The Commission and the Independent Hospital Pricing Authority (IHPA) have established a Joint Working Party (JWP) to consider potential approaches to pricing for safety and quality in public hospital services in Australia.
The JWP is tasked with providing advice to the Commission and IHPA on:
A literature review of existing Australian and international mechanisms for integrating safety and quality into hospital pricing mechanisms was completed in 2013.
Linking quality and safety with hospital funding is being considered and implemented by many countries using a variety of approaches. The evidence for the material impact of such schemes on patient outcomes remains equivocal. However, the available evidence points to the provision of relevant and timely clinical information as an effective driver of safety and quality improvement.
In July 2015, the literature review was augmented with a supplementary briefing and literature update. The July instalment is attached below:
The JWP explored the use of hospital administrative data (routinely collected clinical data generated from hospital information systems), to drive improvements in healthcare safety and quality.The following projects examining potential uses of administrative hospital data have been completed:
In June 2014, the JWP established a sub-committee to investigate best practice pricing schemes, supported by evidence, with a particular focus on hip fracture care. The sub-committee, co-chaired by Dr Diane Watson, CEO of the National Health Performance Authority (NHPA) and Dr Robert Herkes, Clinical Director at the Commission, is comprised of representatives from the JWP, senior medical experts, policy experts, and government and commonwealth representatives.
The sub-committee has undertaken an exploration of:
The sub-committee consulted with national and international experts, the IHPA and clinical specialty groups for evidence-based pricing schemes and implementation strategies tailored to the Australian context. A best-practice pricing in hip fracture care recommendations report was completed by the sub-committee and endorsed by the JWP on 29 June 2015.
Members of the JWP were chosen for their individual significant experience and expertise and were nominated by both organisations.
|Adjunct Professor Debora Picone
|CEO, Australian Commission on Safety and Quality in Health Care|
|Mr James Downie||A/CEO, Independent Hospital Pricing Authority|
|Mr Wayne Adams||Private Healthcare Australian representative|
|Dr Stephen Christley||Interim Mental Health Commissioner, South Australia Health|
|Dr Michael Coglin||Chief Medical Officer, Healthscope|
|A/ Professor Liza Heslop||Associate Professor at Victoria University|
|A/ Professor Louis Irving||Director of Respiratory and Sleep Medicine, Royal Melbourne Hospital Director of Clinical Training|
|Dr Audrey Koay||Senior Clinical Adviser, Office of the Chief Medical officer, WA Health|
|Dr Karen Luxford||Director Patient Based Care, Clinical Excellence Commission, NSW Health|
|A/ Professor Brian McCaughan||Cardiothoracic surgeon; Board Chair, Clinical Excellence Commission; Board Chair, Agency for Clinical Innovation|
|Mr Russell McGowan||Board Member, Public Health Association of Australia|
|A/ Professor Graham Reynolds||Consultant Paediatrician and Associate Dean (admissions) Australian National University Medical School|
|Ms Cindy Schultz-Ferguson||Consumer representative|
|Ms Jennie Shepheard||Principal Health Information and Classification Advisor, Department of Health Victoria|
|Dr John Wakefield PSM||Executive Director of Medical Services, Children’s Health Queensland|
|Dr Diane Watson||CEO National Health Performance Authority|
|Dr Bernard Whitfield||Otolaryngology Head and Neck Chair – Royal Australasian College of Surgeons (QLD)|
|Professor Fiona Wood AM||Plastic Surgeon, Director of the Royal Perth Hospital Burns Unit and the Western Australia Burns Service.|