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Status of costing hospital nursing work within Australian casemix activity‐based funding policy
Author(s) -
Heslop Liza
Publication year - 2012
Publication title -
international journal of nursing practice
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.62
H-Index - 55
eISSN - 1440-172X
pISSN - 1322-7114
DOI - 10.1111/j.1440-172x.2011.01992.x
Subject(s) - activity based costing , nursing , payment by results , medicine , context (archaeology) , nursing research , health economics , health care , commonwealth , work (physics) , business , public health , economic growth , accounting , political science , public administration , geography , economics , mechanical engineering , archaeology , engineering , law
Heslop L. International Journal of Nursing Practice 2012; 18 : 2–6 Status of costing hospital nursing work within Australian casemix activity‐based funding policy Australia has a long history of patient level costing initiated when casemix funding was implemented in several states in the early 1990s. Australia includes, to some extent, hospital payment based on nursing intensity adopted within casemix funding policy and the Diagnostic Related Group system. Costing of hospital nursing services in Australia has not changed significantly in the last few decades despite widespread introduction of casemix funding policy at the state level. Recent Commonwealth of Australia National Health Reform presents change to the management of the delivery of health care including health‐care costing. There is agreement for all Australian jurisdictions to progress to casemix‐based activity funding. Within this context, nurse costing infrastructure presents contemporary issues and challenges. An assessment is made of the progress of costing nursing services within casemix funding models in Australian hospitals. Valid and reliable Australian‐refined nursing service weights might overcome present cost deficiencies and limitations.