Aboriginal issues with activity based funding

NSW Ministry of Health, 2012

The NSW Ministry of Health (Centre for Aboriginal Health) commissioned Health Policy Analysis Pty Ltd to examine the implications of Activity Based Funding (ABF) for Aboriginal health. The contextual backdrop to the project is the National Health Reform Agreement (NHRA), which has a key objective to improve patient access to services and public hospital efficiency through the use of activity based funding (ABF) using a national efficient price.

The reviewed summarised the approaches of Australian jurisdictions (including NSW) to weighting for for Aboriginal and Torres Strait Islander patients within the ABF arrangements, reviewed Australian and International approaches to the maintenance of equity issues within an ABF policy/program context, assessed challenges, issues and opportunities for an ABF as it relates to Aboriginal or First Nations or equity issues and provided recommendations to assist the Centre for Aboriginal Health'in developing a position on ABF as it relates to Aboriginal health. In total 35 people across 15 jurisdictions/ organisations were consulted during this project.

The final report included a summary of the Australian evidence since 1992 regarding the factors affecting costs of treating Aboriginal inpatients and an analysis of the NSW hospital inpatient data for 2010-11, describing various statistics in relation to Aboriginal patients.