PSR | Outcome and output structure

2. Report on performance

Outcome and output structure

PSR contributes to the Health and Ageing Portfolio Outcome 2—Access to Medicare. The PSR scheme is funded to ensure that any requests by the Health Insurance Commission

of suspected cases of inappropriate practice are reviewed and, if necessary, investigated by a committee of the practitioner’s peers. Regulatory activity is the only output for PSR.

The PSR output specified in the Portfolio Budget Statement 2004–05 was:

Output Groups	Performance Measures
1. Program Management Examination of health practitioners’ conduct to ascertain whether or not the practitioner has practiced inappropriately in relation to services which attract Medicare or pharmaceutical benefits.	Quality: Court challenges made in regard to committee processes, findings and Determining Authority determinations are resolved successfully. Rate of re-referral against a target of zero. Quantity: Approximately 50 referrals received from the Commission. Approximately 60 referrals finalised. Price: $7.764 million

Output Groups

Performance Measures

1. Program Management
Examination of health practitioners’ conduct to ascertain whether or not the practitioner has practiced inappropriately in relation to services which attract Medicare or pharmaceutical benefits.

Quality: Court challenges made in regard to committee processes, findings and Determining Authority determinations are resolved successfully.

Rate of re-referral against a target of zero.

Quantity: Approximately 50 referrals received from the Commission.

Approximately 60 referrals finalised.

Price: $7.764 million

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Professional Services Review Annual Report 2004–05

2. Report on performance

Outcome and output structure