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Local Hospital Networks/Public hospital establishments NMDS 2023–24

Data Set Specification Attributes

Identifying and definitional attributes

Metadata item type:Help on this termData Set Specification
METEOR identifier:Help on this term756101
Registration status:Help on this term

Health, Standard 09/12/2022

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. Hospitals specialising in dental, ophthalmic aids and other specialised acute medical or surgical care are also included in PHE. Hospitals operated by the Australian Defence Force, correctional authorities and Australia's external territories are not included.
  • 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 Eligibility Policy (IHACPA 2022c), which has been developed under the National Health Reform Agreement (2011) (NHRA) (COAG 2011) 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 and activity.
  6. Where possible, the changes to the PHE component of the NMDS should maintain the ability to report time series data from previous years.

Similar data for private hospitals and free-standing day hospital facilities for PHE was collected by the Australian Bureau of Statistics in the Private Health Establishments Collection, up to and including 2016-17, at which point collection of this data ceased.

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, regardless of whether all components are a 'public hospital service' under the NHRA. 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 term01/07/2023
Implementation end date:Help on this term30/06/2024
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 (IHACPA 2022a) and the National Efficient Cost Determination (IHACPA 2022b).

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 and NBEDSs 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 NBEDS
  • Non-admitted patient emergency department care NMDS.

Glossary items

Glossary terms that are relevant to this data set specification are included here:

Activity based funding

Average for the counting period

Dialysis

Geographic indicator

Hospital-in-the-home care

Local Hospital Network

Neonate

Renal failure

Salaried medical officer

Specialist salaried medical officer

Source and reference attributes

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

IHACPA (Independent Health and Aged Care Pricing Authority) 2022a. National Efficient Price Determination. IHACPA, Sydney. Viewed 2 September 2022, https://www.ihacpa.gov.au/health-care/pricing/national-efficient-price-determination

IHACPA 2022b. National Efficient Cost Determination. IHACPA, Sydney. Viewed 2 September 2022, https://www.ihacpa.gov.au/health-care/pricing/national-efficient-cost-determination

IHACPA 2022c. General List of In-Scope Public Hospital Services Eligibility Policy Version 7.0. IHACPA, Sydney. Viewed 2 September 2022, https://www.ihacpa.gov.au/resources/general-list-scope-public-hospital-services-eligibility-policy-version-70COAG

(Council of Australian Governments) 2011. National Health Reform Agreement 2011. Canberra, COAG. Viewed 24 June 2022, http://www.federalfinancialrelations.gov.au/content/npa/health/_archive/national-agreement.pdf

 

Relational attributes

Related metadata references:Help on this term
Supersedes Local Hospital Networks/Public hospital establishments NMDS 2022–23

        Health, Superseded 09/12/2022

Has been superseded by Local Hospital Networks/Public hospital establishments NMDS 2024–25

        Health, Qualified 31/08/2023

See also Hand hygiene NBEDS 2012–

        Health, Qualified 23/03/2023

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
- Address details cluster

Conditional obligation:

This metadata item is only required for the Public Hospital Establishments (PHE) reporting level. It is collected once for each PHE.

DSS specific information:

Establishment sector component of organisation identifier to be reported as:

  1. Public (excluding psychiatric hospitals)
  2. Private (excluding free-standing day hospital facilities)
  3. Public psychiatric
  4. Private free-standing data hospital facility
Conditional1
      -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]NNNNN

DSS specific information:

Establishment sector component of organisation identifier to be reported as:

  1. Public (excluding psychiatric hospitals)
  2. Private (excluding free-standing day hospital facilities)
  3. Public psychiatric
  4. Private free-standing day hospital facility
Mandatory1
- Full-time equivalent staffing data element cluster

DSS specific information:

This metadata item is collected at three levels:
 - State/Territory Health Authority reporting level. It is collected once for each State/Territory Health Authority.
 - Local Hospital Network (LHN) reporting level. It is collected once for each LHN.
 - Public Hospital Establishments (PHE) reporting level. It is collected once for each PHE.

Mandatory1
      -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 cluster

DSS specific information:

This metadata item is collected at three levels:
 - State/Territory Health Authority reporting level. It is collected once for each State/Territory Health Authority.
 - Local Hospital Network (LHN) reporting level. It is collected once for each LHN.
 - Public Hospital Establishments (PHE) reporting level. It is collected once for each PHE.

Mandatory1
      -Establishment—recurrent contracted care expenditure, National Health Reform Agreement 2011 product streams code N[N]Mandatory17
      -Establishment—recurrent contracted care expenditure, total Australian currency N[N(13)]Mandatory17
- Recurrent non-salary expenditure data element cluster

DSS specific information:

This metadata item is collected at three levels:
 - State/Territory Health Authority reporting level. It is collected once for each State/Territory Health Authority.
 - Local Hospital Network (LHN) reporting level. It is collected once for each LHN.
 - Public Hospital Establishments (PHE) reporting level. It is collected once for each PHE.

Mandatory1
      -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 cluster

DSS specific information:

This metadata item is collected at three levels:
 - State/Territory Health Authority reporting level. It is collected once for each State/Territory Health Authority.
 - Local Hospital Network (LHN) reporting level. It is collected once for each LHN.
 - Public Hospital Establishments (PHE) reporting level. It is collected once for each PHE.

Mandatory1
      -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 cluster

DSS specific information:

This metadata item is collected at three levels:
 - State/Territory Health Authority reporting level. It is collected once for each State/Territory Health Authority.
 - Local Hospital Network (LHN) reporting level. It is collected once for each LHN.
 - Public Hospital Establishments (PHE) reporting level. It is collected once for each PHE.

Mandatory1
      -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 cluster

DSS specific information:

This metadata item is collected at three levels:
 - State/Territory Health Authority reporting level. It is collected once for each State/Territory Health Authority.
 - Local Hospital Network (LHN) reporting level. It is collected once for each LHN.
 - Public Hospital Establishments (PHE) reporting level. It is collected once for each PHE.

Mandatory1
      -Establishment—total recurrent expenditure, National Health Reform Agreement 2011 product streams code N[N]Mandatory17
      -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.

Mandatory17
-Address—statistical area, level 2 (SA2) code (ASGS Edition 3) N(9)

Conditional obligation:

This metadata item is only required for the Public Hospital Establishments (PHE) reporting level. It is collected once for each PHE.

Conditional1
-Available bed—admitted contracted care, average number of beds N[N(7).N]

DSS specific information:

This metadata item is collected at three levels:
 - State/Territory Health Authority reporting level. It is collected once for each State/Territory Health Authority.
 - Local Hospital Network (LHN) reporting level. It is collected once for each LHN.
 - Public Hospital Establishments (PHE) reporting level. It is collected once for each PHE.

Mandatory1
-Available bed—overnight-stay admitted care, average number of beds N[N(7).N]

Conditional obligation:

This metadata item is only required for the Public Hospital Establishments (PHE) reporting level. It is collected once for each PHE.

Conditional1
-Available bed—same-day admitted care, average number of beds N[N(7).N]

Conditional obligation:

This metadata item is only required for the Public Hospital Establishments (PHE) reporting level. It is collected once for each PHE.

Conditional1
-Establishment—acquired immune deficiency syndrome unit indicator, yes/no code N

Conditional obligation:

This metadata item is only required for the Public Hospital Establishments (PHE) reporting level. It is collected once for each PHE.

Conditional1
-Establishment—acute renal dialysis unit indicator, yes/no code N

Conditional obligation:

This metadata item is only required for the Public Hospital Establishments (PHE) reporting level. It is collected once for each PHE.

Conditional1
-Establishment—acute spinal cord injury unit indicator, yes/no code N

Conditional obligation:

This metadata item is only required for the Public Hospital Establishments (PHE) reporting level. It is collected once for each PHE.

Conditional1
-Establishment—alcohol and drug unit indicator, yes/no code N

Conditional obligation:

This metadata item is only required for the Public Hospital Establishments (PHE) reporting level. It is collected once for each PHE.

Conditional1
-Establishment—Australian state/territory identifier, code N

DSS specific information:

This metadata item is collected at three levels:
 - State/Territory Health Authority reporting level. It is collected once for each State/Territory Health Authority.
 - Local Hospital Network (LHN) reporting level. It is collected once for each LHN.
 - Public Hospital Establishments (PHE) reporting level. It is collected once for each PHE.

Mandatory1
-Establishment—bone marrow transplantation unit indicator, yes/no code N

Conditional obligation:

This metadata item is only required for the Public Hospital Establishments (PHE) reporting level. It is collected once for each PHE.

Conditional1
-Establishment—burns unit level III indicator, yes/no code N

Conditional obligation:

This metadata item is only required for the Public Hospital Establishments (PHE) reporting level. It is collected once for each PHE.

Conditional1
-Establishment—cardiac surgery unit indicator, yes/no code N

Conditional obligation:

This metadata item is only required for the Public Hospital Establishments (PHE) reporting level. It is collected once for each PHE.

Conditional1
-Establishment—clinical genetics unit indicator, yes/no code N

Conditional obligation:

This metadata item is only required for the Public Hospital Establishments (PHE) reporting level. It is collected once for each PHE.

Conditional1
-Establishment—clinical pharmacology and/or toxicology service indicator, yes/no code N

Conditional obligation:

This metadata item is only required for the Public Hospital Establishments (PHE) reporting level. It is collected once for each PHE.

Conditional1
-Establishment—comprehensive epilepsy centre indicator, yes/no code N

Conditional obligation:

This metadata item is only required for the Public Hospital Establishments (PHE) reporting level. It is collected once for each PHE.

Conditional1
-Establishment—coronary care unit indicator, yes/no code N

Conditional obligation:

This metadata item is only required for the Public Hospital Establishments (PHE) reporting level. It is collected once for each PHE.

Conditional1
-Establishment—diabetes unit indicator, yes/no code N

Conditional obligation:

This metadata item is only required for the Public Hospital Establishments (PHE) reporting level. It is collected once for each PHE.

Conditional1
-Establishment—domiciliary care service indicator, yes/no code N

Conditional obligation:

This metadata item is only required for the Public Hospital Establishments (PHE) reporting level. It is collected once for each PHE.

Conditional1
-Establishment—establishment type, sector and services provided code AN.N{.N}

Conditional obligation:

This metadata item is only required for the Public Hospital Establishments (PHE) reporting level. It is collected once for each PHE.

Conditional1
-Establishment—geriatric assessment unit indicator, yes/no code N

Conditional obligation:

This metadata item is only required for the Public Hospital Establishments (PHE) reporting level. It is collected once for each PHE.

Conditional1
-Establishment—heart lung transplantation unit indicator, yes/no code N

Conditional obligation:

This metadata item is only required for the Public Hospital Establishments (PHE) reporting level. It is collected once for each PHE.

Conditional1
-Establishment—hospice care unit indicator, yes/no code N

Conditional obligation:

This metadata item is only required for the Public Hospital Establishments (PHE) reporting level. It is collected once for each PHE.

Conditional1
-Establishment—Independent Hospital Pricing Authority funding designation, code N

Conditional obligation:

This metadata item is only required for the Public Hospital Establishments (PHE) reporting level. It is collected once for each PHE.

Conditional1
-Establishment—infectious diseases unit indicator, yes/no code N

Conditional obligation:

This metadata item is only required for the Public Hospital Establishments (PHE) reporting level. It is collected once for each PHE.

Conditional1
-Establishment—intensive care unit level III indicator, yes/no code N

Conditional obligation:

This metadata item is only required for the Public Hospital Establishments (PHE) reporting level. It is collected once for each PHE.

Conditional1
-Establishment—in-vitro fertilisation unit indicator, yes/no code N

Conditional obligation:

This metadata item is only required for the Public Hospital Establishments (PHE) reporting level. It is collected once for each PHE.

Conditional1
-Establishment—liver transplantation unit indicator, yes/no code N

Conditional obligation:

This metadata item is only required for the Public Hospital Establishments (PHE) reporting level. It is collected once for each PHE.

Conditional1
-Establishment—Local Hospital Network identifier, code NNN

DSS specific information:

This metadata item is collected at three levels:
 - State/Territory Health Authority reporting level. It is collected once for each State/Territory Health Authority.
 - Local Hospital Network (LHN) reporting level. It is collected once for each LHN.
 - Public Hospital Establishments (PHE) reporting level. It is collected once for each PHE.

Mandatory1
-Establishment—maintenance renal dialysis centre indicator, yes/no code N

Conditional obligation:

This metadata item is only required for the Public Hospital Establishments (PHE) reporting level. It is collected once for each PHE.

Conditional1
-Establishment—major plastic/reconstructive surgery unit indicator, yes/no code N

Conditional obligation:

This metadata item is only required for the Public Hospital Establishments (PHE) reporting level. It is collected once for each PHE.

Conditional1
-Establishment—neonatal intensive care unit level III indicator, yes/no code N

Conditional obligation:

This metadata item is only required for the Public Hospital Establishments (PHE) reporting level. It is collected once for each PHE.

Conditional1
-Establishment—neurosurgical unit indicator, yes/no code N

Conditional obligation:

This metadata item is only required for the Public Hospital Establishments (PHE) reporting level. It is collected once for each PHE.

Conditional1
-Establishment—nursing home care unit indicator, yes/no code N

Conditional obligation:

This metadata item is only required for the Public Hospital Establishments (PHE) reporting level. It is collected once for each PHE.

Conditional1
-Establishment—obstetric/maternity unit indicator, yes/no code N

Conditional obligation:

This metadata item is only required for the Public Hospital Establishments (PHE) reporting level. It is collected once for each PHE.

Conditional1
-Establishment—oncology unit indicator, yes/no code N

Conditional obligation:

This metadata item is only required for the Public Hospital Establishments (PHE) reporting level. It is collected once for each PHE.

Conditional1
-Establishment—organisation identifier (state/territory), NNNNN

DSS specific information:

This metadata item is collected at three levels:
 - State/Territory Health Authority reporting level. It is collected once for each State/Territory Health Authority.
 - Local Hospital Network (LHN) reporting level. It is collected once for each LHN.
 - Public Hospital Establishments (PHE) reporting level. It is collected once for each PHE.

Mandatory1
-Establishment—pancreas transplantation unit indicator, yes/no code N

Conditional obligation:

This metadata item is only required for the Public Hospital Establishments (PHE) reporting level. It is collected once for each PHE.

Conditional1
-Establishment—psychiatric unit/ward indicator, yes/no code N

Conditional obligation:

This metadata item is only required for the Public Hospital Establishments (PHE) reporting level. It is collected once for each PHE.

Conditional1
-Establishment—rehabilitation unit indicator, yes/no code N

Conditional obligation:

This metadata item is only required for the Public Hospital Establishments (PHE) reporting level. It is collected once for each PHE.

Conditional1
-Establishment—renal transplantation unit indicator, yes/no code N

Conditional obligation:

This metadata item is only required for the Public Hospital Establishments (PHE) reporting level. It is collected once for each PHE.

Conditional1
-Establishment—sector, code N

Conditional obligation:

This metadata item is only required for the Public Hospital Establishments (PHE) reporting level. It is collected once for each PHE.

DSS specific information:

To be reported as:

  1. Public (excluding psychiatric hospitals)
  2. Private (excluding free-standing day hospital facilities)
  3. Public psychiatric
  4. Private free-standing data hospital facility
Conditional1
-Establishment—sleep centre indicator, yes/no code N

Conditional obligation:

This metadata item is only required for the Public Hospital Establishments (PHE) reporting level. It is collected once for each PHE.

Conditional1
-Establishment—specialist paediatric unit indicator, yes/no code N

Conditional obligation:

This metadata item is only required for the Public Hospital Establishments (PHE) reporting level. It is collected once for each PHE.

Conditional1
-Establishment—teaching hospital affiliation with university indicator, teaching status code N

Conditional obligation:

This metadata item is only required for the Public Hospital Establishments (PHE) reporting level. It is collected once for each PHE.

Conditional1

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