The scope of the NHRA should be defined using the most recent National Efficient Price Determination produced by the Independent Hospital Pricing Authority (IHPA). CODE 1 Admitted acute care (excluding mental health care) (in-scope for the NHRA) The expenditure incurred by an establishment for admitted patients receiving acute care services deemed to be in-scope for the NHRA, including expenditure associated with the care of unqualified newborns (which would be reported under the mother's episode of care) but excluding mental health care. CODE 2 Admitted subacute and non-acute care (excluding mental health care) (in-scope for the NHRA) The expenditure incurred by an establishment for admitted patients receiving subacute and non-acute care services deemed to be in-scope for the NHRA, but excluding mental health care. CODE 3 Other admitted care (excluding mental health care) (in-scope for the NHRA) The expenditure incurred by an establishment for admitted patients receiving other care deemed to be in-scope for the NHRA, but excluding mental health care. CODE 4 Admitted mental health care (in-scope for the NHRA) The expenditure incurred by an establishment for admitted patients receiving mental health care services deemed to be in-scope for the NHRA. Mental health care is care in which the primary clinical purpose or treatment goal is improvement in the symptoms and/or psychosocial, environmental and physical functioning related to a patient's mental disorder. Mental health care: - is evidenced by an individualised formal mental health assessment and the implementation of a documented mental health plan; and
- may include significant psychosocial components, including family and carer support.
CODE 5 Emergency care services (in-scope for the NHRA) The expenditure incurred by an establishment on non-admitted patients receiving care through emergency care services deemed to be in-scope for the NHRA. Excludes admitted patients receiving care through the emergency department. The definition of emergency care services for activity based funding purposes is available at the IHPA website (IHPA 2018). CODE 6 Non-admitted care (excluding emergency care) (in-scope for the NHRA) The expenditure incurred by an establishment on non-admitted patients receiving services deemed to be in-scope for the NHRA. CODE 7 Direct teaching, training and research The expenditure incurred by an establishment for direct teaching, training and research. CODE 8 Commonwealth funded aged care The expenditure incurred by an establishment for Australian Government funded aged care patients (these services could be provided to older people in residential or home based settings by establishments operating under either Multi-Purpose Service (MPS) models or non-MPS service models. CODE 9 Other aged care The expenditure incurred by an establishment for other aged care patients, excluding Australian Government funded aged care patients that are reported under Code 8. CODE 10 Non-admitted care (excluding emergency care) (out-of-scope for the NHRA) The expenditure incurred by an establishment on non-admitted patients receiving services deemed not to be in-scope for the NHRA. CODE 11 Admitted acute care (excluding mental health care) (out-of-scope for the NHRA) The expenditure incurred by an establishment for admitted patients receiving acute care (excluding mental health care) from services deemed not to be in-scope for the NHRA. CODE 12 Admitted subacute and non-acute care (excluding mental health care) (out-of-scope for the NHRA) The expenditure incurred by an establishment for admitted patients receiving subacute and non-acute care (excluding mental health care) from services deemed not to be in-scope for the NHRA. CODE 13 Other admitted care (excluding mental health care) (out-of-scope for the NHRA) The expenditure incurred by an establishment for admitted patients receiving other care (excluding mental health care) from services deemed not to be in-scope for the NHRA. CODE 14 Admitted mental health care (out-of-scope for the NHRA) The expenditure incurred by an establishment for admitted patients receiving mental health care from services deemed not to be in-scope for the NHRA. Refer to Code 4 for a definition of Mental health care. CODE 15 Emergency care services (out-of-scope for the NHRA) The expenditure incurred by an establishment for non-admitted patients receiving care from emergency care services deemed not to be in-scope for the NHRA. The following codes are not considered to be product streams as identified in the NHRA, however they are required to be reported to allow reconciliation with the general ledger for the Local Hospital Network/ Public hospital establishment. CODE 16 Depreciation The expenditure incurred by an establishment on depreciation. CODE 88 Other (out-of-scope for the NHRA) The expenditure incurred by an establishment for services deemed not to be in-scope for the NHRA not reported elsewhere for a financial year. |