Admitted subacute and non-acute hospital care NBEDS 2021–22

Identifying and definitional attributes
Metadata item type:	Data Set Specification
METEOR identifier:	727327
Registration status:	Health, Superseded 20/10/2021
DSS type:	Data Set Specification (DSS)
Scope:	The Admitted subacute and non-acute hospital care national best endeavours data set (ASNAHC 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. Non-acute care in this NBEDS is identified as admitted episodes of maintenance 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, 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:	Episodes of care for admitted patients
Collection methods:	Data are collected at each hospital from patient administrative and clinical record systems. Hospitals forward data to the relevant state or territory health authority on a regular basis (e.g. monthly). 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. State and territory health authorities provide the data to the Independent Hospital Pricing Authority for national collation, on a quarterly basis. 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: Quarterly or annually (financial year) ending 30 June each year.
Implementation start date:	01/07/2021
Implementation end date:	30/06/2022
Comments:	Scope links with other National Minimum Data Sets (NMDSs): The ASNAHC NBEDS includes the collection and reporting of additional metadata which forms part of the broader Admitted patient care NMDS. Terms that are relevant to this data set specification are included here: Activity based funding Admission Clinical intervention Clinical review Diagnosis Elective surgery Episode of acute care Functional Independence Measure Geographic indicator Health of the Nation Outcome Scale 65+ Hospital boarder Hospital-in-the-home care Intensive care unit Live birth Neonate Newborn qualification status Number of days of hospital-in-the-home care Organ procurement-posthumous Palliative care phase Palliative care phase end date Resident Residential mental health care service Resource Utilisation Groups—Activities of Daily Living Same-day patient Separation
Source and reference attributes
Reference documents:	Green J, Gordon R, Kobel C, Blanchard M & Eagar K. 2015. AN-SNAP V4 User Manual. Independent Hospital Pricing Authority, Sydney. Viewed 24 May 2019, https://www.ihpa.gov.au/sites/g/files/net636/f/Documents/an-snap_classification_version_4_user_manual.pdf
Relational attributes
Related metadata references:	Supersedes Admitted subacute and non-acute hospital care NBEDS 2020–21 Health, Superseded 05/02/2021 Has been superseded by Admitted subacute and non-acute hospital care NBEDS 2022–23 Health, Superseded 20/12/2022 See also Admitted patient care NMDS 2020–21 Health, Superseded 05/02/2021 See also Admitted patient care NMDS 2021–22 Health, Superseded 20/10/2021

Metadata items in this Data Set Specification

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Seq No.	Metadata item	Obligation	Max occurs
-	Admitted patient care NMDS 2021–22	Mandatory	1
-	Episode of admitted patient care—palliative care phase 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:* 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 for episodes of admitted patient care with Hospital service—care type, code N[N] recorded as Code 3, Palliative care.	Conditional	11
-	Episode of admitted patient care—palliative care phase 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:* The palliative care phase start date must be reported for each palliative care phaseif the episode of admitted patient care had more than one phase for episodes of admitted patient care with Hospital service—care type, code N[N] recorded as Code 3, Palliative care.	Conditional	11
-	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:* The palliative care phase must be reported for each palliative care phase if the episode of admitted patient care had more than one phase for episodes of admitted patient care with Hospital service—care type, code N[N] recorded as Code 3, Palliative care.	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
-	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. *DSS specific information:* 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.	Conditional	12
-	Person—level of functional independence, Functional Independence Measure 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 2, Rehabilitation care; or Code 4, Geriatric evaluation and management. *DSS specific information:* Only the Functional Independence Measure scores at admission are required to be reported. Not required to be reported for patients aged 17 and under at admission.	Conditional	18
-	Person—level of functional independence, Resource Utilisation Groups–Activities of Daily Living total score code N[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; or Code 6, Maintenance care. *DSS specific information:* 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. Not required to be reported for patients aged 17 and under at admission. 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 required to be reported for episodes of admitted patient care with Hospital service—care type, code N[N] recorded as: Code 5, Psychogeriatric care. *DSS specific information:* Only the Health of the Nation Outcome Scale 65+ scores at admission are required to be reported.	Conditional	12