[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"doc-detail-108298-en":3,"doc-seo-108298-105":30,"detail-sidebar-cat-0-en-105":91},{"code":4,"msg":5,"data":6},0,"success",{"doc_id":7,"user_id":8,"nickname":9,"user_avatar":10,"doc_module":4,"category_id":11,"category_name":12,"doc_title":13,"doc_description":14,"doc_content":15,"file_id":16,"file_url":17,"file_type":18,"file_size":19,"view_count":20,"is_deleted":4,"is_public":21,"is_downloadable":21,"audit_status":21,"page_count":22,"language":23,"language_code":24,"site_id":25,"html_lang":24,"table_of_contents":26,"faqs":27,"seo_title":13,"seo_description":14,"update_tm":28,"read_time":29},108298,16904993612988,"Olivia Brown","https://ap-avatar.wpscdn.com/davatar_a8503ba1806abce46bf441b54a3ca4cd",8,"Research & Report","Learning from international experience to improve appropriateness of hospital admissions in Vietnam’s health system - Policy note","The policy note analyzes how international experience can inform Vietnam’s development of hospital admissions criteria, aiming to reduce avoidable and inappropriate inpatient use under pressure from rising admissions to the social health insurance fund. It reviews international approaches to assessing admission appropriateness, including definitions, classifications for payment, use of admission criteria, and auditing methods. It then compares proposed Vietnamese emergency and traditional medicine admission criteria with external protocols such as AEP, and provides recommendations to strengthen consistency, quality, and patient safety in claims review.","Public Disclosure Authorized Public Disclosure Authorized  \nSarah Bales, PhD 28/06/2021  \nPolicy note:  \nLearning from international experience to improve appropriateness of hospital admissions in Vietnam’s health system  \nTable of contents  \nIntroduction ............................................................................................................................................ 2  \nInternational use of hospital admission appropriateness assessment................................................... 2  \nDefining admission and various classifications of admission for payment purposes ........................ 3  \nUse of admission criteria .................................................................................................................... 5  \nAuditing inappropriate admissions..................................................................................................... 8  \nVietnam’s development of admission criteria ........................................................................................ 9  \nInstitutional interest in admission criteria ......................................................................................... 9  \nAssessing the proposed Vietnamese emergency admission criteria through comparison with the AEP .................................................................................................................................................... 12  \nVietnamese Traditional medicine admissions criteria ..................................................................... 14  \nRecommendations for Vietnam ............................................................................................................ 15  \nAdditional references............................................................................................................................ 16  \nAnnex A: Day of care criteria from AEP in EU and the US .................................................................... 17  \nAnnex B: Specialist admission criteria from the international literature ............................................. 18  \nAnnex C: Claims review data analysis of admission characteristics ..................................................... 20  \nAbbreviations  \nAEP Appropriateness Evaluation Protocol  \nDRG Diagnosis-related groups  \nECG Electrocardiogram  \nEU European Union  \nGP General practitioner  \nMOH Ministry of Health  \nNEWS National Early Warning Score  \nOECD Organization for Economic Cooperation and Development TM Traditional medicine  \nUS United States  \nVSS Vietnam Social Security  \nAcknowledgements  \nThis report benefitted from the helpful and detailed comments and feedback from Leopold Aminde, Ngo Thi Dieu Thuy, Christophe Lemiere and Dao Lan Huong.  \nIntroduction  \nHospital overcrowding and pressure on Vietnam’s social health insurance fund from a growing rate of admissions (rising from 6.5 to 8.0 per 100 people between 2008 and 2018) has recently been exacerbated by a policy that allows patients to access inpatient services at provincial and lower level hospitals without any referral or additional copayments (implementation of Article 22 of the amended Law on Health Insurance 2014) . In response, the Ministry of Health (MOH) is developing policies on hospital admissions criteria in emergency cases and in traditional medicine hospitals as part of a strategy to reduce avoidable admissions. Collaboration between the MOH and Vietnam Social Security (VSS) in developing these criteria and designing ways to use them as part of claims review has potential for both enhancing quality and appropriateness of healthcare services, improving patient safety and convenience by avoiding unnecessary hospital stays and enhancing efficiency and cost-savings that would enhance sustainability and effectiveness of health insurance fund use. Claims review is defined in the Health Insurance Law as “the specialized activity implemented by the health insurance organization aimed at ","cbCaicvoIYL0N6ML","https://ap.wps.com/l/cbCaicvoIYL0N6ML","pdf",459557,4,1,22,"English","en",105,"# Introduction\n## International use of hospital admission appropriateness assessment\n## Defining admission and various classifications of admission for payment purposes\n## Use of admission criteria\n## Auditing inappropriate admissions\n## Vietnam’s development of admission criteria\n## Institutional interest in admission criteria\n## Assessing the proposed Vietnamese emergency admission criteria through comparison with the AEP\n## Vietnamese Traditional medicine admissions criteria\n## Recommendations for Vietnam\n## Additional references\n# Annexes\n## Annex A: Day of care criteria from AEP in EU and the US\n## Annex B: Specialist admission criteria from the international literature\n## Annex C: Claims review data analysis of admission 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