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SUS-PbR for 2009/10. Trevor DohertySUS PbR LeadNHS Connecting for Health and The Information Centre for Health and Social Caretrevor.doherty@nhs.net. Policy Background Summary. Move to HRG4Retain HRG3.2 for A
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1. SUS-PbR for 2009/10
2. SUS-PbR for 2009/10 Trevor Doherty
SUS PbR Lead
NHS Connecting for Health and The Information Centre for Health and Social Care
trevor.doherty@nhs.net
3. Policy Background Summary Move to HRG4
Retain HRG3.2 for A&E(SUS will dual group to HRG4 as well)
Planned Same Day Tariff
Short Stay Elective Tariff
New Market Forces Factors
Change of Market Forces Factor payment to commissioner
Non Mandatory Tariff
Child is now under 19 years old
“Standard Repository”
4. What’s new in SUS-PbR for 2009/10?
5. Changes ‘under the hood’
6. SUS has to handle 8M CDS episodes a day… a Daily PDS Update… a Daily CAB Update… RTT Pathways to construct daily… CAB Pathways to construct daily… weekly RTT aggregations to construct… support for Business Objects for RTT, CAB, PDS
7. Transition, time periods…
8. Some pricing factors in PbR…
9. Three key components of pricing process…
10. Pricing…
11. Putting it all together…
14. Functionality built but not in use for 2009/10…
15. SUS-PbR for 2009/10 Now covers all of national PbRusing definitive spelling, HRG4 grouping and pricing
Has built-in financial integrity checks
Provides fast and flexible reports/extracts via on line request
Delivers monthly reports at reconciliation and post-reconciliation points
16. Further Information on SUS-PbR: Static version of these slides here:http://www.connectingforhealth.nhs.uk/systemsandservices/sus/reference/nobuilds.pdf
Lots more useful info here, too (dated 1 April 2009) :
http://www.connectingforhealth.nhs.uk/systemsandservices/sus/whatsnew/reference/index_html#pbr
Also on the DH site the PbR policy background:
http://www.dh.gov.uk/en/Managingyourorganisation/Financeandplanning/NHSFinancialReforms/index.htm
More background
http://www.connectingforhealth.nhs.uk/systemsandservices/sus/
http://www.ic.nhs.uk/services/the-secondary-uses-service-sus
SUS PbR e-learning here:
http://nww.connectingforhealth.nhs.uk/implementation/ProgArea/SUS%20TBT/?searchterm=sus
http://nww.connectingforhealth.nhs.uk/etd-nasp-learning-material/spine-applications/secondary-uses-services/susr51/index.htm