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National Health Performance Authority, Hospital Performance: Comparable Cost of Care, 2015

Identifying and definitional attributes

Metadata item type:Help on this termIndicator
Indicator type:Help on this termIndicator
Short name:Help on this termComparable Cost of Care
Synonymous names:Help on this termCCC
METeOR identifier:Help on this term602633
Registration status:Help on this termNational Health Performance Authority (retired), Retired 01/07/2016
Description:Help on this termComparable 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:Help on this termNational Health Performance Authority: Hospital performance: 2011-16 National Health Performance Authority (retired), Retired 01/07/2016
Outcome area:Help on this termHospital and Related Care Health, Standard 07/07/2010
National Health Performance Authority (retired), Retired 01/07/2016

Collection and usage attributes

Computation description:Help on this term

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-
collection-round-16

Hospital admissions are in-scope for Comparable Cost of Care and Total 'units of activity' if:

  • The patient is classified as an acute admission
  • The patient was admitted and discharged within the 2011-12 financial year
  • The patient has a non-error AR-DRG 6.x
Computation:Help on this termTotal in-scope costs ÷ Total 'units of activity'
Numerator:Help on this term

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 costs are in-scope for Comparable Cost of Care:

Description           

Direct

Indirect

Allied Health Cost Bucket

Include

Include

Critical Care Cost Bucket

Include

Include

Emergency Department Cost Bucket

Include

Include

Emergency Department PRO Cost Bucket

Include

Include

Hotel Cost Bucket

Include

Include

Imaging Cost Bucket

Include

Include

Non-Clinical Cost Bucket

Include

Include

Oncost Cost Bucket

Include

Include

Operating Room Cost Bucket

Include

Include

Pathology Cost Bucket

Include

Include

Pharmacy Cost Bucket

Include

Include

Prosthetic Cost Bucket

Include

Include

Specialised Procedure Suite Cost Bucket

Include

Include

Ward Supplies Cost Bucket

Include

Include

Ward (Medical) Cost Bucket

Include

Include

Ward (Nursing) Cost Bucket

Include

Include

 

The following patients (funding sources) are in-scope for Comparable Cost of Care:

  • Australian Healthcare agreement
  • Private Health Insurance
  • Self-funded
  • Workers compensations
  • Motor vehicle accident insurance
  • Other compensation
  • Department of Veterans’ Affairs (DVA)
  • Department of Defence
  • Correctional facility
  • Other hospital or public authority Reciprocal HCA
  • Other
  • No charge raised
  • Unknown 

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.

Private Patients

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.

Denominator:Help on this term

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;

http://meteor.aihw.gov.au/content/index.phtml/itemId/602645

Disaggregation:Help on this termHospital
Disaggregation data elements:Help on this term
Data Element / Data SetEstablishment—organisation identifier (Australian), NNX[X]NNNNN

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 termPresented values are rounded to the nearest $100

Indicator conceptual framework

Framework and dimensions:Help on this termPAF-Efficiency

Accountability attributes

Reporting requirements:Help on this termNational Health Performance Authority - Performance and Accountability Framework
Release date:Help on this term30/04/2015

Source and reference attributes

Submitting organisation:Help on this termNational Health Performance Authority
Origin:Help on this termHospital Performance
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