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National Healthcare Agreement: PI 69-Cost per casemix adjusted separation, 2011

Identifying and definitional attributes

Metadata item type:Help on this termIndicator
Indicator type:Help on this termProgress measure
Short name:Help on this termPI 69-Cost per casemix adjusted separation, 2011
METeOR identifier:Help on this term421565
Registration status:Help on this termHealth, Superseded 31/10/2011
Description:Help on this termAverage cost per casemix-adjusted separation for acute and non-acute care in public and private hospitals.
Indicator set:Help on this termNational Healthcare Agreement (2011) Health, Superseded 31/10/2011
Outcome area:Help on this termSustainability Health, Standard 07/07/2010
Quality statement:Help on this termNational Healthcare Agreement: PI 69-Cost per casemix adjusted separation, 2011 QS Health, Superseded 04/12/2012

Collection and usage attributes

Computation description:Help on this term

Excludes newborns with no qualified days, and records that do not relate to admitted patients (boarders and posthumous organ procurement).

Limited to public hospitals in 2007-08 and 2008-09.

National Hospital Cost Data Collection (NHCDC) cost weights for the reporting year (or most recently available) will be used to calculate casemix-adjusted separations.

Casemix adjustment is based on the Australian Refined Diagnosis Related Group (AR-DRG) assigned to each separation.

Data are provided in both current and constant prices (deflated by the ABS Government Final Consumption Expenditure, State and Local—Hospitals and Nursing Homes deflator).

Recurrent expenditure is the expenditure measured in Australian dollars incurred by establishments for a financial year.

Depreciation charges are measured in Australian dollars for a financial year.

IFRAC (inpatient fraction) is the ratio of admitted patient costs to total hospital costs—also known as the admitted patient cost proportion.

Casemix refers to the range and types of patients treated by a hospital or health service.

Presented as dollars.

Computation:Help on this termNumerator ÷ Denominator
Numerator:Help on this term

Total reported recurrent expenditure (excluding depreciation) multiplied by the admitted patient cost proportion (IFRAC) reported for each hospital.

Numerator data elements:Help on this term
Data Element / Data SetEstablishment—recurrent expenditure (salaries and wages) (financial year), total Australian currency N[N(8)]
Data Source
National Public Hospital Establishment Database (NPHED)
NMDS / DSS
Public hospital establishments NMDS 2008-09
Guide for use
Data source type: Administrative by-product data
Data Element / Data SetEstablishment—recurrent expenditure (administrative expenses) (financial year), total Australian currency N[N(8)]
Data Source
National Public Hospital Establishment Database (NPHED)
NMDS / DSS
Public hospital establishments NMDS 2008-09
Guide for use
Data source type: Administrative by-product data
Data Element / Data SetEstablishment—recurrent expenditure (domestic services) (financial year), total Australian currency N[N(8)]
Data Source
National Public Hospital Establishment Database (NPHED)
NMDS / DSS
Public hospital establishments NMDS 2008-09
Guide for use
Data source type: Administrative by-product data
Data Element / Data SetEstablishment—recurrent expenditure (drug supplies) (financial year), total Australian currency N[N(8)]
Data Source
National Public Hospital Establishment Database (NPHED)
NMDS / DSS
Public hospital establishments NMDS 2008-09
Guide for use
Data source type: Administrative by-product data
Data Element / Data SetEstablishment—recurrent expenditure (food supplies) (financial year), total Australian currency N[N(8)]
Data Source
National Public Hospital Establishment Database (NPHED)
NMDS / DSS
Public hospital establishments NMDS 2008-09
Guide for use
Data source type: Administrative by-product data
Data Element / Data SetEstablishment—recurrent expenditure (interest payments) (financial year), total Australian currency N[N(8)]
Data Source
National Public Hospital Establishment Database (NPHED)
NMDS / DSS
Public hospital establishments NMDS 2008-09
Guide for use
Data source type: Administrative by-product data
Data Element / Data SetEstablishment—recurrent expenditure (medical and surgical supplies) (financial year), total Australian currency N[N(8)]
Data Source
National Public Hospital Establishment Database (NPHED)
NMDS / DSS
Public hospital establishments NMDS 2008-09
Guide for use
Data source type: Administrative by-product data
Data Element / Data SetEstablishment—recurrent expenditure (other recurrent expenditure) (financial year), total Australian currency N[N(8)]
Data Source
National Public Hospital Establishment Database (NPHED)
NMDS / DSS
Public hospital establishments NMDS 2008-09
Guide for use
Data source type: Administrative by-product data
Data Element / Data SetEstablishment—recurrent expenditure (patient transport cost) (financial year), total Australian currency N[N(8)]
Data Source
National Public Hospital Establishment Database (NPHED)
NMDS / DSS
Public hospital establishments NMDS 2008-09
Guide for use
Data source type: Administrative by-product data
Data Element / Data SetEstablishment—recurrent expenditure (visiting medical officer payments) (financial year), total Australian currency N[N(8)]
Data Source
National Public Hospital Establishment Database (NPHED)
NMDS / DSS
Public hospital establishments NMDS 2008-09
Guide for use
Data source type: Administrative by-product data
Data Element / Data SetEstablishment—recurrent expenditure (repairs and maintenance) (financial year), total Australian currency N[N(8)]
Data Source
National Public Hospital Establishment Database (NPHED)
NMDS / DSS
Public hospital establishments NMDS 2008-09
Guide for use
Data source type: Administrative by-product data
Data Element / Data SetEstablishment—recurrent expenditure (superannuation employer contributions) (financial year), total Australian currency N[N(8)]
Data Source
National Public Hospital Establishment Database (NPHED)
NMDS / DSS
Public hospital establishments NMDS 2008-09
Guide for use
Data source type: Administrative by-product data
Denominator:Help on this termTotal casemix-adjusted separations reported for acute care public and private hospitals.
Denominator data elements:Help on this term
Data Element / Data SetEpisode of admitted patient care—diagnosis related group, code (AR-DRG v5.1) ANNA
Data Source
National Hospital Morbidity Database (NHMD)
NMDS / DSS
Admitted patient care NMDS 2008-09
Guide for use
Data source type: Administrative by-product data
Data Element / Data SetHospital service—care type, code N[N].N
Data Source
National Hospital Morbidity Database (NHMD)
NMDS / DSS
Admitted patient care NMDS 2008-09
Guide for use
Data source type: Administrative by-product data
Data Element / Data SetData Element
AR-DRG version 5.1 public sector cost weights (2008-09)
Data Source
National Hospital Cost Data Collection (NHCDC)
Guide for use
Data source type: Study of selected volunteer hospitals
Disaggregation:Help on this term

Disaggregation: 2007–08 and 2008–09—States and territory, by public hospital peer group  

Disaggregation data elements:Help on this term
Data Element / Data SetEstablishment—organisation identifier (Australian), NNX[X]NNNNN
Data Source
National Public Hospital Establishment Database (NPHED)
NMDS / DSS
Public hospital establishments NMDS 2008-09
Guide for use
Data source type: Administrative by-product data
Data Element / Data SetData Element
Public hospital peer group
Data Source
National Public Hospital Establishment Database (NPHED)
NMDS / DSS
Public hospital establishments NMDS 2008-09
Guide for use
Data source type: Administrative by-product data
Comments:Help on this term

Most recent data available for 2011 CRC report: 2007–08 (possible backcast for constant prices) and 2008–09.

Representational attributes

Representation class:Help on this termMean (average)
Data type:Help on this termMonetary amount
Unit of measure:Help on this termCurrency
Format:Help on this termNNNN

Indicator conceptual framework

Framework and dimensions:Help on this termEfficiency & Sustainability

Data source attributes

Data sources:Help on this term
Data SourceNational Public Hospital Establishment Database (NPHED)
Frequency
Annual
Data custodian
Australian Institute of Health and Welfare

Data SourceNational Hospital Morbidity Database (NHMD)
Frequency
Annual
Quality statement
Data quality statement: National Hospital Morbidity Database 2013–14
Data custodian

Australian Institute of Health and Welfare



Data SourceNational Hospital Cost Data Collection (NHCDC)
Frequency
Annual
Data custodian

Department of Health and Ageing


Accountability attributes

Reporting requirements:Help on this termNational Healthcare Agreement
Organisation responsible for providing data:Help on this termAustralian Institute of Health and Welfare
Further data development / collection required:Help on this termSpecification: Interim
Other issues caveats:Help on this term

Data limited to public hospitals in 2007-08 and 2008-09.

For detailed definitions see NHPC 2004 National Report on Health Sector Performance Indicators 2003.

Calculation of cost per casemix-adjusted separations for private hospitals would require information on recurrent expenditure and admitted patient cost proportion for individual private hospital establishments, and casemix-adjusted separations for private hospitals. Comparison across public and private sectors would require information on costs excluded from private hospital expenditure that are charged to the Medicare Benefits Schedule (MBS)/Pharmaceutical Benefits Scheme (PBS).

Relational attributes

Related metadata references:Help on this term

Supersedes National Healthcare Agreement: P69-Cost per casemix adjusted separation, 2010 Health, Superseded 08/06/2011

Has been superseded by National Healthcare Agreement: PI 69-Cost per casemix adjusted separation, 2012 Health, Retired 25/06/2013

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