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NSW ABF Overview

NSW ABF Overview

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NSW ABF Overview

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  1. NSW ABF Overview St Vincent’s Health Network Perspective Naomi Beveridge – Manager – Finance & Performance SVHN

  2. NSW - Education • NSW ABF bulletin monthly (Nov 2011) • KPMG ABF readiness survey (Feb/March 2012) • Health/ABF symposium (May 2012) – focus Board level • Costing and ABF budget setting workshop (June 2012)

  3. NSW - Funding • Budget 2012/13 based on NSW cost weights–with promise of historical data in NWAUs • Shadow funding framework – SNAP, OPs and MH • Draft SLAs with activity still to be released to LHD/SHN • Funding guidelines released draft without detail • NSW price $4,471

  4. NSW - Costing • Costing – implementing PPM2 state initiative • Costing – Cost Accounting Standards being re-written to incorporate the National Patient Costing Standards • CSUG – establish procedures = standards are consistently applied across NSW • Increased focus on reconciliation of GL to costing systems

  5. NSW - Work streams • Non-admitted data - focused on improve quality & quantity of patient level • ED systems not consistent • AN-SNAP - Synaptix further WIP • SNAP – incentives for classifying SNAP patients • MH WIP

  6. Risks • Workforce impact - key to ABF success • LND/SHN frustrated with lack of investment of feeder systems at state-wide level • Engagement with clinicians - local and state level • National Health Performance Authority impact • Shift in business – focus on linking all revenues to patient level

  7. Risks • Stable environment • Safe environment • Private patients discounting between 4-60%+ historically 9% flat rate • Purchasing framework impact • Cultural change

  8. Thank you