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National Health Performance Authority, Healthy Communities: Expenditure on specialist attendances, 2012–13

Identifying and definitional attributes

Metadata item type:Help on this termIndicator
Indicator type:Help on this termIndicator
Short name:Help on this termExpenditure on specialist attendances, 2012–13
METeOR identifier:Help on this term547958
Registration status:Help on this termNational Health Performance Authority (retired), Retired 01/07/2016
Description:Help on this termThe average expenditure on non-hospital specialist attendances per person in a year.
Indicator set:Help on this termNational Health Performance Authority: Healthy Communities: 2011– National Health Performance Authority (retired), Retired 01/07/2016

Collection and usage attributes

Population group age from:Help on this termAll ages
Computation description:Help on this term

Average Medicare benefits expenditure per person for non-hospital specialist attendances.

Attendances in this indicator are non-hospital specialist attendances.

Specialist attendances are Medicare benefit funded referred patient/doctor encounters, such as visits, consultations and attendances (including video conferencing), involving medical practitioners who have been recognised as specialists or consultant physicians for Medicare benefits purposes.

Specialist attendances comprise all items in Broad Type of Services Group 'C', as published in official MBS statistics by the Department of Human Services and the Department of Health.

In terms of the MBS structure, specialist attendances comprise all items in Group A3 (specialist attendances to which no other item applies), Group A4 (consultant physician attendances to which no other item applies), Group A8 (consultant psychiatrist attendances to which no other item applies), Group A9 (contact lens attendances), Group A12 (consultant occupational physician attendances to which no other item applies), Group A13 (public health physician attendances to which no other item applies), Group A15, Subgroup 2, but only Items 820 - 880 (case conferences) , Group A21 (medical practitioner (emergency physician) attendances to which no other item applies), Group A24 (pain and palliative medicine), Group A26 (neurosurgery attendances to which no other item applies), Group A28 (geriatric medicine), Group A29 (early intervention for children with autism, pervasive developmental disorder or disability) and Group T6, Subgroup 1 (anaesthesia consultations)

Rates directly age-standardised to the 2001 Australian population.

Total Medicare benefits expenditure for relevant attendances/visits – source MBS claims data.

Total Estimated Resident Population (ERP) as supplied by ABS.

In undertaking age standardisation of MBS data, the age of each person was determined from the last MBS service of any type, processed by the Department of Human Services in 2012–13.  All MBS services for each individual processed in 2012–13 were attributed to the age in question.

For MBS data, Medicare Local and SA3 were determined having regard to the enrolment postcode for each person from the last MBS service of any type, processed by the Department of Human Services in 2012–13.  All MBS services for each individual processed in 2012–13, were attributed to the postcode in question. 

MBS postcode level data were allocated to Medicare Local and SA3 regions using concordance files provided by the ABS.

Numerator based on Medicare (MBS) data provided by Department of Health for the financial year of processing, 2012–13.

Denominator data – Estimated Resident Population at 30 June 2012 provided by the ABS. 

Data elements used in computing the numerator were MBS item number, age of patient (based on age derived from the last MBS service processed for each individual in 2011–12) and patient enrolment postcode (based on the enrolment postcode from the last MBS service processed for each individual in 2011–12).

Presented per person.

Before MBS data are published by NHPA all confidential data cells are suppressed.

The current definition of confidential data is as follows:

  • For number of MBS services and Medicare benefits expenditure:
    • if number of services is less than 6 or
    • if number of services is equal to or greater than 6 but
      • one provider provides more than 85% of services or two providers provide more than 90% of services or
      • one patient receives more than 85% of services or two patients receive more than 90% of services.
  • If data on number of services is confidential, corresponding data on other measures such as MBS benefit paid is also regarded as confidential.
Computation:Help on this term

Numerator ÷ Denominator

Expenditure on specialist attendances

Expenditure on specialist attendances, age-standardised

Expenditure on specialist attendances variations within Medicare Locals

Expenditure on specialist attendances variations within Medicare Locals, age-standardised

Numerator:Help on this termTotal Medicare benefits expenditure for specialist attendances claimed through the Medicare Benefits Schedule (MBS)
Numerator data elements:Help on this term
Data Element / Data SetPerson—Medicare Benefits Schedule (MBS) benefit for specialist service, total Australian currency N[N(8)]
Data Source
Medicare (MBS) data
Guide for use
Data source type: Administrative by-product data
Data Element / Data SetPerson—age, total years N[NN]
Data Source
Medicare (MBS) data
Guide for use
Data source type: Administrative by-product data
Data Element / Data SetService event—Medicare Benefits Schedule (MBS) processing date, DDMMYYYY
Data Source
Medicare (MBS) data
Guide for use
Data source type: Administrative by-product data
Data Element / Data SetPerson—specialist MBS health assessment indicator, yes/no code N
Data Source
Medicare (MBS) data
Guide for use

Data source type: Administrative by-product data.

A count of Yes's is used for the numerator.


Denominator:Help on this termTotal estimated resident population (ERP)
Denominator data elements:Help on this term
Data Element / Data SetPerson—estimated resident population of Australia, total people N[N(7)]
Data Source
ABS Estimated resident population (total population)
Disaggregation:Help on this termBy Medicare Local catchments, Medicare Local peer groups and Statistical Area 3
Disaggregation data elements:Help on this term
Data Element / Data SetAdministrative health region—Medicare Local identifier, code AANNN
Data Element / Data SetAdministrative health region—Medicare Local peer group, code N
Data Element / Data SetAddress—statistical area, level 3 (SA3) code (ASGS 2011) NNNNN
Comments:Help on this termApart from services involving eligible war veterans and their dependents, MBS has complete coverage for out-of-hospital, but only covers private services in hospital. Since MBS specialist attendances data do not include attendances involving public patients in hospital and public outpatients, MBS specialist attendances data have only been published for non-hospital specialist attendances.

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 term$NN.NN

Indicator conceptual framework

Framework and dimensions:Help on this termPAF-Efficiency

Data source attributes

Data sources:Help on this term
Data SourceMedicare (MBS) data
Frequency
Monthly
Data custodian
Department of Health

Data SourceABS Estimated resident population (total population)
Frequency
Quarterly
Quality statement
ABS Estimated resident population (total population), QS
Data custodian
Australian Bureau of Statistics

Accountability attributes

Methodology:Help on this termNational Health Performance Agreement-Performance and Accountability Framework
Organisation responsible for providing data:Help on this term

For MBS Department of Health

For ERP Australian Bureau of Statistics

Accountability:Help on this termNational Health Performance Authority 

Source and reference attributes

Submitting organisation:Help on this termNational Health Performance Authority
Origin:Help on this termHealthy Communities
Reference documents:Help on this termNational Health Performance Agreement-Performance and Accountability Framework

Relational attributes

Related metadata references:Help on this term

Supersedes National Health Performance Authority, Healthy Communities: Expenditure on specialist attendances, 2011–12 National Health Performance Authority (retired), Superseded 27/03/2014

Has been superseded by National Health Performance Authority, Healthy Communities: Expenditure on specialist attendances, 2013–14 National Health Performance Authority (retired), Retired 01/07/2016

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