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Admitted subacute and non-acute hospital care NBEDS 2017-18

Identifying and definitional attributes

Metadata item type:Help on this termData Set Specification
METEOR identifier:Help on this term639479
Registration status:Help on this term
  • Health, Superseded 25/01/2018
DSS type:Help on this termData Set Specification (DSS)
Scope:Help on this term

The Admitted subacute and non-acute hospital care National Best Endeavours Data Set (NBEDS) 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 funded public hospitals.

Subacute care in this NBEDS 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 NBEDS 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 care, psychogeriatric care 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:Help on this term

Episodes of care for admitted patients

Collection methods:Help on this term

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 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:Help on this term01/07/2017
Implementation end date:Help on this term30/06/2018
Comments:Help on this term

Scope links with other National Minimum Data Sets (NMDSs)

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

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

Admitted patient care 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:Help on this term

Green J, Gordon R, Kobel C, Blanchard M & Eagar K. 2015. AN-SNAP V4 User Manual. Independent Hospital Pricing Authority, Sydney. Viewed 15 June 2015, viewed https://www.ihpa.gov.au/sites/g/files/net636/f/publications/an-snap_classification_version_4_user_manual.pdf

Relational attributes

Related metadata references:Help on this term
See also Admitted patient care NMDS 2017-18
  • Health, Superseded 25/01/2018
Supersedes Admitted subacute and non-acute hospital care NBEDS 2016-17
  • Health, Superseded 03/11/2016
Has been superseded by Admitted subacute and non-acute hospital care NBEDS 2018-19
  • Health, Superseded 17/10/2018

Metadata items in this Data Set SpecificationHelp on this term

Show more detail
Seq No.Help on this termMetadata itemHelp on this termObligationHelp on this termMax occursHelp on this term
-Admitted patient care NMDS 2017-18Mandatory1
-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.

Conditional11
-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.

Conditional11
-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.

Conditional11
-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.

Conditional1
-Person—level of cognitive ability, Standardised Mini-Mental State Examination item score 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 4, Geriatric evaluation and management.

Only one array of SMMSE scores (i.e. 12 individual scores) per Geriatric Evaluation and Management episode are required to be reported.

If multiple sets of SMMSE scores are recorded in the patient's record, the set of scores (12 individual scores) which demonstrate the lowest level of cognitive ability recorded during the Geriatric Evaluation and Management episode should be reported.

Conditional12
-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.

Not required to be reported for patients aged 17 years and under at admission.

 

Conditional18
-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.

Not required to be reported for patients aged 17 years and under at admission.

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.

Conditional11
-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.

Conditional12
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