Results 18,941-18,960 of 26,053 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: Okay, as a short-term measure.
- Public Accounts Committee: Special Report No. 83 of the Comptroller and Auditor General: Managing Elective Day Surgery (6 Nov 2014)
Kieran O'Donnell: Okay, but-----
- Public Accounts Committee: Special Report No. 83 of the Comptroller and Auditor General: Managing Elective Day Surgery (6 Nov 2014)
Kieran O'Donnell: The members of staff do a great job. It is a question of the particular circumstances that arose coming out of the reconfiguration. I will put it this way. While Dr. O'Connell would like everything to be explored, he is not averse to the medical assessment unit being made available on a short-term-basis, subject to discussions with local management, if extreme pressures arise. He is...
- Public Accounts Committee: Special Report No. 83 of the Comptroller and Auditor General: Managing Elective Day Surgery (6 Nov 2014)
Kieran O'Donnell: If, for example, a patient presented to the accident and emergency department in St. Vincent's hospital in Dublin after previously attending the university hospital in Limerick, what would typically happen? Would the doctor on duty pick up the phone to ask the Limerick hospital to provide the notes?
- Public Accounts Committee: Special Report No. 83 of the Comptroller and Auditor General: Managing Elective Day Surgery (6 Nov 2014)
Kieran O'Donnell: How long would that typically take?
- 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medical card has been pulled goes to a GP or local pharmacist, he or she will be told on the spot that the card is no longer valid because a computer system is already in place to gather this information.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?