Non-admitted patient aggregate activity based funding DSS 2012-2013
Data Set Specification Attributes
Identifying and definitional attributes
|Metadata item type:||Data Set Specification|
Independent Hospital Pricing Authority, Superseded 31/10/2012
|DSS type:||Data Set Specification (DSS)|
The scope of this aggregate DSS is outpatient clinic service events involving non-admitted patients in activity based funded public hospitals.
The DSS is intended to capture instances of service provision from the point of view of the patient.
For the purpose of this DSS, an outpatient clinic is a specialty unit or organisational arrangement under which a hospital provides outpatient clinic services. The nature of the service provided by the clinic is classified by clinic type. All outpatient clinic types classified to a Tier 2 Clinic structure are included in the DSS.
The scope includes:
Excluded from scope are:
Collection and usage attributes
|Statistical unit:||Non-admitted patient service event|
|Guide for use:|
A non-admitted patient service event is defined as an interaction between one or more healthcare provider(s) with one non-admitted patient, which must contain therapeutic/clinical content and result in a dated entry in the patient's medical record.
1. All non-admitted services that meet the criteria of ‘service event’ should be counted, and be counted only once regardless of the number of healthcare providers present.
2. Patients can be counted as having multiple service events in one day, provided that every visit meets each of the criteria in the definition of a ‘service event’.
3. Patient education services can be counted as service events, provided that they meet the criteria included in the definition of a non-admitted patient ‘service event’.
4. Non-admitted services involving multiple health professionals (such as multidisciplinary clinics) are counted as one non-admitted patient service event.
5. Each patient attending a group session is counted as an individual non-admitted patient service event, providing that the session included the provision of therapeutic/clinical advice for each patient and that this was recorded using dated entry in each patient’s medical record.
6. Telephone and other telehealth consultations can be counted as service events if they substitute for a face-to-face consultation, provided that they meet all the criteria included in the definition of non-admitted patient ‘service event’. A telephone/telehealth consultation is only counted as one service event, irrespective of the number of health professionals/locations participating in the consultation.
7. Services provided to inpatients (including services provided by staff working in non-admitted clinics who visit admitted patients in wards, or other types of consultation and liaison services involving inpatients) are not counted as non-admitted patient service events.
8. Travel by a health professional is not counted as a non-admitted patient service event.
9. All non-admitted services that meet the criteria in the definition of non-admitted patient service events be counted, irrespective of funding source (including Medicare Benefits Schedule [MBS]) for the non-admitted clinic.
10. For activity based funding purposes, services from stand-alone diagnostic (ancillary) clinics are not counted as service events; these are integral part of the 'requesting' Tier 2 clinic service event.
|Implementation start date:||01/07/2012|
|Implementation end date:||30/06/2013|
Source and reference attributes
|Submitting organisation:||Independent Hospital Pricing Authority|
|Related metadata references:|
Has been superseded by Activity based funding: Non-admitted patient care aggregate DSS 2013-2014
Independent Hospital Pricing Authority, Superseded 01/03/2013