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Publications
General List of In-Scope Public Hospital Services Eligibility Policy
23 July 2021Each year, the Independent Hospital Pricing Authority (IHPA) publishes the General List of In-Scope Public Hospital Services (the General List) as part of the National Efficient Price Determination. The General List defines public hospital services eligible for Commonwealth funding, except where funding is otherwise agreed between the Commonwealth and a state or territory.
Back-casting Policy
23 July 2021The 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 Addendum to the National Health Reform Agreement 2020–25 (clause A41).
Mental Health Phase of Care Clinical Refinement Testing Project – Final Report
19 July 2021The Mental Health Phase of Care (MHPoC) Clinical Refinement Testing Project aimed to determine whether refinements to the MHPoC recommended as part of the 2017 Clinical Refinement Project improved the reliability of how MHPoC definitions are applied by clinicians. This report outlines the findings from the testing and recommendations on the future refinement of the MHPoC. This report was approved by the Pricing Authority in May 2021.
IHPA Work Program and Corporate Plan 2021–22
11 June 2021The Independent Hospital Pricing Authority Work Program and Corporate Plan 2021–22 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 2021–22 to 2023–24.
Three Year Data Plan 2021–22 to 2023–24
10 June 2021IHPA requires accurate activity, cost and expenditure data from jurisdictions on a timely basis in order to perform its core determinative functions.
This data plan sets out IHPA's rolling Three Year Data Plan, covering the period 2021–22 to 2023–24. The Three Year Data Plan specifies the data requirements and timelines that IHPA will use to collect data over the next three years.
Data Compliance Policy
10 June 2021The IHPA Data Compliance Policy describes the process and criteria by which IHPA will publicly report on compliance by jurisdictions with the data requirements and data submission dates specified in the current Three Year Data Plan 2021-22 to 2023-24.
National Pricing Model Technical Specifications 2021–22
5 May 2021This document provides the technical specifications for how the Independent Hospital Pricing Authority (IHPA) developed the activity based funding models for the service streams to be funded for the National Efficient Price and the National Efficient Cost Determinations 2021–22.
National Pricing Model Stability Policy
22 April 2021This 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.
Management of Confidential Jurisdictional Information Protocol
22 April 2021The Management of Confidential Jurisdictional Information Protocol 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.
Data Access and Release Policy
22 April 2021The Independent Hospital Pricing Authority (IHPA) is responsible for relevant data collections to enable activity based funding. IHPA’s 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. The Policy provides guidance as to how IHPA will determine whether to release data.
Cost-Shifting and Cross-Border Dispute Resolution Framework
22 April 2021This Framework outlines the processes 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.
Assessment of Legitimate and Unavoidable Cost Variations Framework
22 April 2021A 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 this Framework 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.
Assessing Materiality of Changes Proposed to the National Pricing Model
22 April 2021The Assessing Materiality of Changes Proposed to the National Pricing Model document 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.
National Hospital Cost Data Collection, Private Hospital Report, Round 23 (financial year 2018–19)
20 April 2021The private sector National Hospital Cost Data Collection (NHCDC) is a voluntary collection that produces a range of hospital cost and activity information by the Australian Refined Diagnosis Related Groups (AR-DRG). This report includes the findings from Round 23 (financial year 2018–19) of the NHCDC for acute admitted care provided by overnight private hospitals.
Rules for coding and reporting COVID-19 episodes of care
10 March 2021On 13 March 2020, the Commonwealth and all state and territory governments signed the National Partnership on COVID-19 Response, in order to provide financial assistance for the additional costs incurred by health services in responding to the coronavirus disease 2019 (COVID-19) outbreak.