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Performance in 2019–20

Relationship between 2019–20 Portfolio Budget Statements, IHPA Corporate Plan 2019–20 and the 2019–20 Annual Report Performance Statement

2019–20 Portfolio Budget Statements

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

2019–20 Corporate Plan

Purpose

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

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

Summary of Performance for 2019-20

1. Perform IHPA pricing functions

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

Delivered

Publish the National Efficient Price and National Efficient Cost Determinations by 31 March 2020

Delivered

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

Delivered

Undertake a review of 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

Delivered

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

Continue data collection for the Australian Teaching and Training Classification

Delivered

Complete development work on the Australian Emergency Care Classification system for emergency care services

Delivered

Further refine the Australian Mental Health Care Classification

Delivered

Continue development of the admitted Australian National 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

Continue development of AR-DRGs V11.0 and ICD-10-AM/ACHI/ACS Twelfth Edition

Ongoing

3. Refine and improve hospital costing

Maintain national costing standards

Ongoing

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

Delivered

Produce informative and authoritative information of hospital costs

Delivered

Evaluate compliance with new aspects incorporated in the Australian Hospital Patient Costing Standards Version 4.0.

Delivered

4. Develop hospital data requirements and collect data

Publish the Three Year Data Plan 2020–21 — 2022–23

Delivered

Develop the process for the collection of Individual Healthcare Identifiers as part of national data sets

Ongoing

Further development of the Secured Data Management System

Ongoing

Collection of jurisdictional submission for quarterly activity based funding activity data

Delivered

Publish a data compliance report on a quarterly rolling basis

Delivered

Maintain and continue to develop the National Benchmarking Portal, including promoting access for all local health networks

Delivered

5. Resolve disputes on cost‑shifting and cross‑border issues

Publish an updated Cost-shifting and Cross-border Dispute Resolution Framework

Delivered

6. Independent and transparent decision-making and engagement with stakeholders

IHPA held 78 meetings with the 18 committees and working groups, to provide expert advice and to ensure the transparency and integrity of the organisation.

Ongoing