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Health Roundtable Activity Based Funding, Clinical Costing and Casemix Review Group

ABF at Townsville Hospital. Health Roundtable Activity Based Funding, Clinical Costing and Casemix Review Group. Liz Lea Manager Funding Analysis and Clinical Costing Townsville Health Service District. Qld ABF Developments.

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Health Roundtable Activity Based Funding, Clinical Costing and Casemix Review Group

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  1. ABF at Townsville Hospital Health RoundtableActivity Based Funding, Clinical Costing and Casemix Review Group Liz Lea Manager Funding Analysis and Clinical Costing Townsville Health Service District

  2. Qld ABF Developments Quality Health Care Activity Cost

  3. Actions Taken Since July 2011 • 2011/12 District ABF Plan created • Developing strategies for HCP initiatives • Funding Better Care Governance Committee • ABF (Casemix) Management Group • Data Integrity and Improvement Group • Healthcare Purchasing Framework reports • HRT Qld Chapter • Extensive education campaign underway • TSV-Funding-Better-Care@health.qld.gov.au • Transition II activity based budgets

  4. Outcomes So Far Predicted 2011-12 WAU: Worst case – 118,395 (+.25%) Last 2 years – 118,605 (+.43%) Average – 120,195 (+1.8%) Median – 120,729 (+2.2%)

  5. Outcomes So Far

  6. Outcomes So Far

  7. Outcomes So Far

  8. Actions Taken Towards 2012/13 • District feedback 2012/13 HCP Framework • Round 1 Contract Negotiations • 2012/13 Contract Negotiations Action Plan • Redesign of FBCG committee agenda • Redesign of Data Integrity and Improvement Group TOR • LHHN implementation preparation • Round 2 Contract Negotiations

  9. Actions Taken Towards 2012/13

  10. Next Steps • Finalise 2012/13 Contract negotiations • Finalise 2012/13 District Contract Negotiations plan • Understand / prepare for 2012/13 changes • Develop 2012/13 District / Institute ABF Plans • Develop new Healthcare Purchasing reports • Continue to prepare LHHN requirements • Develop focus groups to examine specific ABF / HCP elements, ie pressure ulcers • Implement further Healthcare Purchasing strategies • Expand use of “Cost per WAU” indicators 10

  11. Next Steps Overall projected impact: -$1.97M Outpatient R/N Ratios Potential Impact – Top 15 Clinic Types Public face to face using L3 2010/11 benchmark

  12. Next Steps Overall projected impact: -$1.97M Outpatient R/N Ratios Potential Impact – Bottom 15 Clinic Types Public face to face using L3 2010/11 benchmark

  13. Challenges • “We’ve heard it all before…..” • Clinical engagement • Measuring some Healthcare Purchasing initiatives (ie. in 2011/12 cellulitis outside hospital) • Data collection practices • Limited resources – District and Corporate • Recruitment and retention of skilled staff

  14. Evaluation • Plan, prepare and prioritise strategies • Be informed; develop reports to monitor • Disseminate information widely and regularly • Examine data received and check it’s correct • Understand service delivery and through-put • Gather evidence – quantitative and qualitative • Engage Corporate – raise queries / concerns • Engage Peers – share information / learnings 14

  15. Thank you!

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