Episode of care—inter-hospital contracted patient status, code N
Data Element Attributes
Identifying and definitional attributes | |
Metadata item type: | Data Element |
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Short name: | Inter-hospital contracted patient |
METEOR identifier: | 472024 |
Registration status: | Health, Superseded 05/10/2016 |
Definition: | An episode of care for an admitted patient whose treatment and/or care is provided under an arrangement between a hospital purchaser of hospital care (contracting hospital) and a provider of an admitted service (contracted hospital), and for which the activity is recorded by both hospitals, as represented by a code. |
Data Element Concept: | Episode of care—inter-hospital contracted patient status |
Value Domain: | Inter-hospital contracted patient sector code N |
Data element attributes | |
Collection and usage attributes | |
Guide for use: | Hospital activity provided under contract is to be reported by both the contracting (originating) hospital and by the contracted (destination) hospital, where the activity is recorded by both hospitals. A specific arrangement should apply (either written or verbal) whereby one hospital contracts with another hospital for the provision of specific services. The arrangement may be between any combination of hospital; for example, public to public, public to private, private to private, or private to public. This data element is designed to enable elimination of double counting of episodes of admitted patient care in national data compiled as per the APC NMDS. As such, contracted arrangements where the patient is only admitted to one hospital (i.e. contract type 4 where contract role=A) are not considered to be inter-hospital contracted care for the purposes of this data element. In contracted arrangements where the patient is admitted to both hospitals, provide data according to the guide for use below. In contracted arrangements where the patient is only admitted to one hospital, use code 5. This data element item will be derived, using data elements Hospital—contract role, code A and Hospital—contract type, code N as follows. If Contract role = B (Hospital B, that is, the provider of the hospital service; contracted hospital), and Contract type = 2, 3, or 5 (that is, a hospital (Hospital A) purchases the activity, rather than a health authority or other external purchaser, and admits the patient for all or part of the episode of care, and/or records the contracted activity within the patient's record for the episode of care). Then record a value of 1, if Hospital A is a public hospital or record a value of 2, if Hospital A is a private hospital. If Contract role = A (Hospital A, that is, the hospital purchasing the activity; contracting hospital), and Contract type = 2, 3, or 5 (that is, the reporting hospital purchases the activity and admits the patient for all or part of the episode of care, and/or records the contracted activity within the patient's record for the episode of care). Then record a value of 3, if Hospital B is a public hospital or record a value of 4, if Hospital B is a private hospital. |
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Collection methods: | All services provided at both the originating and destination hospitals should be recorded and reported by both hospitals. The destination hospital should record the admission as an 'Inter-hospital contracted patient' so that these services can be identified in the various statistics produced about hospital activity. |
Source and reference attributes | |
Origin: | National Health Data Committee |
Relational attributes | |
Related metadata references: | Supersedes Episode of care—inter-hospital contracted patient status, code N Health, Superseded 11/04/2012 Has been superseded by Episode of care—inter-hospital contracted patient status, code N Health, Standard 05/10/2016 Is formed using Hospital—contract role, code A Health, Standard 01/03/2005 Is formed using Hospital—contract type, code N Health, Standard 01/03/2005 |
Implementation in Data Set Specifications: | Admitted patient care NMDS 2012-13 Health, Superseded 02/05/2013 Implementation start date: 01/07/2012 Implementation end date: 30/06/2013 Admitted patient care NMDS 2013-14 Health, Superseded 11/04/2014 Implementation start date: 01/07/2013 Implementation end date: 30/06/2014 Admitted patient care NMDS 2014-15 Health, Superseded 13/11/2014 Implementation start date: 01/07/2014 Implementation end date: 30/06/2015 Admitted patient care NMDS 2015-16 Health, Superseded 10/11/2015 Implementation start date: 01/07/2015 Implementation end date: 30/06/2016 Admitted patient care NMDS 2016-17 Health, Superseded 05/10/2016 Implementation start date: 01/07/2016 Implementation end date: 30/06/2017 |