A full implementation plan should be developed, but the Sub-Committee envisions that an indicative plan might include phases and key activities as illustrated in Figure 3. Figure 3. Indicative phasing of a best-practice pricing approach to hip fracture care Key Phasing of key activities responsibilities Timeframe 2014-15 2015-16 2016-17 2017-18 2018-19 Key communication Hip Fracture CCS Best-practice pricing approach Implementation messages Key Pricing Pricing Authority Pricing Authority communication Authority IHPA Committees IHPA Committees targets Jurisdictions AHMAC The Administrator Clinicians JWP Jurisdictions AHMAC Clinicians Other Jurisdictions Consumers stakeholders Other stakeholders Colleges Commission Supports work Incorporate Supports work Continue work that ensures activities into to enhance the to enhance the Finalise baseline the provision of provision of CCS comparable Commission’s comparable comparable information is Work Plan information information provided locally IHPA BPP signalled in BPP development Three Year Data Create dataset Plan, including NEP Implementation specifications for preferred new data item(s). determination initial model indicators development. Enhance data Data extracts support work to Enhance nation-wide infrastructure enhance the provision of comparable participation in the information and, potentially, the next ANZHFR NEP determination Establish agreements around access, use and disclosure of data to support best-practice pricing Recommendation 9: A phased approach to implementation of a national hip fracture bestpractice price and provision of clinical quality information should be taken. This should be based around the timing of the development and implementation of the Hip Fracture CCS indicators, and in recognition of IHPA and the Commission’s Data Plans and Work Plans. It should also recognise the work and time required to establish processes to support the routine collection and provision of timely, hospital-level comparable information on hip fracture care. 7.4 Evaluation An evaluation process must be considered a key part of implementation of a best-practice pricing approach in Australia. Lessons learned from the NHS recommended building an evaluation process into the approach from the beginning of development.
A full implementation plan should be developed, but the Sub-Committee envisions that an indicative plan might include phases and key activities as illustrated in Figure 3. Figure 3. Indicative phasing of a best-practice pricing approach to hip fracture care Key responsibilities Phasing of key activities Timeframe 2014-15 2015-16 2016-17 2017-18 2018-19 Key communication messages Hip Fracture CCS Best-practice pricing approach Implementation Key communication targets JWP Clinicians Pricing Authority Jurisdictions Clinicians AHMAC Consumers Colleges Pricing Authority IHPA Committees AHMAC Jurisdictions Other stakeholders Pricing Authority IHPA Committees The Administrator Jurisdictions Other stakeholders Commission Finalise CCS Incorporate activities into the Commission’s Work Plan Supports work that ensures baseline comparable information is provided locally Supports work to enhance the provision of comparable information Continue work to enhance the provision of comparable information IHPA BPP development Create dataset specifications for preferred initial model indicators BPP signalled in Three Year Data Plan, including new data item(s). development. NEP determination Implementation Enhance data infrastructure Enhance nation-wide participation in the ANZHFR Data extracts support work to enhance the provision of comparable information and, potentially, the next NEP determination Establish agreements around access, use and disclosure of data to support best-practice pricing Recommendation 9: A phased approach to implementation of a national hip fracture bestpractice price and provision of clinical quality information should be taken. This should be based around the timing of the development and implementation of the Hip Fracture CCS indicators, and in recognition of IHPA and the Commission’s Data Plans and Work Plans. It should also recognise the work and time required to establish processes to support the routine collection and provision of timely, hospital-level comparable information on hip fracture care. 7.4 Evaluation An evaluation process must be considered a key part of implementation of a best-practice pricing approach in Australia. Lessons learned from the NHS recommended building an evaluation process into the approach from the beginning of development.
Best-practice-pricing-and-clinical-quality-information-on-hip-fracture-care-report_April-2016.docx