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The Independent Hospital Pricing Authority and mental health services: it is not a case of “one size fits all”

Alan Rosen, Patrick D McGorry, Hamish R M Hill and Sebastian P Rosenberg
Med J Aust 2012; 196 (11): 675-677.
doi:
10.5694/mja12.10564

Applying a generic form of activity-based funding to mental health risks perpetuating an inappropriate hospital-centric model of psychiatric care

Alan Rosen, FRANZCP, MRCPsych, DPM, Professorial Fellow,1 and Clinical Associate Professor2
Patrick D McGorry, AO, MD, PhD, FRANZCP, Professor of Youth Mental Health and Executive Director3
Hamish R M Hill, BA(Psych)Hons, GradDipCouns, AssocMAPS, Provisional Psychologist4
Sebastian P Rosenberg, BA, MPA, Senior Lecturer2
1 School of Public Health, University of Wollongong, Wollongong, NSW.
2 Brain and Mind Research Institute, University of Sydney, Sydney, NSW.
3 ORYGEN Research Centre, University of Melbourne, Melbourne, VIC.
4 University of Wollongong, Wollongong, NSW.
Article References: 
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National Health and Hospitals Reform Commission. A healthier future for all Australians. Final report June 2009. Canberra: Australian Government Department of Health and Ageing, 2009. http://www.yourhealth.gov.au/internet/yourhealth/publishing.nsf/content/nhhrc-report-toc (accessed Mar 2010).
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Council of Australian Governments. National Health Reform Agreement. Canberra: Australian Government Department of Health and Ageing, 2011. http://www.coag.gov.au/docs/national_health_reform_agreement.pdf (accessed May 2012).
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Health Policy Solutions, Casemix Consulting, Aspex Consulting. Activity based funding for Australian public hospitals: towards a pricing framework. Canberra: Independent Hospital Pricing Authority, 2011. http://www.ihpa.gov.au/internet/ihpa/publishing.nsf/Content/draft-pricing-framework (accessed Mar 2012).
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Rosen A, Gurr R, McGorry P. One size does NOT fit all: IHPA draft pricing framework: dire implications for mental health services. Response from Combined National Mental Health Senior Professionals. Updated March 2012. http://tamhss.files.wordpress.com/2012/04/ihpa-pricing-framework-mh-response-2apr121.pdf (accessed Apr 2012).
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National Casemix and Classification Centre. Comments on the document “Activity based funding for Australian public hospitals: towards a pricing framework”. Feb 2012. http://www.ihpa.gov.au/internet/ihpa/publishing.nsf/Content/A00D02C7F1524ADECA2579AA007C28AF/$File/National%20Casemix%20&%20Classification%20 Centre.pdf (accessed Mar 2012).
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Senate Select Committee on Mental Health. A national approach to mental health — from crisis to community. Final report. Canberra: Commonwealth of Australia, 2006.
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Rosen A, Gurr R, Fanning P. The future of community-centred health services in Australia: lessons from the mental health sector. Aust Health Rev 2010; 34: 106-115.
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Buckingham B, Burgess P, Solomon S, et al. Developing a casemix classification for mental health services. Canberra: Commonwealth Department of Health and Family Services, 1998. http://www.health.gov.au/internet/main/publishing.nsf/content/mental-pubs-d-casemix (accessed May 2012).
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Gaines P, Bower A, Buckingham B, et al. New Zealand Mental Health Classification and Outcomes Study: final report. Auckland: Health Research Council of New Zealand, 2003. http://lattice.co.nz/documents/final-report-june03-CAOS.pdf (accessed May 2012).
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interRAI. interRAI MH — Mental Health. http://www.interrai.org/section/view/?fnode=21 (accessed May 2012).
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Department of Health (UK) Payment by Results Team. Payment by results guidance for 2011–12. Leeds: Department of Health, 2011. http://www.dh.gov.uk/prod_consum_dh/groups/dh_digitalassets/documents/digitalasset/dh_126157.pdf (accessed Mar 2012).
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Rosenberg S, Lazarevic L. Activity based funding and mental health — issues paper. Canberra: Mental Health Council of Australia, 2012. http://www.mhca.org.au/index.php/component/rsfiles/download?path=Publications/Activity%20Based%20Funding%20issues%20paper.pdf (accessed Apr 2012).
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Rosenberg S, Rosen A, It’s raining mental heath commissions — prospects and pitfalls in driving mental health reform. Australas Psychiatry 2012; 20: 85-90.
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Sweet M, Rosen A. Mental health reform roadmap needs work. Croakey 19 Jan 2012. http://blogs.crikey.com.au/croakey/2012/01/19/mental-health-reform-roadmap-needs-work/ (accessed Apr 2012).
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Rosen A, Goldbloom D, McGeorge P. Mental health commissions: making the critical difference to the development and reform of mental health services. Curr Opin Psychiatry 2010; 23: 593-603.
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