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Alterations to the National Pricing Model Framework
1 March 2021The purpose of the Alterations to the National Pricing Model Framework is to outline the guiding principles and consultative mechanisms that IHPA follows when proposing and implementing changes that materially impact the application of the national funding model.
Governance framework for the development of the admitted care classifications
16 December 2020The Governance framework for the development of the admitted care classifications outlines the classification development and approval process, the guiding principles and classification products for the following classifications:
Three Year Data Plan 2020–21 to 2022–23
4 June 2020IHPA 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 eighth rolling Three Year Data Plan, covering the period 2020–21 to 2022–23. The Three Year Data Plan specifies the data requirements and timelines that IHPA will use to collect data over the next three years.
Impact of New Health Technology Framework
28 May 2020IHPA recognises the need for the pricing of public hospital services to respond in a timely manner to the introduction of new health technologies and innovations in models of care.
Cost-Shifting and Cross-Border Dispute Resolution Framework
28 May 2020IHPA has a role to investigate and make recommendations concerning cross-border disputes between states and territories, and to make assessments of cost-shifting disputes. This Framework outlines the processes to investigate these 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
28 May 2020A jurisdiction may request IHPA to consider any legitimate and unavoidable costs in the delivery of public hospital services. The purpose of this Framework is to assist jurisdictions in making submissions to IHPA on this issue, to layout the process which IHPA will follow in assessing submissions, and the process to determine adjustments to the NEP.
Mental Health Phase of Care Clinical Refinement Project Final Report
12 May 2020Following the completion of the 2016 Inter-Rater Reliability (IRR) study to test the consistency of clinician application of the mental health phase of care, the poor to fair reliability outcome led to the commencement of the refinement project.
Australian Mental Health Care Classification Pricing Feasibility Report 2020–21
2 March 2020The Independent Hospital Pricing Authority (IHPA) has developed the Australian Mental Health Care Classification Pricing Feasibility Report 2020–21 to provide an overview of the process undertaken by IHPA to shadow price admitted mental health services using the Australian Mental Health Care Classification (AMHCC) Version 1.0.
Clinical Coding Practice Framework
5 September 2019The Clinical Coding Practice Framework aims to support national consistency in clinical coding practice, by providing guidance in defining and promoting good practices for those involved in the clinical coding process.
It was developed by the Health Information Management Association of Australia in conjunction with the Clinical Coders’ Society of Australia, and incorporated feedback from public consultation.
Assessment of Legitimate and Unavoidable Cost Variations Framework V2.3
5 July 2019A jurisdiction may request IHPA to consider any legitimate and unavoidable costs in the delivery of public hospital services. The purpose of this Framework is to assist jurisdictions in making submissions to IHPA on this issue, to layout the process which IHPA will follow in assessing submissions, and the process to determine adjustments to the NEP.
Cost-Shifting and Cross-Border Dispute Resolution Framework
4 July 2019This 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.
Impact of New Health Technology Framework
4 July 2019The Impact of New Health Technology Framework (the Framework) outlines the process by which IHPA, via its Clinical Advisory Committee (CAC), will monitor and review the impact of new health technologies on the existing classifications in order to accurately account for them in the pricing of public hospital services.
In consultation with the CAC, IHPA will:
Three Year Data Plan 2019-20 to 2021-22
30 April 2019IHPA 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 seventh rolling Three Year Data Plan, covering the period 2019-20 to 2021-22. The Three Year Data Plan specifies the data requirements and timelines that IHPA will use to collect data over the next three years.
Three Year Data Plan 2018-19 to 2020-21
21 June 2018IHPA 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 sixth rolling Three Year Data Plan, covering the period 2018-19 to 2020-21.
Cost-Shifting and Cross-Border Dispute Resolution Framework
15 June 2018The purpose of the Framework is to guide the timely, equitable and transparent processes by which IHPA investigates both cross-border and cost-shifting disputes following a request by a Health Minister.