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Pricing Framework for Australian Public Hospital Services 2019-20
4 December 2018The Pricing Framework for Australian public hospital services 2019-20 builds on the seven Pricing Frameworks from previous years. The Pricing Framework is the key strategic document underpinning the National Efficient Price (NEP) and National Efficient Cost (NEC) Determinations for the financial year 2019-20.
Hospital Teaching, Training and Research Activities National Best Endeavours Data Set 2018-19 Technical Specifications for reporting
5 July 2018This document outlines the reporting requirements for the provision of data against the HTTRA NBEDS 2018-19 by state and territory health departments, including:
Australian Teaching and Training Classification (ATTC) – Version 1.0 – User manual
5 July 2018This document provides background to the development of the new classification, explains the data elements and collection protocols, reporting requirements, and how the data is grouped.
Australian Teaching and Training Classification (ATTC) – Version 1.0 – Fact sheet
5 July 2018This document provides an overview of the content of the ATTC Version 1.0 including the scope, structure and relevant activities.
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.
Impact of New Health Technology Framework
15 June 2018The objective of the IHPA Impact of New Health Technology Framework (the Framework) is to outline the process by which IHPA, through the 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:
Back-casting policy
15 June 2018The Back-casting Policy outlines the process IHPA follows when back-casting the NEP or the NEC for the purpose of the calculation of the Commonwealth’s funding, as set out in the NHRA (clause A40).
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.
AMHCC User Manual
13 June 2018This document provides background to the development of the new classification, explains the data elements and collection protocols, reporting requirements, and how the data is grouped.
Assessment of Legitimate and Unavoidable Cost Variations Framework
21 May 2018A 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.
Tier 2 Non-Admitted Services Compendium 2018-19
16 March 2018The Tier 2 Non-Admitted Services Compendium provides guidance on the counting and classification rules associated with the Tier 2 Non-Admitted Services Classification (Tier 2).
Tier 2 Non-Admitted Services Definitions Manual 2018-19
16 March 2018The Tier 2 Non-Admitted Services Classification (Tier 2) supports the introduction of activity based funding (ABF) for non-admitted hospital services in the Australian public hospital system.
Report for the counting, costing and classifying of Non-Admitted Multidisciplinary Case Conferences (MDCCs) where patient is not present
17 May 2017IHPA commissioned a study of the counting, costing and classifying of multidisciplinary case conferences (MDCCs) for non-admitted patients, when the patient is not present. MDCCs have become a more common and important aspect of clinical care. The increasing complexity and specialisation in health care has driven the need for more formalised mechanisms for multidisciplinary collaboration.
Development of the Australian Refined Diagnosis Related Groups (AR-DRG) V9.0
16 May 2017AR-DRG Version 9.0 Final Report
AR-DRG Version 9.0 was approved by the Pricing Authority in November 2016. Development of Version 9.0 was finalised following clinical and statistical analysis and in consultation with clinicians, jurisdictions and other health sector stakeholders. It has been used to price admitted acute episodes of care from 1 July 2018.
The AR-DRG Version 9.0 final report details the changes and rationale for the refinement process.
Teaching, Training and Research Costing Study Final Report July 2016
28 September 2016The purpose of this costing study was to undertake a Teaching, Training and Research (TTR) cost and activity data collection at a representative sample of Australian hospitals and produce costed data to inform the development of a TTR classification.