Workshop 1: A smooth introduction to case‐mix

Tuesday morning (09:30‐12:30)


  • Jean Marie Rodrigues, University Jean Monnet of Saint Etienne, France, WHO collaborating center for International Classifications in French Language, Paris, France
  • Olafr Steinum MD and Classification expert, Diaqualos AB, Uddevalla, Sweden.,
    Expert consultant to the Swedish Board of Health and Welfare, Stockholm and to Nordic WHO‐FIC Collaborating Centre, Oslo
  • Deniza Mazevska, Director, Health Policy Analysis
  • Jim Pearse, Director, Health Policy Analysis
  • Jacob Hofdijk, Special Adviser CQT Zorg en Gezondheid

The workshop will aim to build an understanding of case‐mix and its applications, such as funding and quality. It will also give a taste of the schools held by the PCSI. At the end of the workshop participants should be able to:

  • Understand the building blocks of case‐mix (diagnoses, procedures, demographic information).
  • Identify the uses of case‐mix information.
  • Describe principles for case‐mix funding and key design choices and implications.
  • Understand the impact of case‐mix on quality of care and use in quality

Workshop 2: Acute care classification development in the Australian landscape

Tuesday morning (09:30‐12:30)


  • James Downie, CEO, Independent Hospital Pricing Authority

  • Sean Heng, Senior Technical Advisor, Independent Hospital Pricing Authority

Australian Refined Diagnosis Related Groups (AR‐DRGs) group together
treatments and services provided for admitted acute care to enable hospitals to
be funded for these services using Activity Based Funding (ABF) arrangements.
AR‐DRG V10.0 is the first version developed in‐house by IHPA.
This workshop will set the scene by exploring the history of acute classification
development and underpinning constructs:

  • Understanding ICD‐10‐AM/ACHI/ACS and its uses beyond ABF.
  • Clinical coding and data collection.
  • The structure and layers of the AR‐DRG logic.
  • History behind the AR‐DRG clinical complexity model.

This workshop will then explore key elements of the Australian Health landscape
and how this has impacted AR‐DRG and ICD‐10‐AM/ACHI/ACS development.
These elements include:

  • The difference between Australian Public and Private hospital systems.
  • The impact of Activity Based Funding within hospitals.
  • Australian health data collection and the differences between systems
    and jurisdictions.
  • Australian Government and the role of IHPA committee structures.
  • The impact of a major refinement to the complexity model.

Workshop 3: From case‐mix to clinics

Tuesday morning (09:30‐12:30)


  • Dr. Michael Wilke, Physician and CEO of Inspiring‐Health

  • Guest facilitators

The workshop will aim to explore what added value for clinical work and for the measurement of quality in healthcare systems can be drawn out of routine case‐mix data. Items to be covered include:

  • Presentations on the use of case‐mix data in clinical contexts.
  • Background information on existing methods of quality evaluation in healthcare.
  • Collaborative discussion.
  • Creating inspiration for the participants.
  • Possibilities for international collaboration.

Workshop 4: Introducing levels of care and provider program reporting variables to CMG+

Tuesday afternoon (13:30‐16:30)


  • Yvonne Rosehart, Manager, Case Mix, Canadian Institute for Health Information
  • Sheril Perry, Program Lead, Case Mix, Canadian Institute for Health Information

This workshop will review the development and application of two broader case‐mix based variables to inform health system planning especially for remote and
rural regions. The two measures include levels of care (acute primary, secondary and tertiary), and provider program – the physician type most commonly reported providing the care for each diagnosis group. Additionally, the methodology options explored, including the use advanced analytics and the rational for the decisions made are reviewed. The overall development process, including external engagement, piloting, and final implementation of the two new variables are outlined. Reporting examples demonstrate how these measures can
help inform hospital care patterns. While the workshop will highlight the
Canadian work undertaken ‐ several break‐out sessions will discuss more broadly:

  1. How or if similar approaches are or could be applied more globally.
  2. Review example results and applications.
  3. Evaluate if Canadian results/reports would be/are supported more

Workshop 5: Improving population health management through risk adjustment

Tuesday afternoon (13:30‐16:30)


  • Dr Stephen Sutch, Bloomberg School of Public Health, Johns Hopkins University

  • Alan Thompson, Johns Hopkins Healthcare

  • Dr James Barrett, Johns Hopkins Healthcare

The workshop will provide an introduction to the methods used in ris adjustment for population health, and the numerous applications within the integrated and ambulatory care sectors. Application break‐out sessions to demonstrate and discuss:

  • Case & Disease Management / Patient Identification.
  • Improving Coordination / Patient Identification.

We will provide presentations illustrating real world case‐mix applications, summarize findings and provide an open forum for participants to discuss challenges within their organisations and countries. The Johns Hopkins ACG System will be used to illustrate the measurement of population health risk adjustment

Workshop 6: Clinical costing – Methods and approaches

Tuesday afternoon (13:30‐16:30)


  • Kevin Ratcliffe, Dept. Health Tasmania

  • Guest facilitators

This Costing workshop is intended to provide an accessible overview clinical costing for managers, students, clinicians and costing practitioners. It is not intended to demonstrate the operation of any particular costing software system but will instead focus on providing an understanding of costing methods employed in costing systems.

This workshop will provide an overview of current costing methodologies and approaches and will describe their development from relatively simple top‐down approaches to current bottom‐up through to micro‐costing techniques.

The workshop will focus on the approaches and data models used in overhead and direct cost allocation. It presents the development of costing models from relatively limited and simple allocation using external relativities, to more complex models using increasing local consumption and utilisation data. Examples of costing models and their effects on reliability of the costing result will be demonstrated. Settings ranging from data‐rich to relatively limited data environments will be discussed.

The approaches presented are based on practical experience in costing,
involvement in the setting and refinement of costing standards, and Case‐mix analysis over the past 20 years; in a number of countries including Australia, Qatar, Ireland, Germany, and Slovenia in both public and private sectors.

PCSI 2019

34th Annual Conference will be held in Copenhagen, Denmark



Conference ended

15 Nov, 2019

Late registration available

8 Nov, 2019

Full programme announced

8 Oct, 2019

Final keynote speaker announced.

Preliminary program updated

3 Sep, 2019

Fourth keynote speaker announced.

16 Jul, 2019

Announced extension of abstract deadline.

1 Jul, 2019

Copyright @ All Rights Reserved