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Local Hospital Networks/Public hospital establishments NMDS 2019–20

Data Set Specification Attributes

Identifying and definitional attributes

Metadata item type:Help on this termData Set Specification
METEOR identifier:Help on this term706340
Registration status:Help on this term

Health, Superseded 18/12/2019

DSS type:Help on this termNational Minimum Data Set (NMDS)
Scope:Help on this term

The scope of the Local Hospital Networks/Public hospital establishments national minimum data set (LHN/PHE NMDS) includes three levels of hierarchical reporting:

  • The Public hospital establishments (PHE) component includes establishment-level data for public acute and psychiatric hospitals, and alcohol and drug treatment centres.
  • The Local Hospital Networks (LHN) excludes data for hospital establishments which are already reported through the Public hospital establishments component. Local Hospital Networks are defined as those entities recognised as such by the relevant state or territory health authority.
  • At the jurisdictional level, all public hospital services that are managed by a state or territory health authority and are included in the General List of In-scope Public Hospital Services, which has been developed under the National Health Reform Agreement (2011) (NHRA) and excluding data which are already reported in the PHE or LHN levels.

Collection and usage attributes

Statistical unit:Help on this term

PHE, LHN or health authority (depending on reporting level)

Guide for use:Help on this term

The following are principles of the collection. States and territories should consider these principles when providing data.

  1. Data should be reported by states and territories at the level relevant to service management and/or provision.
  2. The LHN/PHE NMDS should capture and differentiate between in-scope and out-of-scope of the NHRA.
  3. The LHN/PHE NMDS must specify where financial data elements are reporting actual data and where they are reporting estimated data.
  4. Where possible, the LHN/PHE NMDS should align with the Government health expenditure NMDS (GHE NMDS), so it is able to function as a subset of the GHE NMDS if required.
  5. Reporting on expenditure relating to contracted care requires less detail than other expenditure.
  6. Where possible, the changes to the PHE component of the NMDS should maintain the ability to report time series data from previous years.

Recurrent expenditure and related revenue data reported to the LHN/PHE NMDS should reconcile with published financial statements.

Actual recurrent expenditure and related revenue data are expected to be reported at the level at which they appear in the general ledger. Expenditure and revenue data are not expected to be apportioned to a lower level.

Expenditure data are reported in two ways:

  • as it would appear in the general ledger line items (Establishment—recurrent non-salary expenditure, public hospital expenditure categories code N[N] and Establishment—staffing categories, health code N[N])
  • by NHRA product streams Establishment—total recurrent expenditure, National Health Reform Agreement 2011 product streams code N[N]]. These are estimated data.

The total recurrent expenditure by product stream should equal the total recurrent expenditure by general ledger line item.

For the purposes of the LHN/PHE NMDS, funding from the Australian Government, state and territory health authorities and other state and territory government departments is considered to be revenue and should be reported as such.

Collection methods:Help on this term

Some data for this NMDS are sourced from the state or territory health authority general ledger. Some other data are maintained at the LHN or hospital and are forwarded to the relevant state or territory health authority for inclusion.

National reporting arrangements

State and territory health authorities provide the data to the Australian Institute of Health and Welfare for national collation, on an annual basis.

Periods for which data are collected and nationally collated

Financial years ending 30 June each year.

Implementation start date:Help on this term01/07/2019
Implementation end date:Help on this term30/06/2020
Comments:Help on this term

Relationship between the three components

The three levels of the hierarchy work together to collect the same types of recurrent expenditure and related revenue data items, but at different levels of the system. The reporting levels are mutually exclusive, so there should be no overlap in the reporting or expenditure and revenue data across the levels.

Hierarchical levelData collected through
Public hospital establishmentsPHE component
Local Hospital NetworkLHN component
State or territory health authorityState or territory component

It is expected that recurrent expenditure and related revenue data will be reported at the level at which they occur.

For services 'managed by a state or territory health authority', only those services considered to be 'public hospital services' under the NHRA are in scope. For the public hospitals and LHNs, all activity, expenditure and related revenue in the General Ledger for that organisation would be in scope of this NMDS, regardless of whether all components are a 'public hospital service' under the NHRA.

For information on public hospital services in-scope or out-of-scope, refer to the National Efficient Price Determination (IHPA 2018a) and the National Efficient Cost Determination (IHPA 2018b).

In addition to the shared expenditure and revenue data items, the PHE component includes items such as establishment location, establishment type and specialised service indicators that do not appear in the other components.

Scope links with other NMDSs

The LHN/PHE NMDS shares scope with other hospital NMDSs as well as other establishment and expenditure collections:

  • Admitted patient care NMDS
  • Alcohol and other drug treatment services NMDS
  • Government health expenditure NMDS
  • Mental health establishments NMDS
  • Non-admitted patient care hospital aggregate NMDS
  • Non-admitted patient emergency department care NMDS.

Source and reference attributes

Submitting organisation:Help on this term

Independent Hospital Pricing Authority

Steward:Help on this termAustralian Institute of Health and Welfare
Reference documents:Help on this term

IHPA (Independent Hospital Pricing Authority) 2018a. National Efficient Price Determination 2018-19. IHPA, Sydney. Viewed 25 September 2018, https://www.ihpa.gov.au/publications/national-efficient-price-determination-2018-19

IHPA (Independent Hospital Pricing Authority) 2018b. National Efficient Cost Determination 2018-19. IHPA, Sydney. Viewed 25 September 2018, https://www.ihpa.gov.au/publications/national-efficient-cost-determination-2018-19

Relational attributes

Related metadata references:Help on this term
Supersedes Local Hospital Networks/Public hospital establishments NMDS 2018–19

        Health, Superseded 17/10/2018

Has been superseded by Local Hospital Networks/Public hospital establishments NMDS 2020–21

        Health, Superseded 05/02/2021

See also Hand hygiene NBEDS 2012–

        Health, Qualified 23/03/2023

See also Non-admitted patient care Local Hospital Network aggregate NBEDS 2018-19

        Health, Superseded 12/12/2018

Metadata items in this Data Set Specification Help on this term

Seq No.Help on this termMetadata itemHelp on this termObligationHelp on this termMax occursHelp on this term
- Local Hospital Networks data element clusterMandatory99
      - Full-time equivalent staffing data element clusterMandatory10
            -Establishment—full-time equivalent staff, average N[N(7){.N}]Mandatory10
            -Establishment—staffing categories, health code N[N]Mandatory10
      - Recurrent contracted care expenditure data element clusterMandatory1
            -Establishment—recurrent contracted care expenditure, National Health Reform Agreement 2011 product streams code N[N]Mandatory11
            -Establishment—recurrent contracted care expenditure, total Australian currency N[N(13)]Mandatory11
      - Recurrent non-salary expenditure data element clusterMandatory1
            -Establishment—data estimated indicator, yes/no code N

DSS specific information:

This data element is used to indicate where financial data have been estimated rather than directly sourced from the general ledger, audited accounts or other financial systems.

The PHE NMDS Working Group strongly supported the inclusion of a data element to indicate where data had been estimated or apportioned, as a way of informing data users of situations where the data do not reflect the actual items in the general ledger.

Mandatory16
            -Establishment—recurrent non-salary expenditure categories, code N[N]Mandatory16
            -Establishment—recurrent non-salary expenditure, total Australian currency N[N(13)]Mandatory16
      - Recurrent salaries and wages expenditure data element clusterMandatory1
            -Establishment—data estimated indicator, yes/no code N

DSS specific information:

This data element is used to indicate where financial data have been estimated rather than directly sourced from the general ledger, audited accounts or other financial systems.

The PHE NMDS Working Group strongly supported the inclusion of a data element to indicate where data had been estimated or apportioned, as a way of informing data users of situations where the data do not reflect the actual items in the general ledger.

Mandatory10
            -Establishment—recurrent salaries and wages expenditure, total Australian currency N[N(13)]Mandatory10
            -Establishment—staffing categories, health code N[N]Mandatory10
      - Revenue data element clusterMandatory1
            -Establishment—data estimated indicator, yes/no code N

DSS specific information:

This data element is used to indicate where financial data have been estimated rather than directly sourced from the general ledger, audited accounts or other financial systems.

The Public Hospital Establishments National Minimum Data Set Working Group strongly supported the inclusion of a data element to indicate where data had been estimated or apportioned, as a way of informing data users of situations where the data do not reflect the actual items in the general ledger.

Mandatory11
            -Establishment—public hospital recurrent expenditure related revenue, revenue streams code N[N]Mandatory11
            -Establishment—public hospital recurrent expenditure related revenue, total Australian currency N[N(13)]Mandatory11
      - Total recurrent expenditure on National Health Reform Agreement product streams data element clusterMandatory1
            -Establishment—total recurrent expenditure, National Health Reform Agreement 2011 product streams code N[N]Mandatory11
            -Establishment—total recurrent expenditure, total Australian currency N[N(13)]

DSS specific information:

Expenditure reported against this is estimated by jurisdictions. The costing methodology used in preparation of data for the National Hospital Costing Data Collection should also be applied in the generation for data for this item.

Mandatory11
      -Available bed—admitted contracted care, average number of beds N[N(7).N]

DSS specific information:

This data element is used in conjunction with Establishment—data estimate indicator, yes/no code N.

Mandatory1
      -Establishment—Australian state/territory identifier, code NMandatory1
      -Establishment—Local Hospital Network identifier, code NNNMandatory1
      -Establishment—organisation identifier (state/territory), NNNNNMandatory1
- Public hospital establishments data element clusterMandatory99
      - Address details clusterMandatory7
            -Address—address site name, text X[X(49)]

Conditional obligation:

Conditional on this component being part of the address of the Public hospital establishment.

Conditional1
            -Address—Australian postcode, code (Postcode datafile) NNNNMandatory1
            -Address—Australian state/territory identifier, code AA[A]Mandatory1
            -Address—complex road name, text X[X(44)]

Conditional obligation:

Conditional on this component being part of the address of the Public hospital establishment.

Conditional1
            -Address—complex road number 1, road number XXXXXX

Conditional obligation:

Conditional on this component being part of the address of the Public hospital establishment.

Conditional1
            -Address—complex road number 2, road number XXXXXX

Conditional obligation:

Conditional on this component being part of the address of the Public hospital establishment.

Conditional1
            -Address—complex road type, code AA[AA]

Conditional obligation:

Conditional on this component being part of the address of the Public hospital establishment.

Conditional1
            -Address—level number, identifier X[XXXX]

Conditional obligation:

Conditional on this component being part of the address of the Public hospital establishment.

Conditional1
            -Address—road name, text X[X(44)]Mandatory1
            -Address—road number 1, road number XXXXXXMandatory1
            -Address—road number 2, road number XXXXXX

Conditional obligation:

Conditional on this component being part of the address of the Public hospital establishment.

Conditional1
            -Address—road type, code AA[AA]Mandatory1
            -Address—secondary complex name, text X[X(49)]

Conditional obligation:

Conditional on this component being part of the address of the Public hospital establishment.

Conditional1
            -Address—sub-dwelling unit number, identifier X[X(6)]

Conditional obligation:

Conditional on this component being part of the address of the Public hospital establishment.

Conditional1
            -Address—suburb/town/locality name, text X[X(45)]Mandatory1
            -Establishment—organisation identifier (Australian), NNX[X]NNNNNMandatory1
      - Full-time equivalent staffing data element clusterMandatory1
            -Establishment—full-time equivalent staff, average N[N(7){.N}]Mandatory10
            -Establishment—staffing categories, health code N[N]Mandatory10
      - Recurrent contracted care expenditure data element clusterMandatory1
            -Establishment—recurrent contracted care expenditure, National Health Reform Agreement 2011 product streams code N[N]Mandatory11
            -Establishment—recurrent contracted care expenditure, total Australian currency N[N(13)]Mandatory11
      - Recurrent non-salary expenditure data element clusterMandatory1
            -Establishment—data estimated indicator, yes/no code N

DSS specific information:

This data element is used to indicate where financial data have been estimated rather than directly sourced from the general ledger, audited accounts or other financial systems.

The PHE NMDS Working Group strongly supported the inclusion of a data element to indicate where data had been estimated or apportioned, as a way of informing data users of situations where the data do not reflect the actual items in the general ledger.

Mandatory16
            -Establishment—recurrent non-salary expenditure categories, code N[N]Mandatory16
            -Establishment—recurrent non-salary expenditure, total Australian currency N[N(13)]Mandatory16
      - Recurrent salaries and wages expenditure data element clusterMandatory1
            -Establishment—data estimated indicator, yes/no code N

DSS specific information:

This data element is used to indicate where financial data have been estimated rather than directly sourced from the general ledger, audited accounts or other financial systems.

The PHE NMDS Working Group strongly supported the inclusion of a data element to indicate where data had been estimated or apportioned, as a way of informing data users of situations where the data do not reflect the actual items in the general ledger.

Mandatory10
            -Establishment—recurrent salaries and wages expenditure, total Australian currency N[N(13)]Mandatory10
            -Establishment—staffing categories, health code N[N]Mandatory10
      - Revenue data element clusterMandatory1
            -Establishment—data estimated indicator, yes/no code N

DSS specific information:

This data element is used to indicate where financial data have been estimated rather than directly sourced from the general ledger, audited accounts or other financial systems.

The Public Hospital Establishments National Minimum Data Set Working Group strongly supported the inclusion of a data element to indicate where data had been estimated or apportioned, as a way of informing data users of situations where the data do not reflect the actual items in the general ledger.

Mandatory11
            -Establishment—public hospital recurrent expenditure related revenue, revenue streams code N[N]Mandatory11
            -Establishment—public hospital recurrent expenditure related revenue, total Australian currency N[N(13)]Mandatory11
      - Total recurrent expenditure on National Health Reform Agreement product streams data element clusterMandatory1
            -Establishment—total recurrent expenditure, National Health Reform Agreement 2011 product streams code N[N]Mandatory11
            -Establishment—total recurrent expenditure, total Australian currency N[N(13)]

DSS specific information:

Expenditure reported against this is estimated by jurisdictions. The costing methodology used in preparation of data for the National Hospital Costing Data Collection should also be applied in the generation for data for this item.

Mandatory11
      -Address—statistical area, level 2 (SA2) code (ASGS 2016) N(9)

DSS specific information:

To be reported for the address of each hospital establishment.

Mandatory1
      -Available bed—admitted contracted care, average number of beds N[N(7).N]Mandatory1
      -Available bed—overnight-stay admitted care, average number of beds N[N(7).N]Mandatory1
      -Available bed—same-day admitted care, average number of beds N[N(7).N]Mandatory1
      -Establishment—acquired immune deficiency syndrome unit indicator, yes/no code NMandatory1
      -Establishment—acute renal dialysis unit indicator, yes/no code NMandatory1
      -Establishment—acute spinal cord injury unit indicator, yes/no code NMandatory1
      -Establishment—alcohol and drug unit indicator, yes/no code NMandatory1
      -Establishment—Australian state/territory identifier, code NMandatory1
      -Establishment—bone marrow transplantation unit indicator, yes/no code NMandatory1
      -Establishment—burns unit level III indicator, yes/no code NMandatory1
      -Establishment—cardiac surgery unit indicator, yes/no code NMandatory1
      -Establishment—clinical genetics unit indicator, yes/no code NMandatory1
      -Establishment—comprehensive epilepsy centre indicator, yes/no code NMandatory1
      -Establishment—coronary care unit indicator, yes/no code NMandatory1
      -Establishment—diabetes unit indicator, yes/no code NMandatory1
      -Establishment—domiciliary care service indicator, yes/no code NMandatory1
      -Establishment—establishment type, sector and services provided code AN.N{.N}Mandatory1
      -Establishment—geriatric assessment unit indicator, yes/no code NMandatory1
      -Establishment—heart lung transplantation unit indicator, yes/no code NMandatory1
      -Establishment—hospice care unit indicator, yes/no code NMandatory1
      -Establishment—Independent Hospital Pricing Authority funding designation, code NMandatory1
      -Establishment—infectious diseases unit indicator, yes/no code NMandatory1
      -Establishment—intensive care unit level III indicator, yes/no code NMandatory1
      -Establishment—in-vitro fertilisation unit indicator, yes/no code NMandatory1
      -Establishment—liver transplantation unit indicator, yes/no code NMandatory1
      -Establishment—Local Hospital Network identifier, code NNNMandatory1
      -Establishment—maintenance renal dialysis centre indicator, yes/no code NMandatory1
      -Establishment—major plastic/reconstructive surgery unit indicator, yes/no code NMandatory1
      -Establishment—neonatal intensive care unit level III indicator, yes/no code NMandatory1
      -Establishment—neurosurgical unit indicator, yes/no code NMandatory1
      -Establishment—nursing home care unit indicator, yes/no code NMandatory1
      -Establishment—obstetric/maternity unit indicator, yes/no code NMandatory1
      -Establishment—oncology unit indicator, yes/no code NMandatory1
      -Establishment—organisation identifier (state/territory), NNNNNMandatory1
      -Establishment—pancreas transplantation unit indicator, yes/no code NMandatory1
      -Establishment—psychiatric unit/ward indicator, yes/no code NMandatory1
      -Establishment—rehabilitation unit indicator, yes/no code NMandatory1
      -Establishment—renal transplantation unit indicator, yes/no code NMandatory1
      -Establishment—sector, code NMandatory1
      -Establishment—sleep centre indicator, yes/no code NMandatory1
      -Establishment—specialist paediatric unit indicator, yes/no code NMandatory1
      -Establishment—teaching hospital affiliation with university indicator, teaching status code NMandatory1
- State or territory health authority data element clusterMandatory1
      - Full-time equivalent staffing data element clusterMandatory10
            -Establishment—full-time equivalent staff, average N[N(7){.N}]Mandatory10
            -Establishment—staffing categories, health code N[N]Mandatory10
      - Recurrent contracted care expenditure data element clusterMandatory1
            -Establishment—recurrent contracted care expenditure, National Health Reform Agreement 2011 product streams code N[N]Mandatory11
            -Establishment—recurrent contracted care expenditure, total Australian currency N[N(13)]Mandatory11
      - Recurrent non-salary expenditure data element clusterMandatory1
            -Establishment—data estimated indicator, yes/no code N

DSS specific information:

This data element is used to indicate where financial data have been estimated rather than directly sourced from the general ledger, audited accounts or other financial systems.

The PHE NMDS Working Group strongly supported the inclusion of a data element to indicate where data had been estimated or apportioned, as a way of informing data users of situations where the data do not reflect the actual items in the general ledger.

Mandatory16
            -Establishment—recurrent non-salary expenditure categories, code N[N]Mandatory16
            -Establishment—recurrent non-salary expenditure, total Australian currency N[N(13)]Mandatory16
      - Recurrent salaries and wages expenditure data element clusterMandatory1
            -Establishment—data estimated indicator, yes/no code N

DSS specific information:

This data element is used to indicate where financial data have been estimated rather than directly sourced from the general ledger, audited accounts or other financial systems.

The PHE NMDS Working Group strongly supported the inclusion of a data element to indicate where data had been estimated or apportioned, as a way of informing data users of situations where the data do not reflect the actual items in the general ledger.

Mandatory10
            -Establishment—recurrent salaries and wages expenditure, total Australian currency N[N(13)]Mandatory10
            -Establishment—staffing categories, health code N[N]Mandatory10
      - Revenue data element clusterMandatory1
            -Establishment—data estimated indicator, yes/no code N

DSS specific information:

This data element is used to indicate where financial data have been estimated rather than directly sourced from the general ledger, audited accounts or other financial systems.

The Public Hospital Establishments National Minimum Data Set Working Group strongly supported the inclusion of a data element to indicate where data had been estimated or apportioned, as a way of informing data users of situations where the data do not reflect the actual items in the general ledger.

Mandatory11
            -Establishment—public hospital recurrent expenditure related revenue, revenue streams code N[N]Mandatory11
            -Establishment—public hospital recurrent expenditure related revenue, total Australian currency N[N(13)]Mandatory11
      - Total recurrent expenditure on National Health Reform Agreement product streams data element clusterMandatory1
            -Establishment—total recurrent expenditure, National Health Reform Agreement 2011 product streams code N[N]Mandatory11
            -Establishment—total recurrent expenditure, total Australian currency N[N(13)]

DSS specific information:

Expenditure reported against this is estimated by jurisdictions. The costing methodology used in preparation of data for the National Hospital Costing Data Collection should also be applied in the generation for data for this item.

Mandatory11
      -Available bed—admitted contracted care, average number of beds N[N(7).N]

DSS specific information:

This data element is used in conjunction with Establishment—data estimate indicator, yes/no code N.

Mandatory1
      -Establishment—Australian state/territory identifier, code NMandatory1
      -Establishment—Local Hospital Network identifier, code NNN

DSS specific information:

 Enter the Virtual Local Hospital Network (supplementary value) applicable for the state/territory.

Mandatory1
      -Establishment—organisation identifier (state/territory), NNNNNMandatory1

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