of the Comptroller and Auditor General: Managing Elective Day Surgery (6 Nov 2014)
Kieran O'Donnell: Would the patient be waiting in the accident and emergency department until the notes were provided?
- Public Accounts Committee: Special Report No. 83 of the Comptroller and Auditor General: Managing Elective Day Surgery (6 Nov 2014)
Kieran O'Donnell: If the ordinary person whose medical card has been pulled goes to a GP or local pharmacist, he or she will be told on the spot that the card is no longer valid because a computer system is already in place to gather this information. I am considering this matter in terms of beds, and the case study for me is Limerick, with which Dr. O'Connell will be familiar, and the mid-west hospital...
- Public Accounts Committee: Special Report No. 83 of the Comptroller and Auditor General: Managing Elective Day Surgery (6 Nov 2014)
Kieran O'Donnell: In respect of 2013 and 2014, how many procedures might have been moved from inpatient to day patient status and how many beds did this free up? Reference was made to a figure of 66,000 but I do not know the relevant period.
- Public Accounts Committee: Special Report No. 83 of the Comptroller and Auditor General: Managing Elective Day Surgery (6 Nov 2014)
Kieran O'Donnell: I know that.
- Public Accounts Committee: Special Report No. 83 of the Comptroller and Auditor General: Managing Elective Day Surgery (6 Nov 2014)
Kieran O'Donnell: I am looking at the issue in the context of freeing up beds. Has the HSE been able to come up with a measure that calculates the number of bed days freed up by promoting the day patient option?
- Public Accounts Committee: Special Report No. 83 of the Comptroller and Auditor General: Managing Elective Day Surgery (6 Nov 2014)
Kieran O'Donnell: As matters stand, if a patient presents for consultation, is there any incentive for the consultant to deal with him or her as a day patient? If the same case was done as a day case rather than on an inpatient basis, would the health insurer pay a different fee to the consultant?
- Public Accounts Committee: Special Report No. 83 of the Comptroller and Auditor General: Managing Elective Day Surgery (6 Nov 2014)
Kieran O'Donnell: A procedure, yes.
- Public Accounts Committee: Special Report No. 83 of the Comptroller and Auditor General: Managing Elective Day Surgery (6 Nov 2014)
Kieran O'Donnell: The figure for a day case is €590, compared to €4,230 for a procedure which is inpatient and €825 for a bed day. Is that the public cost?
- Public Accounts Committee: Special Report No. 83 of the Comptroller and Auditor General: Managing Elective Day Surgery (6 Nov 2014)
Kieran O'Donnell: If a patient stays in overnight, does the figure of €4,230 include the bed or is it just the procedure?
- Public Accounts Committee: Special Report No. 83 of the Comptroller and Auditor General: Managing Elective Day Surgery (6 Nov 2014)
Kieran O'Donnell: It includes the bed.
- Public Accounts Committee: Special Report No. 83 of the Comptroller and Auditor General: Managing Elective Day Surgery (6 Nov 2014)
Kieran O'Donnell: It is an average.
- Public Accounts Committee: Special Report No. 83 of the Comptroller and Auditor General: Managing Elective Day Surgery (6 Nov 2014)
Kieran O'Donnell: In terms of changing behaviour and attitudes of consultants towards patients, it appears that inpatient numbers have remained steady while the number of day cases has increased. The inpatient figure has decreased but not to the level one would like. In the system as it currently operates, what is the incentive for a consultant to treat somebody as a day patient?
- Public Accounts Committee: Special Report No. 83 of the Comptroller and Auditor General: Managing Elective Day Surgery (6 Nov 2014)
Kieran O'Donnell: I am questioning whether that is the case.
- Public Accounts Committee: Special Report No. 83 of the Comptroller and Auditor General: Managing Elective Day Surgery (6 Nov 2014)
Kieran O'Donnell: Professor Keane is providing the Deputy with some wide-ranging information.
- Public Accounts Committee: Special Report No. 83 of the Comptroller and Auditor General: Managing Elective Day Surgery (6 Nov 2014)
Kieran O'Donnell: I thank the witnesses for coming before the committee. In the context of personal identification, has consideration been given to the budget that will be required and how long it will take to put the system in place?
- Public Accounts Committee: Special Report No. 83 of the Comptroller and Auditor General: Managing Elective Day Surgery (6 Nov 2014)
Kieran O'Donnell: And consultants.
- Public Accounts Committee: Business of Committee (6 Nov 2014)
Kieran O'Donnell: Is it that it all happens at once?
- Public Accounts Committee: Business of Committee (6 Nov 2014)
Kieran O'Donnell: The difference is that if a private sector company does not meet its audit filing deadlines there are consequences but it would appear that for public bodies in a similar situation, there are very few, if any, consequences. If persistent problems arise every year with audits, they need to be highlighted. It is incumbent on us as a committee to ensure that this happens. The budget is drawn...
- Public Accounts Committee: Business of Committee (6 Nov 2014)
Kieran O'Donnell: There is a major issue there that must be highlighted. Our remit is very simple. We are charged with ensuring proper accountability vis-à-visthe public purse and taxpayers' money. When I talk about taxpayers I include unemployed people who pay VAT, for example. I refer to every person who is walking the streets and is spending money. We must get to the root of this problem. It is...
- Public Accounts Committee: Business of Committee (6 Nov 2014)
Kieran O'Donnell: Why is that?