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2021 Program

The Independent Hospital Pricing Authority (IHPA) held its 2021 Activity Based Funding Conference from Wednesday 5 to Friday 7 May 2021 as a virtual event.

Over the course of the three-day program, delegates had the opportunity to access a range of resources and connect online with leading professionals, utilising virtual networking features, such as group networking sessions, an interactive Q&A session, and the ability to book one-on-one virtual meetings through the platform.

With 47 eminent speakers presenting across three days, the program included:

Wednesday 4 May 2022

11:00am - 11:30am

Conference open and Acknowledgement of Country

James Downie, Chief Executive Officer, Independent Hospital Pricing Authority

11:30am - 12:00pm

Plenary

Future direction of activity based funding in light of new Addendum to the Health Reform Agreement 2020–25

Shane Solomon, Chair, Independent Hospital Pricing Authority

12:00pm - 1:00pm

Networking session

1:00pm - 2:00pm

Keynote

The future is already here – it's just not very evenly distributed

Dr Louise Schaper, Chief Executive Officer, Australasian Institute of Digital Health

Health care is in a period of disruption like never before, but what are the forces creating this disruption? As policymakers, we need to understand the relevance of these on healthcare providers, payers and consumers. Then we need to consider what the implications are of this disruption on our current healthcare systems, structures, and functions and how the business model(s) of health adapt to deliver 21st century care?

Introduced by Shane Solomon, Chair, Independent Hospital Pricing Authority

2:00pm - 2:15pm

Short in-session break

2:15pm

Concurrent sessions

2:15pm - 3:15pm

Data analytics and benchmarking

Innovative data linkage and analytics to drive health system transformation in NSW
Louise Fisher

"What if?": Data visualisation storytelling on health inequality
Owen Cho

An innovative and collaborative approach to improving hospital acquired complications (HACs) including an automated HACs portal
Nicole Payne and Jo-Anne Thompson

In measuring avoidable hospital admissions, risk adjustment itself cannot be avoided
Kevin Quinn

10 – 15 min live Q&A

Classifications

Incorporating a measure of frailty into the Australian National Subacute and Non-Acute Patient classification
Renee Porter and Heon Lee

Review of the development cycle for the admitted care classifications in Australia
Anne Elsworthy

What to expect in AR-DRG Version 11.0
Ning Ding

Lessons from delivering an online study during a global pandemic: The Mental Health Phase of Care Clinical Refinement Testing Project
Cameron Lee and Jennifer Nobbs

10 – 15 min live Q&A

Value-based care

Framework for considering financial risk and feasibility for bundled payment introduction
Nikita Khanna

The impact of oncology bundled payments: What does it mean for Australia?
Lutfun Hossain

Using claims data to stratify a population by risk of 30-day readmission for transitions-of-care programs
Dr Gordon Moore

10 – 15 min live Q&A

Costing

The lay of the land: Understanding the purpose, design, and use of costing data in Australian health care
Prof Prabhu Sivabalan

Perspectives on using a costing study to provide an authentic educational opportunity for master of health service students
Prof Mark Mackay

Comparative analysis of public and private National Hospital Cost Data Collection
Sashi Nimmagadda and Divyani Bhatnagar

The non-admitted care costing study – what we learned and where to from here
Natalie Bryant and Deniza Mazevska

10 – 15 min live Q&A

Thursday 5 May 2022

11:00am - 12:00pm

Keynote

Reimagining payment models to improve costs and care

Dr Ezekiel J. Emanuel, Vice Provost, Global Initiatives, Diane v.S. Levy and Robert M. Levy University Professor, Co-Director, Healthcare Transformation Institute, Professor, Health Care Management, and Medical Ethics and Health Policy, Perelman School of Medicine, University of Pennsylvania

Dr Emanuel will cover a variety of promising alternative payment structures, including primary care capitation, surgery and specialty care bundles, salaries for certain medical specialties, and restructured end-of-life care payments. He will discuss evidence from his experience working with major United States insurers on innovative payment model re-designs and share his insights on the future direction of alternate payment schemes. He will also provide an overview on his future endeavour, the Comprehensive Care at Home Program, which looks to reimagine end-of-life care and promote home-based palliative care.

Introduced by Jennifer Williams AIM FAICD, Deputy Chair, Independent Hospital Pricing Authority

12:00pm - 1:00pm

Live Q&A

Introduction to activity based funding with Prof Stephen Duckett

This is an opportunity for delegates who are new to the concepts of activity based funding to ask questions of Prof Duckett (Grattan Institute).

Introduced by Julia Hume, Executive Director, Data Analytics, Independent Hospital Pricing Authority

1:00pm - 2:00pm

Panel session

Clinical perspectives on activity based funding

This session aims to give the clinicians' view of the challenges of working in an activity based funding environment including how they use activity based funding tools to drive improvement in their services. Panellists will also discuss what the impact of the introduction of safety and quality funding adjustments has been for their service by covering sentinel events, hospital acquired complications and avoidable readmissions.

Facilitated by Sophie Scott, National Medical Reporter, ABC News, Adjunct A/Prof, University of Notre Dame

2:00pm - 3:00pm

Educational session: 'Ochres, paint history and national symbols' with Gurrawin

3:00pm - 4:00pm

Keynote

Delivering value, improving outcomes in a post-COVID world

Dr Sally Lewis, National Clinical Lead, Value-Based and Prudent Healthcare NHS Wales / Honorary Professor, Swansea School of Medicine

Dr Lewis will look at the many ways in which we can increase value across healthcare systems through approaches to improving outcomes that really matter to patients, and how we can apply value-based principles to a local context. She will explore how data can support value-based decision-making, focusing on technology requirements and the use of patient-reported outcomes. Finally she will take a look at funding considerations and possible approaches to using finance to address unmet need as well as incentivising excellence.

Introduced by Dr Zoe Wainer, Medical Director and Head of Public Health, Bupa Australia and New Zealand

4:00pm

Concurrent sessions

4:00pm - 5:00pm

Clinical engagement in activity based funding

Make it count campaign: Optimisation of allied health non-admitted activity collection
Kristy Perkins

Gaining and retaining clinical engagement with activity based funding - Ballarat Health Services model through clinical documentation improvement
Debra Pearce and Joanna Forteath

Impact of COVID-19 on healthcare delivery

Changes in NordDRG system to assure accurate grouping and funding of COVID-19 cases
Dr Kristiina Kahur

10 – 15 min live Q&A

Coding and documentation

Development of an effective alternative to chart based coding audits during the COVID-19 pandemic in Ireland
Jacqui Curley

Clinical documentation improvement - more accurate coding through good documentation
Kylie Holcombe

Development update for the Twelfth Edition of ICD-10-AM/ACHI/ACS
Anne Elsworthy

Effective CDI programs – going beyond the traditional: a real case study with major results
Glenn Krauss

10 – 15 min live Q&A

Pricing and funding

Pricing mental health care using the Australian Mental Health Care Classification Version 1.0
Julia Conway

National efficient cost – fixed and variable model for block funding small rural hospitals
Amanda Lieu

Safety and quality

Incorporating risk into a price signal for avoidable hospital readmissions
Dr Samuel Webster

Hospital-acquired complications: time series review and ongoing safety and quality improvement
Suraj Rasakulasingam and Amanda Walker

10 – 15 min live Q&A

Friday 6 May 2022

11:00am - 12:00pm

Plenary

Impact of COVID-19 on healthcare delivery in Australia

The impact of COVID-19 on Australia's healthcare delivery and in some areas how it has acted as a catalyst for fast-tracking telehealth services and future innovative models of care.

  • Matt Page, Principal Project Officer, Clinical Excellence Queensland
  • Dr Emily Kirkpatrick, Deputy Chief Public Health Officer, SA Health
  • Dr Lucas de Toca, Assistant Secretary, (Cwlth) Australian Department of Health, COVID-19 Primary Care Response Team
Introduced by Julia Hume, Executive Director, Data Analytics, Independent Hospital Pricing Authority

12:00pm - 1:00pm

Networking session

1:00pm - 1:45pm

Plenary

Indigenous health and the interplay between the primary healthcare sector and public hospitals

Selwyn Button, Registrar, Office of Indigenous Corporations

Introduced by Jane Hall, Member, Independent Hospital Pricing Authority

1:45pm - 2:00pm

Short in-session break

2:00pm - 3:00pm

Keynote

International clinical perspective on new value-based funding models

Dr Tobias Wirén, Business Area Manager, Orthopaedic Surgeon, Capio Orthopedics, Sweden

How do clinical leaders translate the ambition of new reimbursement systems into value-adding activities among colleagues? The bundled payment model for hip and knee arthroplasties in Stockholm, Sweden has since the introduction in 2009 taken the orthopedic surgeons on a challenging but successful road to happier patients, better quality, improved accessibility and reduced cost. Dr Wirén, Orthopedic Surgeon and Business Area Manager of Capio Orthopedics will take us through the mistakes, the obstacles, and the rewards of a system where specialisation drives quality and quality drives productivity.

Introduced by Glenn Appleyard, Member, Independent Hospital Pricing Authority

3:00pm - 4:00pm

Panel session

Healthcare delivery and funding: Strategic view from Australia's health leaders

This panel is designed to present perspectives from state and territory health department leaders on the challenges and opportunities that exist in the light of the Addendum to the National Health Reform Agreement 2020–25 to improve the value of activity based funding.

Facilitated by Sophie Scott, National Medical Reporter, ABC News, Adjunct A/Prof, University of Notre Dame

4:00pm - 4:15pm

Conference close and awards

James Downie, Chief Executive Officer, Independent Hospital Pricing Authority

Two awards will be presented, including the Best Paper and Best Presentation.

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