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SUS-PbR for 2009

SUS-PbR for 2009/10. Trevor DohertySUS PbR LeadNHS Connecting for Health and The Information Centre for Health and Social Caretrevor.doherty@nhs.net. Policy Background Summary. Move to HRG4Retain HRG3.2 for A

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SUS-PbR for 2009

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    1. SUS-PbR for 2009/10

    2. SUS-PbR for 2009/10 Trevor Doherty SUS PbR Lead NHS Connecting for Health and The Information Centre for Health and Social Care trevor.doherty@nhs.net

    3. Policy Background Summary Move to HRG4 Retain HRG3.2 for A&E (SUS will dual group to HRG4 as well) Planned Same Day Tariff Short Stay Elective Tariff New Market Forces Factors Change of Market Forces Factor payment to commissioner Non Mandatory Tariff Child is now under 19 years old Standard Repository

    4. Whats new in SUS-PbR for 2009/10?

    5. Changes under the hood

    6. SUS has to handle 8M CDS episodes a day a Daily PDS Update a Daily CAB Update RTT Pathways to construct daily CAB Pathways to construct daily weekly RTT aggregations to construct support for Business Objects for RTT, CAB, PDS

    7. Transition, time periods

    8. Some pricing factors in PbR

    9. Three key components of pricing process

    10. Pricing

    11. Putting it all together

    14. Functionality built but not in use for 2009/10

    15. SUS-PbR for 2009/10 Now covers all of national PbR using definitive spelling, HRG4 grouping and pricing Has built-in financial integrity checks Provides fast and flexible reports/extracts via on line request Delivers monthly reports at reconciliation and post-reconciliation points

    16. Further Information on SUS-PbR: Static version of these slides here: http://www.connectingforhealth.nhs.uk/systemsandservices/sus/reference/nobuilds.pdf Lots more useful info here, too (dated 1 April 2009) : http://www.connectingforhealth.nhs.uk/systemsandservices/sus/whatsnew/reference/index_html#pbr Also on the DH site the PbR policy background: http://www.dh.gov.uk/en/Managingyourorganisation/Financeandplanning/NHSFinancialReforms/index.htm More background http://www.connectingforhealth.nhs.uk/systemsandservices/sus/ http://www.ic.nhs.uk/services/the-secondary-uses-service-sus SUS PbR e-learning here: http://nww.connectingforhealth.nhs.uk/implementation/ProgArea/SUS%20TBT/?searchterm=sus http://nww.connectingforhealth.nhs.uk/etd-nasp-learning-material/spine-applications/secondary-uses-services/susr51/index.htm

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