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Fundamental Review of the National Efficient Price
3 December 2019The Fundamental Review of the National Efficient Price (NEP) was commissioned by IHPA to review the methodology underpinning the National Pricing Model. IHPA engaged Ernst & Young (EY), KPMG and PricewaterhouseCoopers (PwC) to independently perform the review in close consultation with IHPA’s advisory committees.
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.
National Hospital Cost Data Collection, Data Request Specifications, Round 23, (Financial year 2018-19)
2 August 2019The National Hospital Cost Data Collection (NHCDC) Data Request Specifications (DRS) contain detailed guidance regarding the submission of Round 23 NHCDC data.
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.
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:
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.
IHPA Work Program 2019–20
27 June 2019As prescribed in Section 225 of the National Health Reform Act 2011, the objectives of the IHPA Work Program are to:
National Hospital Cost Data Collection, AR-DRG Cost Weight tables V8.0x, Round 21 (Financial year 2016-17)
20 June 2019National Hospital Cost Data Collection Report, Public Sector, Round 21 (Financial year 2016-17)
12 March 2019The NHCDC Report and infographics present the results from Round 21 NHCDC (Financial Year 2016-17).
These documents describe the hospital costs submitted by jurisdictions for the following activity streams:
- admitted acute
- non-admitted
- emergency department
- mental health
- sub-acute and non-acute.
The Appendix Tables present detailed results from the collection by activity stream and jurisdiction.
National Hospital Cost Data Collection Report, Public Sector, Round 21 (Financial year 2016-17)
12 March 2019The NHCDC Report and infographics present the results from Round 21 NHCDC (Financial Year 2016-17).
These documents describe the hospital costs submitted by jurisdictions for the following activity streams:
- admitted acute
- non-admitted
- emergency department
- mental health
- sub-acute and non-acute.
The Appendix Tables present detailed results from the collection by activity stream and jurisdiction.
National Efficient Price Determination 2019-20
5 March 2019The Independent Hospital Pricing Authority (Pricing Authority) is established under the National Health Reform Act 2011 (Cth) (the Act), and by virtue of Section 131(1) of the Act is invested with the following functions relevant to this National Efficient Price (NEP) Determination 2019-20 (Determination):
National Hospital Cost Data Collection, Independent Financial Review, Round 21 (Financial year 2016-17)
14 February 2019The National Hospital Cost Data Collection (NHCDC) is the primary data collection that the Independent Hospital Pricing Authority (IHPA) relies on to calculate the National Efficient Price used for the funding of public hospital services. To ensure that the quality of NHCDC data is robust and fit-for-purpose, IHPA commissions an independent financial review to assess whether all participating hospitals have included appropriate costs and patient activity.
Reporting of Round 20 Cost-Buckets by AN-SNAP class, national level
10 December 2018This table presents cost bucket level cost data from Round 20 of the National Hospital Cost Data Collection (NHCDC) for all end classes identified in the Australian National Sub and Non-Acute Patients (AN-SNAP) classification.
National Hospital Cost Data Collection, Data Request Specifications v1.0, Round 22, (Financial Year 2017-18)
16 October 2018The National Hospital Cost Data Collection (NHCDC) Data Request Specifications (DRS) list the data elements to be submitted to IHPA and include the validation rules which will be applied to the data on submission.
IHPA Work Program 2018–19
26 June 2018As prescribed in Section 225 of the National Health Reform Act 2011 (the Act), the objectives of the IHPA Work Program are to:
- set out IHPA’s work program for the coming year; and
- invite interested persons (including states and territories) to make submissions to the Pricing Authority about the work program up to 30 days after publication.
An extract of Section 225 of the Act is attached at Appendix 1.