TPN performed by the patient in their home without a health care provider present Exclusions: Enteral nutrition performed by the patient in their home without a health care provider present (10.18) Consultation or TPN education with a gastroenterologist where no TPN is undertaken (20.25) Consultation or TPN education with a dietitian where no TPN is performed (40.23) Conditions Inclusions: Intestinal failure Constraints Based on the definition provided by IHPA, the unit of count is the number of continuous days the patient is in receipt of home total parenteral nutrition. The strict application of the definition and associated inclusion and exclusion criteria results in the following being in-scope for the costing study for this service: Cost of total parenteral feeds Cost of consumables associated with parenteral feeding. B.3 Home Ventilation Services The definition for home ventilation was developed the home feeding definitions and is more developed. The definition an unit of count is outlined in Table B.5. It is based on the definitions contained in the Tier 2 non-admitted definitions manual and the exemplar provided by IHPA in the Tier 2 Non-admitted services compendium 2014-15. Table B.5: Definition and unit of count for Ventilation Home Delivered – Tier 2 Definition Resultant Unit of Cost Coverage Category Count Home ventilation* performed 10.19 Number of consecutive Cost of supplies by the patient in their own days a patient is in home without the presence of a receipt of invasive or healthcare provider may be non-invasive counted as a non-admitted ventilation in their own patient service event, provided home there is documentation of the procedures in the patient’s
TPN performed by the patient in their home without a health care provider present Exclusions: Enteral nutrition performed by the patient in their home without a health care provider present (10.18) Consultation or TPN education with a gastroenterologist where no TPN is undertaken (20.25) Consultation or TPN education with a dietitian where no TPN is performed (40.23) Conditions Inclusions: Intestinal failure Constraints Based on the definition provided by IHPA, the unit of count is the number of continuous days the patient is in receipt of home total parenteral nutrition. The strict application of the definition and associated inclusion and exclusion criteria results in the following being in-scope for the costing study for this service: Cost of total parenteral feeds Cost of consumables associated with parenteral feeding. B.3 Home Ventilation Services The definition for home ventilation was developed the home feeding definitions and is more developed. The definition an unit of count is outlined in Table B.5. It is based on the definitions contained in the Tier 2 non-admitted definitions manual and the exemplar provided by IHPA in the Tier 2 Non-admitted services compendium 2014-15. Table B.5: Definition and unit of count for Ventilation – Home Delivered Tier 2 Category Definition Resultant Unit of Count Cost Coverage 10.19 Home ventilation* performed by the patient in their own home without the presence of a healthcare provider may be counted as a non-admitted patient service event, provided there is documentation of the procedures in the patient’s Number of consecutive days a patient is in receipt of invasive or non-invasive ventilation in their own home Cost of supplies
tpn_then_hv_report_costing_study_report_0.docx