Activity based funding: Non-admitted patient care DSS 2013-2014
Identifying and definitional attributes
|Metadata item type:||Data Set Specification|
|DSS type:||Data Set Specification (DSS)|
The scope of this DSS is non-admitted patient service events involving non-admitted patients in activity based funded 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, a non-admitted service is a specialty unit or organisational arrangement under which a hospital provides non-admitted services.
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 a non-admitted patient service event should be counted, and be counted only once regardless of the number of health care providers present.
2. Patients can be counted as having multiple non-admitted patient service events in one day, provided that every visit meets each of the criteria in the definition of a non-admitted patient service event.
3. Patient education services can be counted as non-admitted patient 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 are counted as one non-admitted patient service event.
5. Each patient attending a group session is counted as a 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. A group flag is included in the DSS to record this type of service event.
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 non-admitted patient 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 services 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 must be counted, irrespective of funding source (including Medicare Benefits Schedule) for the non-admitted service. A funding source flag is included in the DSS.
10. For activity based funding purposes, services from stand-alone diagnostic services are not counted as non-admitted patient service events; these are an integral part of the requesting clinic's non-admitted patient service event.
11. Renal dialysis, total parenteral nutrition and home enteral nutrition performed by the patient in their own home without the presence of a health care provider may be counted as a non-admitted patient service event, provided there is documentation of the procedures in the patient's medical record.
|Implementation start date:||01/07/2013|
|Implementation end date:||30/06/2014|
Some previous data element concepts are available in the METeOR glossary. Glossary items are available online through links in the relevant metadata items. In addition, links to the glossary terms that are relevant to this data set specification are listed below.
Source and reference attributes
|Submitting organisation:||Independent Hospital Pricing Authority|
Independent Hospital Pricing Authority 2012. Tier 2 Non-Admitted Services Compendium. Independent Hospital Pricing Authority, Sydney. Viewed 8 March 2013, http://www.ihpa.gov.au/internet/ihpa/publishing.nsf/Content/non-admitted-care
Independent Hospital Pricing Authority 2012. Tier 2 Non-Admitted Services Definitions Manual. Independent Hospital Pricing Authority, Sydney. Viewed 8 March 2013, http://www.ihpa.gov.au/internet/ihpa/publishing.nsf/Content/non-admitted-care
|Related metadata references:|
Supersedes Non-admitted patient activity based funding DSS 2012-2013
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