Tier 2 Non-Admitted Services classification (version 2.0)

Identifying and definitional attributes

Metadata item type:Classification Scheme
METeOR identifier:501669
Registration status:Health, Superseded 07/03/2014
Independent Hospital Pricing Authority, Standard 31/10/2012
Definition:A classification for non-admitted patient service events based on the type and specialty of the health care professional providing the service and the nature of the non-admitted service.

A list of outpatient clinics was developed in 1997-98 as an outcome of the Developmental Ambulatory Classification Study conducted by the National Hospital Cost Data Collection (NHCDC).

During 2011, the list was updated from 89 to 107 clinics to accommodate the increase in services that were previously provided to inpatients being undertaken as outpatient services. This also included a full review of the classification in response to the 2011 National Health Reform Agreement (NHRA), which provided for the introduction of a national activity based funding (ABF) system. The aim was to develop a classification system for use with non-admitted services for ABF purposes.

Classification structure:

Tier 2 classes provide a consistent framework for counting non-admitted service events. They are based on an assessment of both the type and specialty of the health care professional providing the service and the nature of the service provided. This has resulted in a number of classes that is sufficient to ensure clinical meaningfulness and exclusivity across the spectrum of non-admitted services.

The classes are also grouped into a number of categories that reflects the type of service provided and the health care professionals that typically provide the service. The classes are grouped into four categories, as follows:

  • Procedures
  • Medical consultation
  • Stand-alone diagnostic
  • Allied health/clinical nurse specialist intervention

Source and reference attributes

Submitting organisation:Independent Hospital Pricing Authority

Independent Hospital Pricing Authority, 2012. Tier 2 Outpatient Clinic Definitions (version 2.0). Independent Hospital Pricing Authority, Canberra. Viewed 8 March 2013, http://www.ihpa.gov.au/internet/ihpa/publishing.nsf/Content/non-admitted-care

Relational attributes

Related metadata references:

Has been superseded by Tier 2 Non-Admitted Services classification (version 3.0) Health, Standard 07/03/2014, Tasmanian Health, Archived 23/11/2016

Value Domains based on this classification scheme:

Non-admitted service type code (Tier 2 v2.0) NN.NN Health, Superseded 28/08/2014
WA Health, Endorsed 19/03/2015
Independent Hospital Pricing Authority, Standard 31/10/2012