Document ID: chunk:federal_register_of_legislation:F2017L01099:schedule:4:p1
Version: federal_register_of_legislation:F2017L01099
Segment Type: schedule
Provision Reference: sch 4 (pt 1/2)
Character Range: 684–3854

Schedule    4

Part 1 Preliminary

         1.                    Name of Direction

This Instrument is the Direction to the Independent Hospital Pricing Authority on the performance of its functions under section 226 of the National Health Reform Act 2011 - No. 1/2017.

     2.                      Commencement

This Direction commences on the day after it is registered on the Federal Register of Legislation.

     3.                      Authority

     This Direction is made under subsection 226(1) of the National Health Reform Act 2011.

     4.                      Definitions

     In this Direction:

     10.19 Ventilation – home delivered means the category of non-admitted care clinic that provides the service of ventilation that is self-administered by the patient or the patient's carer, as described in the Independent Hospital Pricing Authority's Tier 2 Non‑Admitted Services Definitions Manual 2016-17 – version 4.1, as in force on the day this Direction commences.

     Act means the National Health Reform Act 2011.

     activity based funding has the same meaning as in Appendix A of the National Health Reform Agreement, as in force on the day this Direction commences.

     activity based funding service categories means the five service categories reported on by the Administrator of the National Health Funding Pool for activity based funding purposes, which are acute admitted, admitted mental health, sub-acute, emergency department, and non-admitted.

     block funding has the same meaning as in Appendix A of the National Health Reform Agreement, as in force on the day this Direction commences.

     efficient growth has the meaning given by clause A3 of Schedule A to the National Health Reform Agreement, as in force on the day this Direction commences.

     national efficient price has the same meaning as in Appendix A of the National Health Reform Agreement, as in force on the day this Direction commences.

     non-admitted care clinic means the Tier 2 non-admitted services described in the Independent Hospital Pricing Authority's Tier 2 Non‑Admitted Services Definitions Manual 2016-17 – version 4.1, as in force on the day this Direction commences.

     non-admitted service event means an interaction between one or more health care providers with one non-admitted patient, which must contain therapeutic or clinical content and result in a dated entry in the patient's medical record.

     temporal bundling means the count of non-admitted service events delivered that are aggregated or bundled as monthly counts.

     5.                      Schedule

The Schedule to this Instrument describes the direction given to the Independent Hospital Pricing Authority on the performance of its functions and exercise of its powers.

Schedule

   1. Functions

(i)                 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 changes introduced to classification systems or costing methodologies across all activity based funding service categories are effectively back-cast for the purposes of clause