Non-admitted patient service event—multiple health-care provider indicator, yes/no/not applicable/not stated/inadequately described code N

Identifying and definitional attributes

• Health, Standard 05/02/2021

Value domain attributes

Representational attributes

Source and reference attributes

Data element attributes

Collection and usage attributes

CODE 1   Yes

This code is used to indicate that direct care has been provided by multiple health-care providers.

CODE 2   No

This code is used to indicate that direct care has not been provided by multiple health-care providers.

CODE 7   Not applicable

This code is used to indicate that there was no direct interaction between the patient and a health-care provider. This includes multi-disciplinary case conferences where the patient does not participate, and home delivered services where the patient performs the procedure and no healthcare provider is present.

CODE 9   Not stated/inadequately described

This code is used when there is insufficient information to determine whether direct care has been provided by multiple health-care providers.

The definition of the term 'multiple health-care provider' can vary depending on the context and/or collection in which the term is being applied.

For example, in the context of reporting non-admitted activity data for activity based funding, 'multiple health-care provider' means three or more health-care providers who deliver care either individually or jointly within a non-admitted patient service event. The health-care providers may be of the same profession (medical, nursing or allied health). However, they must each have a different speciality so that the care provided by each provider is unique and meets the definition of a non-admitted patient service event.

In practice, this should be interpreted as meaning that the patient can separately identify the unique care provided by each health-care provider. For example:

• A patient attends a pain management clinic for assessment. At the assessment there is a doctor specialising in chronic diseases, a doctor specialising in pain management, a nurse specialising in pain management and an occupational therapist. As each provider will provide unique clinical content to the assessment, this is counted as multiple health-care providers.
• A patient attends a rehabilitation clinic and sees a physiotherapist, an occupational therapist and then a nurse, all individually. This would be counted as multiple health-care providers.
• A patient attends a hydrotherapy clinic, sees a physiotherapist who provides a plan, and then completes the plan with a physiotherapist aid. This would not be counted as multiple health-care providers.

Source and reference attributes

Independent Hospital Pricing Authority

Relational attributes