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A 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.
The 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:
This 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.
The ICD-10-AM/ACHI/ACS classification system is comprised of the following classifications:
- International Statistical Classification of Diseases and Related Health Problems, Tenth Revision, Australian Modification (ICD-10-AM)
- Australian Classification of Health Interventions (ACHI)
- Australian Coding Standards (ACS)
ICD-10-AM/ACHI/ACS Eleventh Edition is published as a set of five volumes which contain the following products:
As 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 2019
There are three key publications that support the Tier 2 Non-Admitted Services Classification.
Tier 2 Non-Admitted Services Definitions Manual: This document provides the structural overview of the classification and the definition of each of the Tier 2 classes.
The Independent Hospital Pricing Authority (IHPA) released its Consultation Paper on the Pricing Framework for Australian Public Hospital Services 2020-21. Public consultation was open from Friday, 14 June to 5:00pm Monday, 15 July 2019.
National Hospital Cost Data Collection, Private Hospital Cost Report, Round 21 (Financial year 2016-17)
The 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 21 (financial year 2016-17) of the NHCDC for acute admitted care provided by overnight private hospitals.
The National Health Reform Act 2011 (the Act), section 131(1)(f), provides that IHPA will determine the public hospital functions that are to be funded in the states and territories by the Commonwealth, except where otherwise agreed between the Commonwealth and a state or territory.