Outcome 1

Promote improved efficiency in, and access to, public hospital services primarily through setting efficient national prices and levels of block funding for hospital activities

Program 1.1 Public Hospital Price Determinations

IHPA promotes improved efficiency in, and access to, public hospital services by providing independent advice to the Australian Government and state and territory governments regarding the efficient price of healthcare services, and by developing and implementing robust systems to support activity based funding for those services

2018–19 Corporate Plan

Purpose

To determine the National Efficient Price and the National Efficient Cost for public hospital services

2018–19 Annual Report: Performance statement

Strategic objective 1

Perform IHPA pricing functions

Activity 1: Perform IHPA pricing functions

Strategic objective 2

Refine and develop hospital activity classification systems

Activity 2: Refine and develop national classification systems

Strategic objective 3

Refine and improve hospital costing

​Activity 3: Refine and improve hospital costing

Strategic objective 4

Determine data requirements and collect data

Activity 4: Develop hospital data requirements and collect data

Strategic objective 5

Resolve disputes on cost‑shifting and cross‑border issues

​Activity 5: Resolve disputes on cost‑shifting and cross‑border issues

Strategic objective 6

Independent and transparent decision-making and engagement with stakeholders

Activity 6: Independent and transparent decision‑making and engagement with stakeholders

Publish the Pricing Framework for Australian Public Hospital Services 2019–20 by 31 December 2018

Delivered

Publish the National Efficient Price and National Efficient Cost Determinations by 31 March 2019

Delivered

Undertake a fundamental review of the methodology underpinning the National Efficient Price

Ongoing

Undertake a review of block funding services and the block funding model for small rural hospitals that underpins the National Efficient Cost

Delivered

Undertake a global horizon scan to identify issues, solutions and innovations in health funding across the globe that could be incorporated into the Australian system to provide improvements

Ongoing

​​2. Refine and develop hospital activity classification systems

Seek input from clinicians and ensure acceptance of classification systems by committees including IHPA’s Clinical Advisory Committee

Delivered

Refine the Australian Teaching and Training Classification

Delivered

Complete development work on a new classification system for emergency care services

Delivered

Further refine the Australian Mental Health Care Classification

Delivered

Continue development of the Subacute and Non-acute Patient Classification

Ongoing

Develop a new classification for non admitted care services by undertaking a national non admitted costing study

Ongoing

Complete development work on the Australian Refined Diagnosis Related Group Version 10.0 classification and Australian Modification of the International Statistical Classification of Diseases Eleventh Edition

Delivered

​​3. Refine and improve hospital costing

Establish and maintain national costing standards

Delivered

Ensure effective collection and processing of costing information to support activity based funding outcomes

Delivered

Review the format and content of the National Hospital Cost Data Collection Cost Report to identify relevant ways to present and narrate analysis

Delivered

Work with jurisdictions to implement the Australian Hospital Patient Costing Standards Version 4.0

Delivered

​​4. Develop hospital data requirements and collect data

Publish the Three Year Data Plan 2019–20 – 2021–22

Delivered

Publish a report on a quarterly rolling basis, outlining compliance with the data requirements and data standards specified in the rolling Three Year Data Plan

Delivered

Add hospital acquired complication risk adjustments to the National Benchmarking Portal

Delivered

Complete the annual review of Activity Based Funding National Best Endeavours Data Sets and National Minimum Data Sets

Delivered

Further refine the secure data management system functionality to ensure IHPA remains at the forefront of data security and capability

Delivered