Maternity model of care—Major Model Category, code N[N]
Data Element Attributes
Identifying and definitional attributes
|Metadata item type:
|Major Model Category
Health, Standard 14/05/2015
|The overarching major category or group that a maternity model of care can be described by based on its characteristics, as represented by a code.
|Used in maternal and perinatal healthcare settings.
|Data Element Concept:
|Maternity model of care—model of care category
|Major Model Category code N[N]
Collection and usage attributes
|Guide for use:
Although there is much variation in models of maternity care, all models of care can be grouped into one of the broad 'Major Model Categories' based on their characteristics, i.e. the characteristics of the women in the model, the carers working in the model and aspects of the care provided.
The Major Model Categories have broad descriptions that describe the intent of a model of care, recognising that not all women in a model of care will necessarily follow the same journey or receive the same care pathway as the model intends (or was designed for) for the majority of women.
CODE 2 Private midwifery care
This code should be recorded for all models of care where the designated maternity carer is a privately practising midwife, even if the care is provided from a private midwifery caseload group practice. This code is not to be used if the model of care is "Shared Care" between a private midwife and a hospital as part of a formal arrangement.
CODE 4 Shared care
This code should only be used when there is an established shared care agreement between the community-based maternity carer (doctor or midwife) and the hospital. This would usually include an agreed schedule of antenatal care visits between the two providers.
CODE 5 Combined care
This code is to be used when antenatal care is provided by a private maternity carer in the community (doctor or midwife) and intrapartum care is provided separately by public hospital doctors and/or midwives without an established "Shared Care" agreement. There is no agreed schedule of visits between the two different providers and the community-based private maternity carer does not provide any care in the hospital.
CODE 6 Public hospital maternity care
This code can be used for models of care provided in public hospitals where antenatal care is usually provided in outpatient clinics by midwives or doctors (sometimes a multidisciplinary team) and may include specific purpose clinics such as diabetes clinics, next birth after caesarean (NBAC) clinics etc. This code should not be used for models of care for high risk pregnancies (Code 7) or models that are in the category of "Team midwifery" (Code 8) or "Midwifery group practice caseload care" (Code 9).
CODE 7 Public hospital high risk maternity care
This code is used for models of care provided in public hospitals by multidisciplinary specialists for complex maternal, medical and fetal conditions and limited obstetric conditions. This code is not to be used for specialised obstetric-led clinics such as those specifically for women with diabetes or with obstetric risk factors such as high BMI. Obstetric-led clinics or models requiring obstetric input but not multidisciplinary medical specialist care should be coded to “CODE 6 Public hospital maternity care”.
|Data are gathered using the Maternity Care Classification System (MaCCS) data collection questionnaire on an annual basis by every maternity service, either when classifying their models of care or when a new model of care is introduced.
Source and reference attributes
National Perinatal Epidemiology and Statistics Unit
|National Maternity Data Development Project (AIHW and NPESU), Maternity Care Classification System subproject.
Australian Institute of Health and Welfare 2014. Foundations for enhanced maternity data collection and reporting in Australia: National Maternity Data Development Project Stage 1. Cat. no. PER 60. Canberra: AIHW.
|Implementation in Data Set Specifications:
Maternity model of care NBPDS
Health, Standard 14/05/2015
DSS specific information:
If the value for this data element is “CODE 1 Private obstetrician (specialist) care”, “CODE 2 Private midwifery care”, “CODE 9 Midwifery group practice caseload care” or "CODE 11 Private obstetrician and privately practising midwife joint care" then the value for Maternity model of care—extent of continuity of carer, code N[N] must be recorded as “CODE 5 Whole duration of maternity period - antenatal, intrapartum and postpartum”.