Agenda

Conference Day One: Monday 27th July 2009

DAY ONE | DAY TWO

8:30 Registration and Coffee

9:00 Opening remarks from Chair

9:10 The Pathway to National Public Hospital Funding Reform

National public hospital reform is becoming a necessity rather than a choice due to two key drivers. Firstly, overall reform in the Australian health system requires clear resourcing accountability at the Federal and State level and complementary funding mechanisms. This has been recognised by the National Health and Hospital Reform Commission Reports. Secondly, the current economic crisis has placed further emphasis on cost containment, revenue generation and increased efficiency in the health sector. A national implementation of activity based funding for public hospitals has many challenges, but the risks of keeping the status quo are greater.

Michael Kissane, Director - Health Finance, Deloitte

State Updates: Activity Based Funding in Australian States and Territories
Funding/Costing Systems and Experiences Across Jurisdictions

9:50 SA Health's Journey with Activity Based Funding

• Our history of casemix funding since 1994-95
• An overview of the construct of our Casemix Funding Model
• The refinements to funding processes, past and future, to address changes in service delivery and governance of our health system

10:20 Morning Tea

Kym Piper, Director Health Intelligence, SA Department of Health

11:00 The QH Casemix Funding Model

• Governance and Objectives
• Components and Classification
• Price setting methodology (relationship to NHCDC)
• Policy Considerations and Business Rules
• Developmental directions

Bill Stomfay, Team Leader, Budget Systems Support, BUDGET SERVICES, FINANCE BRANCH, QUEENSLAND HEALTH

11:40 Tasmania's Casemix Progress

• Implementing an Activity Based Funding model
• Using national average prices in a funding model
• Activity Funding Emergency Department and Outpatients
• Micro costing

Kevin Ratcliffe, Manager Clinical Costing, Hospitals and Ambulance Service, Department of Health and Human Services Tasmania

12:20 Lunch

1:40 The NT Experience

• The full circle
• Uncapped liability
• Moving Forward

Ian Pollock, Director Systems Performance, Acute Care Division, NT Department of Health and Families

2:20 Panel Discussion: The Challenges of Moving to National Funding Arrangement and Where to From Here

Kym Piper, Director Health Intelligence, SA Department of Health
Bill Stomfay, Team Leader, Budget Systems Support, BUDGET SERVICES, FINANCE BRANCH, QUEENSLAND HEALTH
Ian Pollock, Director Systems Performance, Acute Care Division, NT Department of Health and Families
Kevin Ratcliffe, Manager Clinical Costing, Hospitals and Ambulance Service, Department of Health Tasmania

3:00 Closing Remarks from Chair

3:10 Afternoon Tea and Close Day 1

Conference Day Two: Tuesday 28th July 2009

DAY ONE | DAY TWO

8:30 Morning Coffee

9:00 Opening Remarks from Chair

9:10 The National Evaluation of 'Payment by Results' in England: Results and Lessons Learned

• Payment by Results, a fixed tariff case-mix based payment system, was introduced in England in 2003/4
• This paper presents the results from the national evaluation funded by the Department of Health
• Length of stay fell more quickly, and the proportion of daycases and volume increased more quickly, where PbR was implemented.
• There were no effects on indicators of quality of care
• Lessons for Australia will be discussed

Professor Anthony Scott, Professorial Fellow, Melbourne Institute of Applied Economic and Social Research, University of Melbourne

9:50 Maintaining the Balance Between Quality and Quantity Targets: Outputs Vs Outcomes

• Measuring case-mix and quality of care
• Maintaining quality and ensuring quantity targets
• Does it have to be one or the other?

Maarten Kamp, Acting Chief Executive Officer, Centre for Healthcare Improvement, QLD Health

10:30 Morning Tea

11:00 Outpatient Classification and Costing

• The place of ambulatory services in health care reform
• Ambulatory Classification Systems
• Key variables in explaining variability in costs
• The need for a clinical based structure for outpatients, emergency departments and allied health departments

Professor Michael Cleary, School of Public Health, Queensland University of Technology, Executive Director and Director of Medical Services, Logan Hospital QLD

11:40 Developments in Costing and Classification in Tasmania

• Improvements in the costing approach
• Improvements in classification
• Linkage of funding model to costing
• Linkage of costing to activity reporting
• Skilling up

Kevin Ratcliffe, Manager Clinical Costing, Hospitals and Ambulance Service, Department of Health Tasmania

12:20 Lunch

1:20 National Costing of Hospital Based Ambulatory Services

• Variability of the client group
• Classification options
• Cost allocation to Ambulatory Services
• Way forward
• Questions

Robin Michael, BSc (Hons) Health Consultant

2:00 Indicator for Intervention (IFI) Project

An Indicator for Intervention (IFI) can be described as the most relevant issue of the patient that has led them to seek an Allied Health professional for service.

NAHCC has undertaken a large scale pilot project to develop and test the use of an IFI dataset using the World Health Organisation's International Classification of Functioning, Disability and Health (ICF) to allow for better allocation of resources and funding for Allied Health.

Amy Mayer, Chair, National Allied Health Classification Committee

2:40 Afternoon Tea

3:10 Clinician Documentation and Coding - a Match Made in Heaven

• Current funding landscape in Victoria and at RCH
• The importance of getting documentation right
• Common difficulties faced with achieving the aim
• How RCH is tackling the problem

Cameron Barnes, Manager - Health Information Services, Royal Children's Hospital, Vic

3:50 Closing Remarks from Chair

4:00 End Day 2

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