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Episode of admitted patient care—patient election status, code N

Identifying and definitional attributes

Metadata item type:Help on this termData Element
Short name:Help on this termAdmitted patient election status
METeOR identifier:Help on this term703422
Registration status:Help on this termHealth, Standardisation pending 04/10/2018
Independent Hospital Pricing Authority, Proposed 24/09/2018
Definition:Help on this term

Accommodation chargeable status elected by a patient on admission, as represented by a code.

Data Element Concept:Episode of admitted patient care—patient election status

Value domain attributes

Representational attributes

Representation class:Help on this termCode
Data type:Help on this termNumber
Format:Help on this termN
Maximum character length:Help on this term1
Permissible values:Help on this term
ValueMeaning
1Public
2Private

Collection and usage attributes

Guide for use:Help on this term

CODE 1 Public patient:

A person, eligible for Medicare, who receives or elects to receive a public hospital service free of charge.

Includes: patients in public psychiatric hospitals who do not have the choice to be treated as a private patient. Also includes overseas visitors who are covered by a reciprocal health care agreement, and who elect to be treated as public patients.

CODE 2 Private patient:

Health Reform Agreement 2011 states that eligible persons are to be given the choice to received, free of charge as public patients, health and emergency services.
Before, at the time of, or as soon as possible after admission for a public hospital service, the patient must elect in writing to be treated as either a public patient or a private patient.

Clause 49 states that:

Private patients, compensable patients and ineligible persons may be charged an amount for public hospital services as determined by (the state or territory).

All patients in private hospitals (other than those receiving public hospital services and electing to be treated as a public patient) are private patients.

Includes: all patients who are charged (regardless of the level of the charge) or for whom a charge is raised for a third party payer (for example, Department of Veterans’ Affairs and Compensable patients). Also includes patients who are Medicare ineligible and receive public hospital services free of charge at the discretion of the hospital, and prisoners, who are Medicare ineligible while incarcerated.

Data element attributes

Collection and usage attributes

Guide for use:Help on this term

Health Reform Agreement 2011 states that eligible persons are to be given the choice to received, free of charge as public patients, health and emergency services.
Before, at the time of, or as soon as possible after admission for a public hospital service, the patient must elect in writing to be treated as either a public patient or a private patient.

This item is independent of the patient’s hospital insurance status and room type.

Notes:
Inability to sign: In cases where the patient is unable to complete the patient election form, the patient should be assumed to be a public patient.

Compensation funding decisions: A patient may be recorded as a public patient as an interim patient election status while the patient’s compensable status is being decided.

Inter-hospital contracted care: If the patient receives inter-hospital contracted care the following guidelines can be used if no further information is available:

  • If the patient received contracted care that was purchased by a public hospital then it will be assumed that they elected to be treated as a public patient.
  • If the patient received contracted care that was purchased by a private hospital then it will be assumed that they elected to be treated as a private patient.

Source and reference attributes

Submitting organisation:Help on this term

Independent Hospital Pricing Authority

Relational attributes

Related metadata references:Help on this term

Supersedes Episode of admitted patient care—patient election status, code N Health, Standard 23/10/2006, Tasmanian Health, Endorsed 08/09/2016, Commonwealth Department of Health, Candidate 16/07/2015, ACT Health, Final 09/08/2018

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