Day 1

Day 2

Marc Voyvodich — Chairman, Stroudwater Associates, USA

Marc Voyvodich, Stroudwater Associates Marc Voyvodich is an expert in the healthcare industry. Over the last three decades, he has worked with doctors, hospitals, health insurance companies, and universities to improve the quality of care they have been providing as well as enhancing their efficiency and productivity.

Marc is founder and Chair of the Board of Directors at Stroudwater Associates. His primary focus over the past 28 years has been assisting clients in performance improvement through clinical service and facility, strategic, and operational planning.

Preceding the creation of Stroudwater Associates, Marc was the first Executive Director of SYNERNE (a 20+ hospital alliance in northern New England) and Program Officer at the Robert Wood Johnson Foundation, where his responsibilities included managing national programs in emergency medicine, rural medical practice development, and new program development.

The Future Isn’t What It Used to Be

Marc will share his insights into the state of the healthcare industry in the US. His view is that we are at an inflection point that will move away from the historical trajectory of the past 50 years. Driving this change are demographics, macro-economic realities, a re-structuring of market forces, an expanding understanding of performance improvement strategies driven by big data, transformational changes in therapeutic capabilities, and consumerism.

Managing these forces will be more challenging than ever. Marc examines the factors involved in getting both public policy and the payment & delivery of health services right. However the effort will be well worth it to win the prize of significantly improved quality and value of healthcare services.

Brian Donovan — Head of Pricing, Health Service Executive, Ireland

Brian Donovan — Head of Pricing, Health Service Executive, Ireland Brian Donovan is Head of Pricing in the Healthcare Pricing Office within the Health Service Executive in Ireland where he has overall responsibility for the setting of DRG prices and other hospital products within the Irish Health System. He has over 18 years experience of working in the ABF/Casemix area in Ireland where hospitals have had their annual budgets adjusted based on their performance in Casemix. Brian was also a member of the Health Financing Group who prepared the policy paper on “Money Follows the Patient” which proposed the introduction of an Activity Based Funding model in Ireland. Previously he worked as a Professional Accountant in the Department of Health with responsibility for Financial Reporting as well as heading up the Costing Unit of the Casemix Programme. Brian is a Chartered Accountant by profession and prior to joining the Health Service worked in a number of senior financial positions in the Private Sector in Ireland.

Development of ABF in Ireland — Efficiency and Quality

As Brian has been heavily involved in the development of Activity Based Funding in Ireland, he will give us an overview of its operation and progress (eg IP/DC, OP, ED) and its effect on healthcare efficiency and quality. His presentation will also cover the funding of non-ABF activities such as teaching and research, block grants, paediatric loading), explore the relationship of ABF to UHI, and give us an updated on Irish developments such as the PLD portal, integration of specialty costing and PLC, national Irish patient level data collection and benchmarking.

Jane Wundersitz — Corporate Trainer, WunderTraining

Jane Wundersitz, WunderTraining Jane Wundersitz is the founder of WunderTraining, a company that offers fresh and innovative professional training workshops to improve workplace performance and enhance staff attitude and morale. As a proven business leader focused on creating cultures where individuals and teams thrive, Jane incorporates strategies and the science of Positive Psychology into her conference keynote speeches, workplace training and senior leadership roles.

Jane is an accredited Corporate Trainer and VIA Institute Master Trainer who is passionate about building a great company culture where individuals and teams thrive and she advocates leveraging strengths as the key to professional excellence and personal fulfilment. Jane's presentation style is highly engaging, driven by her contagious positive energy. Her background in visual arts gives her a creative edge to deliver the content in an original and memorable way. She has the life and work experience which brings an authentic reality to the content.

Positive Psychology at Work

Jane will be using positive psychology strategies and insights to help boost our performance both professionally and in our personal lives. The session will stimulate self reflection and a fresh mindset to result in increased efficiency and quality at work as well as at home. She will cover many topics including motivation, happiness, strengths, productivity and gratitude. This is a session that will be enjoyed by everyone.

Dr Chris Farmer — St Andrew's Hospital, Metrixcare

Chris Farmer — St Andrew's Hospital, Women's & Children's Health Network Chris Farmer is a recognised authority on patient safety and clinical data governance for improvement with international experience in teaching, presenting and the practical implementation of working solutions. Chris is currently the Medical Director at St Andrew's Private Hospital and Clinical Director at Metrixcare. Chris has been a key driver of information-driven collaborative approaches to improvement receiving various clinical excellence awards including the Baxter Healthcare Award and recently the ACHS Quality Improvement Award for healthcare measurement.

Squeezing Value from the Fruits of Healthcare Data

As healthcare change accelerates, it is becoming more imperative to unlock greater value from our existing costing and quality data. Chris will discuss the optimisation of cost and quality that is necessary to enable competition on outcomes and commissioning for value, and demonstrate the latest in visual thinking techniques for an innovative approach to healthcare management in these turbulent times.

Dr David Phillips — Clinical Costings Advisor, Cabrini Health, St Andrews Hospital

Oliver O'Connor — Head of Product Management, Datix, UK Dr David Phillips currently is employed by Cabrini Health as clinical costings advisor responsible for establishing and maintaining the current costings system as well as casemix reporting within the organisation. He is a member of the Business Intelligence Unit both at Cabrini as well as St Andrews Hospital in Adelaide.

He has been working in clinical costings and casemix across both public and private sectors since 1998. David has clinical experience in emergency and rural medicine. Current clinical work is based in rural New Zealand a short commute across the Tasman.

Sharon Kendall — Dir Business Performance & Development, St Andrew's Hospital

Sharon Kendall — Director Business Performance and Development, St Andrew's Hospital Sharon Kendall is currently Director Business Performance and Development at St Andrew's Hospital in Adelaide, a 209-bed not-for-profit hospital providing a broad range of acute medical and surgical services. Ms Kendall recently held the position of CEO of one of the Calvary Health Care Adelaide Hospitals. Sharon has over 20 years experience in the SA health care industry and has held a number of senior management positions in Nursing, Finance, Administration & Information systems. She has a diverse range of experience in both the public and private sectors and has undertaken a number of reviews in relation to service planning, design and sustainability.

She has been working in clinical costings and casemix across both public and private sectors since the late 1990’s and is passionate about quality and safety and how data can support the monitoring of performance and drive efficiency. She is a Surveyor with the Australian Council of Healthcare Standards with an interest in Governance, Strategic Planning, Consumer Engagement, Service Development and Redesign, Leadership Development, ICT, Funding Models and embedding quality improvement. Sharon is currently studying Law part time.

Using PPM CHADx to Identify Trends — A Beginning

The CHADx classification groups over 4,500 ICD-10-AM codes into a manageable hierarchy of 17 classes and 145 sub-classes to characterise hospital acquired complications. CHADx was developed as a tool for use within hospitals, allowing hospitals to monitor (assuming constant casemix) and reduce hospital-acquired illness and injury.

This presentation will explore some preliminary benchmarking results, linking costing data to CHADX and the implications for resource utilisation. Highlighting attention on patient outcomes combined with costing (financial) information we suggest will improve quality, reduce your CHADx percentage, reduce resource usage, reduce LOS and potentially allow for cost-utility evaluation of future interventions. As the saying goes we manage what we measure. Using PPM enables quicker access to CHADx as a contrast to waiting for external services providing the information allowing hospitals to identify any changes associated with local patient safety strategies in near “real time”. We are at the beginning … Where are you?

Alfa D'Amato — Deputy Director, ABF Taskforce, NSW Ministry of Health

Alfa D'Amato — Deputy Director, ABF Taskforce, NSW Ministry of Health Alfa D'Amato is the Deputy-Director of the Activity Based Funding Taskforce in the NSW Ministry of Health, Australia. Alfa leads the development and implementation of the NSW Health Funding model, and the teams responsible for costing, policy and clinical engagement. Alfa’s major achievements include the leadership of the redesign of the clinical costing process, the development of the first State Price for Activity Based Funding, and the education and roll out of Activity Based Funding across New South Wales.

Alfa was previously the Associate Director of Financial Operations at South Eastern Sydney and Illawarra Area Health Service, where he developed the Activity Based Funding model that was implemented across a number of hospitals. He has also worked as Manager of Shared Services and Senior Finance Business Partner of Funding Strategies. Alfa holds a Bachelor of Social Sciences and several post graduate qualifications including Master of Professional Accounting, Master of Health Services Management, and Master of Policy & Applied Social Research.

Clinical Costing and Data Quality Processes in NSW – Our Journey

NSW Health moved to a nationally consistent Activity Based Funding approach for funding Local Health Districts (LHDs) and Specialty Health Networks (SHNs) in 2012. As a result, a significant investment was made in preparing the system to the new funding environment which included a review of the clinical costing process and the establishment of the ABF Taskforce. The journey started with the upgrade to PPM, which represented a significant improvement to the costing processing. The introduction of a number of major changes in the work flow created the capacity for users and the ABF Taskforce to introduce a number of data quality processes, such as the Reasonableness and Quality application, which have had significant impact on the overall quality of the clinical costing results. This in turn created an opportunity for enshrining the work of the clinical costing officers within the LHDs/SHNs as well as the clinical costing data. Clinical costing data is now used to prepare a number of returns and more importantly to inform NSW’s ABF State Price and the transition grant calculation.

Despite what has been achieved so far, this is a journey and our main goal is to make use of this rich data source which is unique and has major opportunities for assisting not only administrators in managing the system but also clinicians with improving models of care and patient outcomes.

Ian Tebbutt — Data Scientist, Health Roundtable

Ian Tebbutt — Data Scientist, Health Roundtable Ian Tebbutt is a senior data analyst working with the Health Round Table, Australia’s premier health benchmarking organisation. He is currently leading the creation of CARE - Costing And Revenue Evaluation, a Qlikview based interactive data tool. Health is without doubt the most complex data environment bar none, so it is a challenge to work with that data and make it useful to hospitals. The existing HRT reports and data already address that challenge, and this new online interactive capability will build on that foundation. As a self-confessed data geek, Ian is in his element.

What are the costs of complications?

Do you know how much complications are costing your hospital? Health Roundtable is using CHADx (the Classification Of Hospital Acquired Diagnoses) to identify those episodes with complications. We can then quantify the cost of complications at the hospital, DRG and episode levels. When you know how much money is at stake the discussion on how to reduce complications becomes that much easier.

John Pilla — Director Health, Ageing and Human Services Practice, KPMG

John Pilla — Director Health, Ageing and Human Services Practice, KPMG John is a Director with the National Health and Human Services Practice and has worked in the health and human services industry for over 20 years. John’s experience ranges responsible for aspects of national health funding reform to being a senior executive in a state health authority responsible for operations management. John has been with KPMG for over 13 years during which time he has worked on a number of international assignments Canada, Germany, Singapore, New Zealand and Slovenia.

Clinical Documentation Paradox

The quality of clinical documentation underpins the quality of patient care. Clinicians rely on timely access to relevant patient information to make care provision decisions, and administrators require access to incidence monitoring and management information to comply with standards and to identify opportunities to improve clinical practice. Why then, do clinicians and administrators share an exasperation about clinical documentation quality issues? In the current state of digital technology expansion in hospitals for collecting clinical information, why is the quality of clinical documentation still considered to be an issue? How might the advancement of ABF help improve clinical documentation and the care quality? This presentation will provide insights into the underlying systemic issues, suggest potential strategies for improvements, and discuss how ABF may in part aid advancements in clinical documentation and quality of health care.