National Health Performance Authority, Hospital Performance: Comparable Cost of Care, 2015
Identifying and definitional attributes
|Metadata item type:||Indicator|
|Short name:||Comparable Cost of Care|
|Registration status:||National Health Performance Authority (retired), Retired 01/07/2016|
|Description:||Comparable Cost of Care measures the relative efficiency of major and large Australian hospitals by using comparable costs and weighted 'units of activity'. Comparable costs refer to the subset of costs attributable to acute admitted patients that are considered to be nationally comparable across hospitals. Admitted patient admissions are weighted based on the complexity of the patient as well as other patient specific costs drivers.|
|Indicator set:||National Health Performance Authority: Hospital performance: 2011-16 National Health Performance Authority (retired), Retired 01/07/2016|
|Outcome area:||Hospital and Related Care Health, Standard 07/07/2010|
National Health Performance Authority (retired), Retired 01/07/2016
Collection and usage attributes
Comparable Cost of Care is derived from the National Hospital Cost Data Collection Round 16 (2011-12). This collection is managed by the Independent Hospital Pricing Authority. The full dataset specification can be found at http://www.ihpa.gov.au/internet/ihpa/publishing.nsf/Content/nat-hosp-cost-data-
Hospital admissions are in-scope for Comparable Cost of Care and Total 'units of activity' if:
|Computation:||Total in-scope costs ÷ Total 'units of activity'|
Comparable Costs are derived from the National Hospital Data Collection (NHCDC) Round 16 (2011-12). Admitted patient costs are attributed to cost buckets based on the type of cost incurred, including whether it is deemed to be a 'direct' cost or an 'overhead' cost.
The following patients (funding sources) are in-scope for Comparable Cost of Care:
Emergency Department costs
For patients that are admitted to the hospital through the Emergency Department (ED), the costs incurred during the patients stay in the ED have been added to the costs incurred during the patient's admission.
In some instances, private patient costs may not be fully recorded in the hospital's general ledger and subsequently not be accounted for in the NHCDC. To improve the comparability of hospitals with differing private and public patient casemixes, Comparable Cost of Care inflates the costs submitted to the NHCDC based on a hospitals percentage of private patients. This approach models the percentage of private patient costs that are not reported in the general ledger based on analysis of the Hospital Casemix Protocol dataset.
Indicator: National Health Performance Authority, Hospital Performance: Total 'units of activity', 2011-12.
Total 'units of activity' measures the weighted activity units that are in-scope for the Comparable Cost of Care indicator. To enable fair comparisons, admitted patients are weighted based on the complexity of the patient as well as other patient specific cost drivers.
For the specification for this indicator see;
|Disaggregation data elements:|
|Representation class:||Mean (average)|
|Data type:||Monetary amount|
|Unit of measure:||Currency|
|Format:||Presented values are rounded to the nearest $100|
Indicator conceptual framework
|Framework and dimensions:||PAF-Efficiency|
|Reporting requirements:||National Health Performance Authority - Performance and Accountability Framework|
Source and reference attributes
|Submitting organisation:||National Health Performance Authority|