Q3a Finance staff? [insert number of days] Q3b Information staff? [insert number of days] Q3c Senior managers? [insert number of days] Is your team responsible for returning any Q4 other cost collections for your organisation? Q4a Education and Training reference costs Yes/No Q4b Service Line Reporting Yes/No/n/a Q4c PLICS (locally used) Yes/No/n/a Q4d PLICS (national non-mandatory collection) Yes/No/n/a Q4e Other Please specify in Q25 Level 1 What is the of clinical and financial Level 2 Q5 engagement in your organisation? 3 Level 4 Allocate Ardentia Belvan Bellis-Jones Hill / Prodacapo CACI/BPlan Civica Costflex Q6 Who is the supplier of your PLICS? Healthcost Internally provided Powerhealth Other supplier - please specify in Q25 Not yet chosen N/A not planning to implement – PLICS Have you used the materiality and quality Q7 score (MAQS) as detailed in the HFMA Yes/No clinical costing standards? If you answered yes to Q7, what is your Q8 [0-100%] current MAQS? (Voluntary) Implemented: trusts have implemented PLICS only Every two weeks Every month Every quarter How often are you producing and reporting Q9 Twice a year patient level cost information? Annually Not reporting Other please specify in Q25 – Did you use PLICS to support your Q10 Yes/No reference costs return? If you answered yes to Q10, which service areas in your reference costs return were Q11 supported by PLICS? (answer n/a if you don’t provide the service) Q11a Admitted patient care Yes/No/n/a
Q3a Finance staff? [insert number of days] Q3b Information staff? [insert number of days] Q3c Senior managers? [insert number of days] Q4 Is your team responsible for returning any other cost collections for your organisation? Q4a Education and Training reference costs Yes/No Q4b Service Line Reporting Yes/No/n/a Q4c PLICS (locally used) Yes/No/n/a Q4d PLICS (national non-mandatory collection) Yes/No/n/a Q4e Other Please specify in Q25 Q5 What is the of clinical and financial engagement in your organisation? Level 1 Level 2 3 Level 4 Q6 Who is the supplier of your PLICS? Allocate Ardentia Belvan Bellis-Jones Hill / Prodacapo CACI/BPlan Civica Costflex Healthcost Internally provided Powerhealth Other supplier - please specify in Q25 Not yet chosen N/A – not planning to implement PLICS Q7 Have you used the materiality and quality score (MAQS) as detailed in the HFMA clinical costing standards? Yes/No Q8 If you answered yes to Q7, what is your current MAQS? (Voluntary) [0-100%] Implemented: trusts have implemented PLICS only Q9 How often are you producing and reporting patient level cost information? Every two weeks Every month Every quarter Twice a year Annually Not reporting Other – please specify in Q25 Q10 Did you use PLICS to support your reference costs return? Yes/No Q11 If you answered yes to Q10, which service areas in your reference costs return were supported by PLICS? (answer n/a if you don’t provide the service) Q11a Admitted patient care Yes/No/n/a
R00289%20Reference%20Cost%20Guidance%20for%20201415%20v5.docx