Resources
National Efficient Cost Determination 2022–23
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 (th...
National Pricing Model Technical Specifications 2023–24
This document provides the technical specifications for how the Independent Health and Aged Care Pricing Authority (IHACPA) developed the activity based funding models for the service streams to be funded for the National Efficient Price and the National Efficient Cost...
General Use Items Bundling Tool
The General Use Items (GUI) Bundling Tool enables users to enter historical Prostheses List billing-code utilisation data and apply the GUI bundles defined in IHACPA’s Supplementary advice on Bundling Arrangements for General Use Items on the Prostheses List – April 20...
Australian Hospital Patient Costing Standards Version 4.1
The Australian Hospital Patient Costing Standards (AHPCS) provide direction for hospital patient costing through the development of standards for specific elements of the costing process and reporting requirements.
Mental Health Phase of Care Guide
This document provides information for clinicians to enable them to assess phases accurately when applying the mental health phase of care concept.
Methodology for Determining the Benchmark Price for Prostheses in Australian Public Hospitals
The Independent Hospital Pricing Authority’s (IHPA) primary function is to calculate and deliver an annual national efficient price (NEP). The NEP is a major determinant of the level of Australian Government funding for public hospital services and provides a price sign...
Australian National Subacute and Non-Acute Patient Classification Grouper Version 5.0 User Manual
The Australian National Subacute and Non-Acute Patient Classification (AN-SNAP) Version 5.0 software grouper application (the SNAP5Grouper) Version 1.1 groups records of admitted subacute and non-acute care into an AN-SNAP Version 5.0 class (or error class if there is m...
Review of Non-Admitted Classifications
This resource contains documents related to a review of existing non-admitted patient care classifications and recommend a new or revised classification to support activity based funding in non-admitted services.
Australian National Subacute and Non-Acute Patient Classification Grouper Version 4.0.1 User Manual
The Australian National Subacute and Non-Acute Patient Classification (AN-SNAP) Grouper Version 4.0.1 application (SNAP4.0.1Grouper) groups records of admitted subacute and non-acute care into an AN-SNAP Version 4.0 class (or error class if there is missing informa...
IHPA Work Program and Corporate Plan 2022–23
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, Performanc...
National Hospital Cost Data Collection, Independent Financial Review, Round 21 (Financial year 2016-17)
The National Hospital Cost Data Collection (NHCDC) is the primary data collection that the Independent Hospital Pricing Authority (IHPA) relies on to calculate the National Efficient Price used for the funding of public hospital services. To ensure that the quality of N...
Pricing and Funding for Safety and Quality: Hospital Acquired Complications Fact Sheet
In 2017, all Australian governments signed the Addendum to the National Health Reform Agreement and committed to improve Australian health outcomes through safety and quality reforms.
Pricing and Funding for Safety and Quality: Sentinel Events Fact Sheet
In 2017, all Australian governments signed the Addendum to the National Health Reform Agreement and committed to improve Australian health outcomes through safety and quality reforms.
AR-DRG Version 10.0
The Australian Refined Diagnosis Related Groups (AR-DRGs) is a classification system, which provides a clinically meaningful way to relate the number and type of patients treated in a hospital to the resources required by the hospital. AR-DRGs group patients with s...
ICD-10-AM/ACHI/ACS Twelfth Edition - ACS 0002 Additional Diagnoses Fact Sheet
Collecting data is an important part of understanding and improving health services. Admitted patient care data collections capture information on patients, their conditions and the care provided by health services. The conditions documented in the he...
ICD-10-AM/ACHI/ACS - Development of Twelfth Edition Fact Sheet
Health classifications are used to provide a nationally consistent method of reporting conditions (including diseases, injuries, symptoms and related health problems) and the treatments (including surgeries, therapies and health interventions) of admitted pati...
National Pricing Model Technical Specifications 2012–13
This document was produced as an accompaniment to the NEP13 and NEC13 Determinations.
Tier 2 Non-admitted services 2014–15
There are three key publications that support the Tier 2 Non-Admitted Services Classification. Tier 2 Non-Admitted Services Definitions Manual, Tier 2 Non-Admitted Services Compendium and Tier 2 Non-Admitted Services National Index.
National Hospital Cost Data Collection
The National Hospital Cost Data Collection (NHCDC) is a valuable tool for use across the Australian health system as it plays a large role in collating the vast majority of health system costs at a 'product' level. It has recently been defined as a remarkable evidence b...
Definitions and cost drivers for mental health services project
As an initial step in developing a new national classification for mental health services, IHPA has commissioned a consortium led by The University of Queensland (UQ) to develop a definition for mental health services that can be consistently applied within the mental h...
Development of the Australian Refined Diagnosis Related Groups V8.0
As per the contract for Australian Refined Diagnosis Related Groups (AR-DRG) Classification System Development and Refinement Services between the Commonwealth of Australia as represented by the Independent Hospital Pricing Authority (IHPA) and the University of Sydney...
National Pricing Model Technical Specifications 2015–16
This document provide the technical specifications for how the Independent Hospital Pricing Authority (IHPA) developed the Activity Based Funding (ABF) models for the service streams to be funded for the National Efficient Price (NEP) and the National Efficient Cost (NE...
Tier 2 Non-Admitted Services 2016-17
There are three key publications that support the Tier 2 Non-Admitted Services Classification. Tier 2 Non-Admitted Services Definitions Manual, Tier 2 Non-Admitted Services Compendium and Tier 2 Non-Admitted Services National Index.
Activity based funding (ABF) - Data Collection Compliance Reports 2015 – 2020
The Independent Hospital Pricing Authority (IHPA) publishes Data Compliance Reports including a Quarterly Report, as required by the National Health Reform Agreement (B 102).