Natalia Hubczenko

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Name: Natalia Hubczenko

E-mail: info@hoi.com.au

Qualifications:

• Bachelor of Arts in Accountancy, SA Institute of Technology

Specific Competence:

natNatalia has recently been appointed to the HOI consulting team as a Manager. Natalia has extensive experience (over twelve years) in the health policy and service delivery sector. During this period she held a number of senior positions at hospital and regional health levels, having responsibility for funding allocation and budgetary monitoring at the Royal Adelaide Hospital and the Central Northern Adelaide Health Service. Since 2007 Natalia was the Director, Health System Performance with SA Health. In this role she assumed responsibility for the management of:

  • Health System Performance;
  • SA Elective Surgery Strategy;
  • Development of annual Performance Agreements between the Chief Executive, SA Health and Regional Chief Executive Officers;
  • Development and maintenance of a performance framework for health services;
  • Development and maintenance of monthly performance reports for health regions;
  • Development of systems for data capture of new service delivery models to allow ongoing monitoring (eg Out of Hospital Services);
  • Conducting strategic projects such as the SA Metropolitan Hospital Efficiency and Performance Review;
  • Strategic modelling undertaken by the Department for the development of future health service plans;
  • Development of contract management arrangements with non-government organisations which included ongoing review of service delivery models and development of reporting requirements consistent with SA Health strategic directions.

In this role she also participated in a number of Departmental committees and projects which included Demand Management, Out of Hospital Services, Regional Budgets, Health Care Plan Service Modelling, Business Information System Developments and monthly Regional Performance meetings.

During the period 1996 to 2006 Natalia was involved in the implementation of a range of casemix management programs and initiatives whilst working for the Department and Health and the Royal Adelaide Hospital in South Australia including:

  • Implementation of Trendstar Patient Costing system for the Repatriation General Hospital in South Australia;
  • Implementation and of the development of the Trendstar Patient Costing system at Royal Adelaide Hospital including the implementation of an outpatient database;
  • Development of the South Australian and NHCDC costing data for utilisation in the South Australian and National casemix weights;
  • Development of standard costs for gastrointestinal theatre procedures at Royal Adelaide Hospital which could be utilised in conjunction with the HASS Theatre system;
  • Development of Radiology service weights at Royal Adelaide Hospital which enabled radiology test recharging within the hospital as well as assisting patient costing;
  • Ongoing development of cost recharging within the Royal Adelaide Hospital general ledger to assist in budget accountability and patient costing, eg, pathology, prosthesis, radiology, food services;
  • Responsibility for the delivery of Commonwealth funded project ($230K) in determining whether outpatient funding could be bundled together with Casemix Inpatient funding models utilising South Australian Metropolitan Hospital inpatient and outpatient data;
  • Implementation of the annual South Australian Casemix Funding Model in South Australia including the review and development of State weights, trim points, severity index, site specific payment to hospitals and teaching and training grants etc;
  • Participation in Health Round Table;
  • Development of performance indicators and monitoring reports for hospital management and the Department of Health utilising casemix and patient costing data;
  • Participation and preparation of extensive casemix benchmarking data, including expenditure analysis, for South Australian Metropolitan Hospitals;
  • Preparation of comprehensive papers for discussion with State Treasury describing cost and activity (casemix) pressures associated with health service provision;
  • Analysis of impact of introduction of new versions of DRGs on funding models;
  • Review of methodology in South Australia for the fractioning of hospital expenditure into inpatient, outpatient, teaching and research components;
  • Costing of new technologies such as the DaVinci Robot at the Royal Adelaide Hospital, cardiac stenting and interventional radiology;
  • Monitoring of hospital coding practices to determine impact on casemix data and recommending corrective action where required;
  • Development of Regional, Hospital and clinical service budgets.