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Available bed—neonatal admitted care (Non-special-care)

Metadata item type:Help on this termData Element Concept
METeOR identifier:Help on this term373638
Registration status:Help on this termHealth, Standard 03/12/2008
Definition:Help on this termThe number of cots available to provide neonatal care other than those provided in special care accommodation.

Object Class attributes

Identifying and definitional attributes

Object class:Available bed
Definition:Help on this termA suitably located and equipped bed chair, trolley or cot where the necessary financial and human resources are provided for admitted patient care.
Specialisation of:Help on this termOrganisation

Collection and usage attributes

Comments:Help on this term

This item supports a number of metadata items developed during 2007-08 to replace Establishment – number of available beds for admitted patients, average. The new definitions improve on the counting rules, the definition of availability and provide for the separate reporting of overnight-stay beds, same-day beds, hospital-in-the-home beds and neonatal cots (non-special-care).

During the development phase, it became clear that there are a multitude of bed descriptors, other than 'available', in use. In order to provide clarity in relation to 'available beds' other known terms are defined below:

  • Active beds – alternative term for 'available beds'.
  • Approved beds – the maximum number of beds that the hospital is authorised to have. This may exceed the number of physical beds.
  • Base beds - alternative term for 'available beds'.
  • Bed alternatives (QLD) – this term is used to describe furniture, other than beds in overnight wards, such as trolleys, chairs and cots, which provide accommodation for admitted patients – e.g. chairs/trolleys accommodating chemotherapy and dialysis patients. 
  • Bed Equivalents (NSW) – a method of equating same day beds to overnight beds – not necessary if counting overnight and same day beds separately.
  • Capacity – term which can be used in conjunction with either available or physical beds, but more often the latter – to indicate the maximum number of beds that could be made available, given the appropriate level of funds and nursing and auxiliary staff.
  • Designated beds – term used to describe beds set aside for specialist care, e.g. mental health. 
  • Flex beds – see 'surge/flex beds' below.
  • Funded beds – may equate to 'available beds' unless the necessary human resources cannot be provided (e.g. due to a strike or nursing shortage).
  • Licensed beds – this is an alternative term for 'approved beds', more commonly used for private hospitals where the maximum number of beds is often specified as part of the registration process.
  • Medi-hotel bed – this term is used for beds in a non-ward residential service maintained and/or paid for by the hospital, as a substitute for traditional hospital ward accommodation. Residents may be accommodated in a medi-hotel overnight and be admitted as same-day patients or receive non-admitted patient services during the day. They may be accommodated in the medi-hotel before, during or after a multi-day admitted episode. Unlike hospital-in-the-home, however, no clinical services are provided in the medi-hotel and a significant decline in medical condition would always necessitate return from the medi-hotel to the hospital's Emergency Department or other ward. Thus residents are not reported as admitted while in the medi-hotel (unless they are on leave) and the medi-hotel beds are not counted as available for admitted patients.
  • Occupied/Unoccupied beds – categorisation of available beds – a bed is occupied if there is a patient physically in the bed or the bed is being retained for a patient (e.g. the patient is receiving treatment or is on leave). Beds may be available but not occupied, e.g. an 8 bed ward may be fully staffed, but only 7 beds are occupied. Also if a patient has left a bed to receive a different care type and will not be returning within 24 hours, the bed is not occupied.
  • Occupancy Rate – calculated by dividing total bed days in a period by the product of the available beds and the days in the period – e.g. if in a non-leap year patients accumulated 33,000 bed days in a hospital with 100 overnight-stay beds, the occupancy rate = 33,000/(365*100) = 90.4%. N.B. Occupancy rates calculated for same-day beds could exceed 100%.
  • Open beds - alternative term for 'available beds'.
  • Operational beds - alternative term for 'available beds'.
  • Physical beds – the maximum number of beds that could be made available, given the appropriate level of funds and nursing and auxiliary staff.
  • Seasonal beds – describes the movement in the number of available beds due to seasonal factors.
  • Staffed beds – may equate to 'available beds' or may be lower depending on demand.
  • Surge/flex beds (NSW) or Flex beds (SA) – the increase in the number of available beds that could be made by making arrangements for additional nursing and auxiliary staff, In other words, the number of surge/flex beds is the difference between the number of physical beds and the number of available beds.
  • Swing beds – beds that can alternate between different types of care. Depending on the context, swing beds can be thought of as a sub-category of physical beds or available beds.
  • Virtual bed – this term is used to denote a nominal location which the patient is held against in the hospital’s patient administration system. This is because in the patient administration system each admitted patient needs to be held against a bed whether or not they are in a physical bed. For example, if a neonate is sharing a bed with the mother (e.g. in a birth centre) a cot may not be set up. Hospital-in-the-home (HITH) patients may also be held in a virtual bed.

Property attributes

Identifying and definitional attributes

Property:Neonatal admitted care (Non-special-care)
Definition:Help on this term

Care provided to non-special-care neonatal patients. This is neonatal care not provided in an intensive care facility nor in accommodation approved by the Commonwealth Health Minister for the purpose of the provision of special care.

Property group:Help on this termMaterial resource characteristics

Data element concept attributes

Relational attributes

Data Elements implementing this Data Element Concept:Help on this term

Available bed—neonatal admitted care (Non-special-care), average number of beds N[NNN.N] Health, Standard 03/12/2008

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