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Contracted hospital care

Identifying and definitional attributes

Metadata item type:Help on this termObject Class
METeOR identifier:Help on this term268981
Registration status:Help on this termHealth, Standard 01/03/2005
National Health Performance Authority (retired), Retired 01/07/2016
ACT Health, Final 09/08/2018
Definition:Help on this termContracted hospital care is provided to a patient under an agreement between a purchaser of hospital care (contracting hospital or external purchaser) and a provider of an admitted or non-admitted service (contracted hospital).
Specialisation of:Help on this termService/care event

Collection and usage attributes

Guide for use:Help on this term

Related contracted hospital care metadata items should only be completed where services are provided which represent some, but not all of the contracted hospital's total services. It is not necessary to complete contracted hospital care items where all of the hospital services are contracted by a health authority, e.g. privately owned and/or operated public hospitals.

Contracted hospital care must involve all of the following:

  • a purchaser, which can be a public or private hospital, or a health authority (department or region) or another external purchaser
  • a contracted hospital, which can be a public or private hospital or day procedure centre
  • the purchaser paying the contracted hospital for the contracted service; thus, services provided to a patient in a separate facility during their episode of care, where the patient is directly responsible for payment of this additional service, are not considered contracted services for reporting purposes
  • the patient being physically present in the contracted hospital for the provision of the contracted service.

Thus, pathology or other investigations performed at another location on specimens gathered at the contracting hospital would not be considered contracted services for reporting purposes.

Allocation of diagnosis and procedure codes should not be affected by the contract status of an episode: the Australian Coding Standards should be applied when coding all episodes. In particular, procedures which would not otherwise be coded should not be coded solely because they were performed at another hospital under contract.

Procedures performed by a health care service (i.e. not a recognised hospital) should be coded if appropriate but are not considered to be contracted hospital procedures.

Any Diagnosis Related Group (DRG) derived for episodes involving contracted hospital care, should reflect the total treatment provided (all patient days and procedures), even where part of the treatment was provided under contract by another hospital.

Relational attributes

Related metadata references:Help on this term

Supersedes Contracted hospital care, version 1, DEC, NHDD, NHIMG, Superseded 01/03/2005.pdf (15.9 KB)

Data Element Concepts implementing this Object Class:Help on this term

Contracted hospital care—contracted care commencement date Health, Standard 01/03/2005

Contracted hospital care—contracted care completed date Health, Standard 01/03/2005

Contracted hospital care—organisation identifier Health, Standard 01/03/2005
National Health Performance Authority (retired), Retired 01/07/2016
ACT Health, Final 09/08/2018

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