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The Data Compliance Policy describes the process and criteria by which the Independent Hospital Pricing Authority (IHPA) will publicly report on compliance by jurisdictions with the data requirements and data submission dates specified in the current Three Year Data Plan 2022–23 to 2024–25.
The Independent Hospital Pricing Authority Work Program and Corporate Plan 2022–23 has been prepared in accordance with the requirements of section 225 of the National Health Reform Act 2011 and section 35(1)(b) of the Public Governance, Performance and Accountability Act 2013 for the reporting periods 2022–23 to 2024–25.
The Independent Hospital Pricing Authority (IHPA) requires accurate activity, cost and expenditure data from jurisdictions on a timely basis in order to perform its core determinative functions.
This rolling Three Year Data Plan sets out the data requirements and timelines that IHPA will use to collect data during the reporting period covering 2022–23 to 2024–25.
Coding Rules and frequently asked questions
Coding Rules provide specific classification advice applicable for separations beginning the following month, unless specified otherwise. A Coding Rule published on 15 March 2022 is applicable for separations from 1 April 2022.
Coding Rules may also be used to activate an emergency use code or placeholder code in a classification.
ICD-10-AM/ACHI/ACS is used for classifying admitted patient care and comprises the following:
The Australian Refined Diagnosis Related Groups (AR-DRGs) is a classification system, which provides a clinically meaningful way to relate the number and type of patients treated in a hospital to the resources required by the hospital. AR-DRGs group patients with similar diagnoses requiring similar hospital services.
The Confidential Data Management Policy outlines the limited and prescribed purpose for which the Independent Hospital Pricing Authority can collect and analyse confidential jurisdictional information and the processes and controls in place to prevent unauthorised access and disclosure to unauthorised parties. This includes the processes and controls for requests, access, handling, use, classification, release, storage and disposal of confidential jurisdictional information.
The Independent Hospital Pricing Authority (IHPA) is responsible for relevant data collections to enable activity based funding. The Data Access and Release Policy outlines the principles and processes adopted by IHPA in the discretionary access and release of data collected under the National Health Reform Act 2011 (Cwlth).
The Shadow Pricing Guidelines provide guidance for the use of shadow pricing in the development and implementation of changes to classification systems. The Shadow Pricing Guidelines establishes guiding principles for commencing shadow pricing, reporting requirements during the shadow pricing period and the criteria for progression to pricing.
The National Pricing Model Stability Policy outlines the processes by which the Independent Hospital Pricing Authority stabilises volatility in the year-on-year price weights and adjustments to ensure funding stability and predictability for local hospital networks and hospital managers.
The National Pricing Model Materiality Policy outlines the process the Independent Hospital Pricing Authority follows when assessing the materiality of proposed refinements to the national pricing model, such as new adjustments for specific cohorts of patients or the application of modified pricing approaches.
The Cost-Shifting and Cross-Border Dispute Resolution Policy outlines the processes undertaken by the Independent Hospital Pricing Authority to investigate cross-border and cost-shifting disputes following a request by a health minister to ensure the timely, equitable and transparent management of these disputes.
The Back-Casting Policy outlines the process the Independent Hospital Pricing Authority follows when back-casting the national efficient price or national efficient cost to enable calculation of the Commonwealth’s funding contribution, as set out in the National Health Reform Agreement.
A jurisdiction may request the Independent Hospital Pricing Authority (IHPA) to consider any legitimate and unavoidable costs in the delivery of public hospital services. The purpose of the Adjustments to the National Efficient Price Policy is to outline the process by which IHPA will assess submissions from jurisdictions on legitimate and unavoidable cost variations and determine whether adjustments to the national efficient price are warranted.
The National Pricing Model Consultation Policy outlines the guiding principles and consultative mechanisms that the Independent Hospital Pricing Authority follows when proposing and implementing changes that materially impact the development of the National Efficient Price and National Efficient Cost Determinations and the application of the national funding model.