Admitted subacute and non-acute hospital care DSS 2015-16

Identifying and definitional attributes
Metadata item type:	Data Set Specification
METEOR identifier:	588098
Registration status:	Health, Superseded 19/11/2015
DSS type:	Data Set Specification (DSS)
Scope:	The Admitted subacute and non-acute hospital care data set specification (DSS) aims to ensure national consistency in relation to defining and collecting information about care provided to subacute and non-acute admitted public and private patients in activity based fundedpublic hospitals. Subacute care in this DSS is identified as admitted episodes in rehabilitation care, palliative care, geriatric evaluation and management care and psychogeriatric care, whereas maintenance care is identified as non-acute care. The scope of the DSS is: Same day and overnight admitted subacute and non-acute care episodes. Admitted public patients provided on a contracted basis by private hospitals. Admitted patients in rehabilitation care, palliative care, geriatric evaluation and management, psychogeriatric and maintenance care treated in the hospital-in-the-home. Excluded from the scope are: Hospitals operated by the Australian Defence Force, correctional authorities and Australia's external territories.

Collection and usage attributes

Statistical unit:

Episodes of care for admitted patients

Collection methods:

Hospitals forward data to the relevant state or territory health authority.

National reporting arrangements

State and territory health authorities provide the data to the Independent Hospital Pricing Authority (IHPA) for national collection, on a six monthly basis as required under national health reform arrangements.

For designated palliative care type episodes, data elements for each change in phase of care will be required to be reported.

Periods for which data are collected and nationally collated

Financial years ending 30 June each year.

Implementation start date:

01/07/2015

Implementation end date:

30/06/2016

Comments:

Scope links with other NMDSs

The Admitted subacute and non-acute hospital care data set specification includes the collection and reporting of additional metadata which forms part of the broader Admitted patient care NMDS.

Data collected using this DSS can be related to national data collections:

Admitted patient care NMDS

Admitted patient palliative care NMDS

Admitted patient mental health NMDS

Glossary items

Glossary terms that are relevant to this data set specification are included here.

Activity based funding

Functional Independence Measure

Health of the Nation Outcome Scale 65+

Palliative care phase

Resource Utilisation Groups - Activities of Daily Living

Source and reference attributes

Reference documents:

Eagar K. et al (1997). The Australian National Sub-acute and Non-acute Patient Classification (AN-SNAP): Report of the National Sub-acute and Non-acute Casemix Classification Study. Centre for Health Service Development, University of Wollongong. Viewed 26 October 2012, http://ahsri.uow.edu.au/content/groups/public/@web/@chsd/
documents/doc/uow082315.pdf

Relational attributes

Related metadata references:

Metadata items in this Data Set Specification

Show more detail

Seq No.	Metadata item	Obligation	Max occurs
-	Admitted patient care NMDS 2015-16	Mandatory	1
-	Episode of admitted patient care—clinical assessment only indicator, yes/no/unknown/not stated/inadequately described code N *Conditional obligation:* Only required to be reported for episodes of admitted patient care with Hospital service—care type, code N[N] recorded as: Code 2, Rehabilitation care; Code 3, Palliative care; Code 4, Geriatric evaluation and management; Code 5, Psychogeriatric care; or Code 6, Maintenance care. Not required to be reported for patients aged 16 years and under at admission.	Conditional	1
-	Episode of admitted patient care—palliative care phase, code N *Conditional obligation:* Only required to be reported for episodes of admitted patient care with Hospital service—care type, code N[N] recorded as Code 3, Palliative care. *DSS specific information:* For episodes of admitted patient care with Hospital service—care type, code N[N] recorded as Code 3, Palliative care, the palliative care phase must be reported for each palliative care phase if the episode of admitted patient care had more than one phase.	Conditional	11
-	Episode of admitted patient care—palliative phase of care end date, DDMMYYYY *Conditional obligation:* Only required to be reported for episodes of admitted patient care with Hospital service—care type, code N[N] recorded as Code 3, Palliative care. *DSS specific information:* For episodes of admitted patient care with Hospital service—care type, code N[N] recorded as Code 3, Palliative care, the palliative care phase end date must be reported for each palliative care phase if the episode of admitted patient care had more than one phase.	Conditional	11
-	Episode of admitted patient care—palliative phase of care start date, DDMMYYYY *Conditional obligation:* Only required to be reported for episodes of admitted patient care with Hospital service—care type, code N[N] recorded as Code 3, Palliative care. *DSS specific information:* For episodes of admitted patient care with Hospital service—care type, code N[N] recorded as Code 3, Palliative care, the palliative care phase start date must be reported for each palliative care phase if the episode of admitted patient care had more than one phase.	Conditional	11
-	Episode of admitted patient care—primary impairment type, code (AROC 2012) NN.NNNN *Conditional obligation:* Only required to be reported for episodes of admitted patient care with Hospital service—care type, code N[N] recorded as Code 2, Rehabilitation care.	Conditional	1
-	Episode of admitted patient care—type of maintenance care provided, code N[N] *Conditional obligation:* Conditional obligation: Only required to be reported for episodes of admitted patient care with Hospital service—care type, code N[N] recorded as Code 6, Maintenance care. Only required to be reported when the Episode of admitted patient care—clinical assessment only indicator, yes/no code N value is recorded as Code 2, No. Not required to be reported for patients aged 16 years and under at admission.	Conditional	1
-	Person—level of cognitive ability, Standardised Mini-Mental State Examination assessment code N *Conditional obligation:* Only one set of SMMSE scores per Geriatric Evaluation and Management episode are required to be reported. Only required to be reported for episodes of admitted patient care with Hospital service—care type, code N[N] recorded as Code 4, Geriatric evaluation and management. Only required to be reported when the Episode of admitted patient care—clinical assessment only indicator, yes/no code N value is recorded as Code 2, No.	Conditional	12
-	Person—level of functional independence, Functional Independence Measure score code N *Conditional obligation:* Only the Functional Independence Measure scores at admission are required to be reported. Only required to be reported for episodes of admitted patient care with Hospital service—care type, code N[N] recorded as: Code 2, Rehabilitation care; or Code 4, Geriatric evaluation and management.	Conditional	18
-	Person—level of functional independence, Resource Utilisation Groups– Activities of Daily Living total score code N[N] *Conditional obligation:* Only the Resource Utilisation Groups - Activities of Daily Living (RUG-ADL) scores at admission are required to be reported for maintenance care episodes. RUG-ADL scores at palliative care phase start should be reported for all palliative care phases. Only required to be reported for episodes of admitted patient care with Hospital service—care type, code N[N] recorded as: Code 3, Palliative care; or Code 6, Maintenance care. *DSS specific information:* For episodes of admitted patient care with Hospital service—care type, code N[N] recorded as Code 3, Palliative care, the RUG-ADL scores must be reported for each palliative care phase if the episode of admitted patient care had more than one phase.	Conditional	11
-	Person—level of psychiatric symptom severity, Health of the Nation Outcome Scale 65+ score code N *Conditional obligation:* Only the HoNOS65+ scores at admission are required to be reported. Only required to be reported for episodes of admitted patient care with Hospital service—care type, code N[N] recorded as Code 5, Psychogeriatric care.	Conditional	12

Admitted subacute and non-acute hospital care DSS 2015-16

Identifying and definitional attributes

Collection and usage attributes

Source and reference attributes

Relational attributes

Metadata items in this Data Set Specification

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