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How to classify COVID-19 – Supplementary guidance and FAQs for classifying admitted care in Eleventh Edition
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Supplementary advice and frequently asked questions (FAQs) to support the classification of COVID-19 in admitted care.
IHPA Work Program and Corporate Plan 2022–23
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The Independent Hospital Pricing Authority (IHPA) Work Program and Corporate Plan 2022–23 has been prepared in accordance with the requirements of section 225 of the National Health Reform Act 2011 and section 35(1)(b) of the Public Governance, Performance and Accountability Act 2013 for the reporting periods 2022–23 to 2024–25.
Pricing Framework for Australian Public Hospital Services 2023–24 open for public consultation
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The Independent Hospital Pricing Authority (IHPA) today released its Consultation Paper on the Pricing Framework for Australian Public Hospital Services 2023–24 (the Consultation Paper). The consultation is open to the public for 30 days. All stakeholders are invited to provide feedback on the proposed policy approach between Wednesday 8 June to Friday 8 July 2022. The Consultation Paper is a key mechanism for providing input on the policy approach adopted by the agency to determine the national efficient price (NEP) and national efficient cost (NEC), which play a crucial role in calculating the Commonwealth funding contribution to Australian public hospitals for the 2023–24 financial year. This year’s consultation seeks feedback on the agency’s approach to account for the impacts of Coronavirus disease 2019 (COVID-19), refinements to the national pricing model, and opportunities for states and territories to trial innovative funding models that have the potential to create better incentives for improved continuity of care.
Non-Admitted Care COVID-19 Response
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Information on the classification rules for COVID-19 in the non-admitted care setting.
Emergency Care COVID-19 Response
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The Emergency Department ICD-10-AM Principal Diagnosis Short List (ED Short List) was updated in 2022 with additional codes to classify COVID-19 testing and adverse reactions to the COVID-19 vaccine.
Hospital Teaching, Training and Research Activities National Best Endeavours Data Set Technical Specifications for reporting
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Teaching, training and research (TTR) activities represent an important role of the public hospital system alongside the provision of care to patients. Until now, there has been no classification system for TTR. To support data collection and classification development, IHPA have developed nationally consistent data collections for activity and cost data which, with maturity, will allow the Independent Hospital Pricing Authority (IHPA) to price TTR using activity based funding (ABF) methods.
Australian Subacute and Non-Acute Patient Classification Version 5.0 Fact Sheet
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The Australian National Subacute and Non-Acute Patient Classification (AN-SNAP) is a casemix classification that provides a nationally consistent way of categorising admitted subacute and non-acute hospital care. AN-SNAP Version 5.0 (V5.0) classifies episodes on the basis of four subacute care types: rehabilitation, palliative care, geriatric evaluation and management, psychogeriatric care, and non-acute care.
Tier 2 Non-Admitted Services 2022–23
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There are three key publications that support the Tier 2 Non-Admitted Services Classification (Tier 2).
National Efficient Cost Determination 2022–23
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The Independent Hospital Pricing Authority is established under the National Health Reform Act 2011 (the Act) and by virtue of section 131(1) of the Act is invested with the following functions relevant to this National Efficient Cost Determination 2022–23 (this Determination): 1. to determine the efficient cost for health care services provided by public hospitals where the services are block funded 2. to develop and specify classification systems for health care and other services provided by public hospitals 3. except where otherwise agreed between the Commonwealth and a state or territory – to determine the public hospital functions that are to be funded in the state or territory by the Commonwealth. This Determination is used by the Administrator of the National Health Funding Pool to determine the amount of funding provided by the Commonwealth to local hospital networks.
Pricing Framework NEP and NEC Determinations 2022-23 infographic
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Each financial year, IHPA releases the annual national efficient price and national efficient cost to determine the Commonwealth Government’s contribution to public hospitals.
IHPA releases National Efficient Price and National Efficient Cost Determinations for 2022–23
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The Independent Hospital Pricing Authority (IHPA) today released the National Efficient Price and National Efficient Cost Determinations for 2022–23. The Determinations play a crucial role in the calculation of the Commonwealth funding contribution to Australian public hospital services, and offer a benchmark for the efficient cost of providing those services as outlined in the National Health Reform Agreement. The Determinations rely on activity and cost data from the 2019–20 financial year.
National Pricing Model Technical Specifications 2022–23
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This document provides the technical specifications for how the Independent Hospital Pricing Authority (IHPA) developed the activity based funding models for the service streams to be funded for the National Efficient Price and the National Efficient Cost Determinations 2022–23.