WHAT’S NEW
HCP Reporting New Version - From July 2008 
Claim Form for Hospital Substitute Treatment
Accredited Podiatric Surgeons 
Second Tier  Approved Hospitals
SPGPPS Psych Outcomes Data Collection Participating Hospitals
National Procedure Banding Committee and Prostheses Appendix C
ACHS / Health Fund Working Group

 The implementation of the National Model will proceed in two phases over a period of three years beginning in June 2001. The schedule for the implementation was described in detail on the 7^th Issue of the SPGPP’S News  (May 2001).

 As at September 2001, thirty-seven private hospitals with psychiatric beds (Hospitals) had contributed to funds to enable themselves to participate in the SPGPP’S National Model.

SPGPPS Participating Hospitals

State	Hospital
ACT	Calvary private Hospital ACT
NSW	Evesham Clinic Lingard Private Hospital The Northside Clinic South Pacific Private Hospital St Edmund’s Private Hospital St John Of God Hospital Burwood St John of God Richmond The Sydney Clinic Wandec Private Hospital Wesley Private Hospital
QLD	Belmont Private Hospital New Farm Clinic Palm Beach – Currumbin Private Pioneer Valley Hospital St Andrew’s Private Hospital Ipswich St Andrew’s Private Hospital Toowoomba St Vincent’s Hospital Robina Toowong Private Hospital The Wesley Hospital
SA	The Adelaide Clinic Fullarton Private Hospital Kahlyn Private
TAS	The Hobart Clinic St Helen’s Private Hospital
VIC	The Albert Road Clinic Beleura Private Hospital Dandenong Private Hospital Delmont Private Hospital The Geelong Clinic The Melbourne Clinic Northpark Private Hospital Vaucluse Hospital
WA	Hollywood Private Hospital Joondalup Private Hospital Niola Private Hospital Perth Clinic

Several iterations of the data have now been released and AHSA has met with Alan Morris Yates to discuss proposed improvements in the provision of CDMS outcomes reports to health funds. Alan has agreed in principle but must take the suggestions to the next SPGPPS meeting for endorsement.

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National Procedure Banding Committee and Prostheses Appendix C
The National Procedure Banding Committee are proposing to review the current banding process to facilitate incorporating Prosthesis Schedule 5 Appendix C items into the national theatre bands. AHIA is currently considering this proposal. There are numerous difficulties with current bands due to the fact that the cost relativity between bands is not known. In addition, the Commonwealth are allocating one MBS item number incorporating several methods of performing a procedure which vary in cost, making it very difficult to allocate an appropriate theatre band.

The NPC has now decided that due to lack of commitment from all major funds it will not proceed with the proposed reforms. The Committee does not want to lose all the good work done by the PBC sub-committee and may use the collected costing information in the future. Consideration will still have to be given by Fund vendors as to the possibility of introducing a range of suffixes against particular MBS items to ensure they are correctly banded according to resource intensity. This will also assist in the management of non prostheses medical Devices that are being considered in the latest prostheses reforms.

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ACHS / Health Fund Working Group
Meetings are chaired by the ACHS and attended by ACHS board members (some from Public Sector) and health fund representatives from MBP, RHG HCF AHIA, AHSA. The major objective of the group is facilitate better communication between ACHS and health funds on hospital quality activities. ACHS are also wanting to determine what quality information insurers require from them as their relationship is with the hospital and as such they cannot release the confidential information.

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