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Local Hospital Networks/Public hospital establishments NMDS 2020–21

Identifying and definitional attributes

Metadata item type:Help on this termData Set Specification
METeOR identifier:Help on this term713848
Registration status:Help on this termHealth, Candidate 11/11/2019
DSS type:Help on this termNational Minimum Data Set (NMDS)
Scope:Help on this term

The scope of the Local Hospital Networks/Public hospital establishments national minimum data set (LHN/PHE NMDS) includes three levels of hierarchical reporting:

  • The Public hospital establishments (PHE) component includes establishment-level data for public acute and psychiatric hospitals, and alcohol and drug treatment centres. Hospitals specialising in dental, ophthalmic aids and other specialised acute medical or surgical care are also included in PHE. Hospitals operated by the Australian Defence Force, corrections authorities and Australia's external territories are also not included.
  • The Local Hospital Networks (LHN) excludes data for hospital establishments which are already reported through the Public hospital establishments component. Local Hospital Networks are defined as those entities recognised as such by the relevant state or territory health authority.
  • At the jurisdictional level, all public hospital services that are managed by a state or territory health authority and are included in the General List of In-scope Public Hospital Services, which has been developed under the National Health Reform Agreement (2011) (NHRA) and excluding data which are already reported in the PHE or LHN levels.

Collection and usage attributes

Statistical unit:Help on this term

PHE, LHN or health authority (depending on reporting level)

Guide for use:Help on this term

The following are principles of the collection. States and territories should consider these principles when providing data.

  1. Data should be reported by states and territories at the level relevant to service management and/or provision.
  2. The LHN/PHE NMDS should capture and differentiate between in-scope and out-of-scope of the NHRA.
  3. The LHN/PHE NMDS must specify where financial data elements are reporting actual data and where they are reporting estimated data.
  4. Where possible, the LHN/PHE NMDS should align with the Government health expenditure NMDS (GHE NMDS), so it is able to function as a subset of the GHE NMDS if required.
  5. Reporting on expenditure relating to contracted care requires less detail than other expenditure and activity.
  6. Where possible, the changes to the PHE component of the NMDS should maintain the ability to report time series data from previous years.

Similar data for private hospitals and free-standing day hospital facilities for PHE are collected by the Australian Bureau of Statistics in the Private Health Establishments Collection.

Recurrent expenditure and related revenue data reported to the LHN/PHE NMDS should reconcile with published financial statements.

Actual recurrent expenditure and related revenue data are expected to be reported at the level at which they appear in the general ledger, regardless of whether all components are a 'public hospital service' under the NHRA. Expenditure and revenue data are not expected to be apportioned to a lower level.

Expenditure data are reported in two ways:

The total recurrent expenditure by product stream should equal the total recurrent expenditure by general ledger line item.

For the purposes of the LHN/PHE NMDS, funding from the Australian Government, state and territory health authorities and other state and territory government departments is considered to be revenue and should be reported as such.

Collection methods:Help on this term

Some data for this NMDS are sourced from the state or territory health authority general ledger. Some other data are maintained at the LHN or hospital and are forwarded to the relevant state or territory health authority for inclusion.

National reporting arrangements

State and territory health authorities provide the data to the Australian Institute of Health and Welfare for national collation, on an annual basis.

Periods for which data are collected and nationally collated

Financial years ending 30 June each year.

Implementation start date:Help on this term01/07/2020
Implementation end date:Help on this term30/06/2021
Comments:Help on this term

Relationship between the three components

The three levels of the hierarchy work together to collect the same types of recurrent expenditure and related revenue data items, but at different levels of the system. The reporting levels are mutually exclusive, so there should be no overlap in the reporting or expenditure and revenue data across the levels.

Hierarchical level Data collected through
Public hospital establishments PHE component
Local Hospital Network LHN component
State or territory health authority State or territory component

It is expected that recurrent expenditure and related revenue data will be reported at the level at which they occur.

For services 'managed by a state or territory health authority', only those services considered to be 'public hospital services' under the NHRA are in scope. For the public hospitals and LHNs, all activity, expenditure and related revenue in the General Ledger for that organisation would be in scope of this NMDS, regardless of whether all components are a 'public hospital service' under the NHRA.

For information on public hospital services in-scope or out-of-scope, refer to the National Efficient Price Determination (IHPA 2019a) and the National Efficient Cost Determination (IHPA 2019b).

In addition to the shared expenditure and revenue data items, the PHE component includes items such as establishment location, establishment type and specialised service indicators that do not appear in the other components.

Scope links with other NMDSs

The LHN/PHE NMDS shares scope with other hospital NMDSs and NBEDSs as well as other establishment and expenditure collections:

  • Admitted patient care NMDS
  • Alcohol and other drug treatment services NMDS
  • Government health expenditure NMDS
  • Mental health establishments NMDS
  • Non-admitted patient care hospital aggregate NBEDS
  • Non-admitted patient emergency department care NMDS.

Glossary items

Glossary terms that are relevant to this data set specification are included here:

Activity based funding

Average for the counting period

Dialysis 

Geographic indicator

Hospital-in-the-home care

Local Hospital Network

Renal failure

Salaried medical officer

Specialist salaried medical officer

Source and reference attributes

Submitting organisation:Help on this term

Independent Hospital Pricing Authority

Steward:Help on this termAustralian Institute of Health and Welfare
Reference documents:Help on this term

IHPA (Independent Hospital Pricing Authority) 2019a. National Efficient Price Determination 2019-20. IHPA, Sydney. Viewed 24 May 2019, https://www.ihpa.gov.au/publications/national-efficient-price-determination-2019-20

IHPA 2019b. National Efficient Cost Determination 2019-20. IHPA, Sydney. Viewed 24 May 2019, https://www.ihpa.gov.au/publications/national-efficient-cost-determination-2019-20

IHPA 2019c. Annual review of the General List of In-scope Public Hospital Services. IHPA, Sydney. Viewed 24 May 2019, https://www.ihpa.gov.au/publications/annual-review-general-list-scope-public-hospital-services

COAG (Council of Australian Governments) 2011. National Health Reform Agreement 2011. Canberra, COAG. Viewed 09 September 2019, http://www.federalfinancialrelations.gov.au/content/npa/health/_archive/national-agreement.pdf

 

Relational attributes

Related metadata references:Help on this term

Supersedes Local Hospital Networks/Public hospital establishments NMDS 2019–20 Health, Standard 17/10/2018

Metadata items in this Data Set SpecificationHelp on this term

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Seq No.Help on this termMetadata itemHelp on this term ObligationHelp on this term Max occursHelp on this term
-Address details clusterConditional1
-Full-time equivalent staffing data element clusterMandatory3
-Recurrent contracted care expenditure data element clusterMandatory3
-Recurrent non-salary expenditure data element clusterMandatory3
-Recurrent salaries and wages expenditure data element clusterMandatory3
-Revenue data element clusterMandatory3
-Total recurrent expenditure on National Health Reform Agreement product streams data element clusterMandatory3
-Address—statistical area, level 2 (SA2) code (ASGS 2016) N(9)Conditional1
-Available bed—admitted contracted care, average number of beds N[N(7).N]Mandatory3
-Available bed—overnight-stay admitted care, average number of beds N[N(7).N]Conditional1
-Available bed—same-day admitted care, average number of beds N[N(7).N]Conditional1
-Establishment—acquired immune deficiency syndrome unit indicator, yes/no code NConditional1
-Establishment—acute renal dialysis unit indicator, yes/no code NConditional1
-Establishment—acute spinal cord injury unit indicator, yes/no code NConditional1
-Establishment—alcohol and drug unit indicator, yes/no code NConditional1
-Establishment—Australian state/territory identifier, code NMandatory3
-Establishment—bone marrow transplantation unit indicator, yes/no code NConditional1
-Establishment—burns unit level III indicator, yes/no code NConditional1
-Establishment—cardiac surgery unit indicator, yes/no code NConditional1
-Establishment—clinical genetics unit indicator, yes/no code NConditional1
-Establishment—clinical pharmacology and/or toxicology service indicator, yes/no code NConditional1
-Establishment—comprehensive epilepsy centre indicator, yes/no code NConditional1
-Establishment—coronary care unit indicator, yes/no code NConditional1
-Establishment—diabetes unit indicator, yes/no code NConditional1
-Establishment—domiciliary care service indicator, yes/no code NConditional1
-Establishment—establishment type, sector and services provided code AN.N{.N}Conditional1
-Establishment—geriatric assessment unit indicator, yes/no code NConditional1
-Establishment—heart lung transplantation unit indicator, yes/no code NConditional1
-Establishment—hospice care unit indicator, yes/no code NConditional1
-Establishment—in-vitro fertilisation unit indicator, yes/no code NConditional1
-Establishment—Independent Hospital Pricing Authority funding designation, code NConditional1
-Establishment—infectious diseases unit indicator, yes/no code NConditional1
-Establishment—intensive care unit level III indicator, yes/no code NConditional1
-Establishment—liver transplantation unit indicator, yes/no code NConditional1
-Establishment—Local Hospital Network identifier, code NNNMandatory3
-Establishment—maintenance renal dialysis centre indicator, yes/no code NConditional1
-Establishment—major plastic/reconstructive surgery unit indicator, yes/no code NConditional1
-Establishment—neonatal intensive care unit level III indicator, yes/no code NConditional1
-Establishment—neurosurgical unit indicator, yes/no code NConditional1
-Establishment—nursing home care unit indicator, yes/no code NConditional1
-Establishment—obstetric/maternity unit indicator, yes/no code NConditional1
-Establishment—oncology unit indicator, yes/no code NConditional1
-Establishment—organisation identifier (state/territory), NNNNNMandatory3
-Establishment—pancreas transplantation unit indicator, yes/no code NConditional1
-Establishment—psychiatric unit/ward indicator, yes/no code NConditional1
-Establishment—rehabilitation unit indicator, yes/no code NConditional1
-Establishment—renal transplantation unit indicator, yes/no code NConditional1
-Establishment—sector, code NConditional1
-Establishment—sleep centre indicator, yes/no code NConditional1
-Establishment—specialist paediatric unit indicator, yes/no code NConditional1
-Establishment—teaching hospital affiliation with university indicator, teaching status code NConditional1
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