Document ID: chunk:federal_register_of_legislation:F2017L01099:schedule:4:p2
Version: federal_register_of_legislation:F2017L01099
Segment Type: schedule
Provision Reference: sch 4 (pt 2/2)
Character Range: 3585–6363

to its functions under paragraphs 131(1)(c) and (n) of the Act must take steps to ensure that changes introduced to classification systems or costing methodologies across all activity based funding service categories are effectively back-cast for the purposes of clause A40 of Schedule A to the National Health Reform Agreement, to negate any unintended impact on the calculation of efficient growth for funding purposes.

(ii)               The Independent Hospital Pricing Authority, in relation to its functions under paragraphs 131(1)(c) and (n) of the Act, must take steps to ensure that the introduction of changes in the non‑admitted service category that occurred in the 2014‑15 and 2015-16 financial years, including changes in scope, funding type and counting methodologies, do not have an unintended impact on the calculation of efficient growth for the 2015‑16 financial year.

       (a)   In undertaking Item 1(ii), the Independent Hospital Pricing Authority must review and take any necessary steps to address anomalies in the calculation of efficient growth that have occurred as a result of:

           1. the transfer of non-admitted care clinics from block funding arrangements to activity based funding arrangements;

          b.        the change in counting methodology from counting every non‑admitted service event to temporal bundling; and

          c.         scope changes for non-admitted care clinics, including the expanded scope of 10.19 Ventilation – home delivered to include patients who are dependent on ventilation at night and who without ventilation support would be at risk of imminent hospitalisation.

       (b)     In undertaking Item 1(ii), the Independent Hospital Pricing Authority may consider development of a methodology, or methodologies, for the Administrator of the National Health Funding Pool to consider in calculating the final funding entitlement for the 2015-16 financial year.

(iii)            The Independent Hospital Pricing Authority, in relation to its functions under paragraphs 131(1)(e), (h) and (n) of the Act, must undertake a review and provide advice on the impact of the data reporting practices utilised in Western Australia for the non-admitted service category.

       (a)   In undertaking Item 1(iii), the Independent Hospital Pricing Authority is to review the practice in Western Australia of using a mix of patient and aggregate level data at a hospital for funding purposes, including whether there is potential for duplicate payments under this arrangement.

(iv)             The Independent Hospital Pricing Authority must advise on its reviews and any actions taken to resolve issues as referred to in Item 1(i), (ii) and (iii) to the Commonwealth, States and Territories by 13 October 2017.