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Policy and Issues

Prostheses Resources

The following resources are provided to assist hospitals with the changes under the new prostheses arrangements as of 14 March 2006...

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Acute Care Certificate

The Australian Government Department of Health and Ageing is no longer producing the '3B Certificate'. The APHA posts a revised certificate here as a resource for hospitals.

  • Acute Care Certificate (16.6 kb PDF)

    The Acute Care Certificate for the use of private hospitals for long-term patients...

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Second Tier Application Guide

Details information on applying for Second Tier Default Benefits.

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Casemix

This section on Casemix contains forms for private hospitals reporting their Hospital Casemix Protocol and Private Hospital Data Bureau information.

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Code Of Conduct

'The Voulntary Code of Conduct for Hospital Purchaser Provider Agreement Negotiations between Private Hospitals and Private Health Insurers' is designed to encourage best practice in contracting and is principally concerned with the negotiation process.

  • Code of Conduct - List of Signatories (156 kb DOC)

    The attached document lists those organisations who are signatories to the Code of Conduct...

  • The Code Of Conduct (106 kb DOC)

    The Voluntary Code of Conduct for Hospital Purchaser Provider Agreement Negotiations between Private Hospitals and Private Health Insurers...

  • APHA's Guide To The Code of Conduct (109.5 kb DOC)

    APHA's comprehensive guide to The Voluntary Code of Conduct for Hospital Purchaser Provider Agreement Negotiations between Private Hospitals and Private Health Insurers...

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Privacy

In response to the extension of the Privacy Act 1988 to the private health care sector from 21 December 2001, APHA commissioned the Private Hospitals Association of Queensland (PHAQ) to develop a comprehensive privacy toolkit for private hospitals.

  • Privacy Kit for Private Hospitals (external link)

    A link to the comprehensive privacy kit for private hospitals at the PHAQ website. Included are sample forms and real-life FAQs...

  • The Privacy Kit for Private Sector Mental Health Service Providers (611.8 kb PDF)

    The Privacy Kit for Private Sector Mental Health Service Providers has been developed by the Mental Health Privacy Coalition, comprising the Australian Private Hospitals Association, the Australian Medical Association, the Royal Australian and New Zealand College of Psychiatrists and the Mental Health Council of Australia. It was released on 6 April 2004.

    The Privacy Kit has been developed in consultation with, and is supported by, the Federal Privacy Commissioner, who has written a Preface to the Kit. APHA has been represented on the Mental Health Privacy Coalition by APHA Vice-President Christine Gee and Paul Mackey, APHA's Director, Policy and Research.

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Professional Indemnity

The professional indemnity insurance crisis, even more severe than that of medical indemnity, poses a threat to the viability of private hospitals and various high-end services they provide.

The following documents are of great concern to private hospitals and their ability to enter in contracting arrangements with private health insurers.

  • New Medical Indemnity Insurance Framework (608.4 kb PDF)

    On 23 October 2002, the Prime Minister released the Government's package of measures to address rising medical indemnity insurance premiums...

  • Benchmarking Study of Liability Insurance (259.3 kb PDF)

    Trowbridge Deloitte Consulting undertook independent benchmarking research investigating the professional indemnity insurance crisis that has engulfed private hospitals. The findings were released in September 2002.

    This analysis was jointly commissioned by the APHA, Catholic Health Australia and Mayne Health...

  • APHA's Tort Reform Submission (74.1 kb PDF)

    APHA's submission to the Review of the Law of Negligence (the IPP Review)in August 2002...

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Research

The following research was commissioned by the APHA to examine key issues affecting Australian health care.

  • Should Exclusionary Products Be Excluded? (500.7 kb PDF)

    In September 2005, the APHA released Access Economics' research paper looking at the rise of exclusionary health insurance products - that is, policies that DON NOT cover patients for certain treatment and procedures. This practice can leave patients dangerously exposed and the APHA argues such policies should be banned...

  • Private Hospitals Capital Expenditure (117.6 kb PDF)

    In August 2005, the APHA released Access Economics' research on the dramatic fall, and future sector intentions, regarding capital investment by private hospitals. The report paints a bleak picture of future investment given private health insurance company refusals to pass on successive premium increases...

  • Enshrining Portability of Private Health Insurance (1.3 Mb PDF)

    In June 2005, Access Economics released this report - commissioned by the APHA, on the erosion of portability of private health insurance for consumers and made recommendations for enshrining the rights of consumers...

  • Education & Training of Health & Medical Professionals in Private Hospitals & Day Surgeries (978.2 kb PDF)

    In March 2005, the APHA released the Allen Consulting Group's research paper examining the extent to which private hospitals provide for the training of tomorrow's health workforce. The research found a staggering $36 million a year investment in the training of doctors, nurses and allied health professionals by private hospitals. The major impediment to private hospitals doing more is funding. It's time to reassess how Australia funds training of the medical workforce...

  • Striking A Balance: Choice, Access and Affordability in Australian Health Care (253.5 kb DOC)

    In mid-2002, the APHA commissioned the nation's leading independent economic researchers, Access Economics, to conduct a series of reports into Australia's balanced public/private health care system.

    The first in this series, released in October 2002, is a comprehensive analysis of the Federal Government's 30% private health insurance rebate...

  • Benchmarking Study of Liability Insurance (259.3 kb PDF)

    Trowbridge Deloitte Consulting undertook independent benchmarking research investigating the professional indemnity insurance crisis that has engulfed private hospitals. The findings were released in September 2002.

    This analysis was jointly commissioned by the APHA, Catholic Health Australia and Mayne Health...

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Submissions To Government

The following are selected submissions the APHA has made on various subjects to Federal and State Governments.

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