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Definition

The scope of the Non-admitted patient care hospital aggregate national minimum data set specification (NMDS) is non-admitted patient service events involving non-admitted patients in public hospitals.

The NMDS is intended to capture instances of service provision from the point of view of the patient.

For the purpose of this NMDS, a non-admitted service is a specialty unit or organisational arrangement under which a hospital provides non-admitted services.

The NMDS scope includes:

All arrangements made to deliver non-admitted patient service events (not covered by the national minimum data sets listed below) to non-admitted patients:

  • irrespective of location (includes on-campus and off-campus),
  • whose treatment has been funded through the hospital, regardless of the source from which the hospital derives these funds. In particular, Department of Veterans’ Affairs, compensable and other patients funded through the hospital (including Medicare ineligible patients) are included; and
  • regardless of setting or mode.

Excluded from the NMDS scope are:

All services covered by:

  • the Admitted patient care NMDS,
  • the Admitted patient mental health care NMDS,
  • the Non-admitted patient emergency department care NMDS, e.g. all non-admitted services provided to admitted patients or emergency department patients are excluded; and
  • service events which deliver non-clinical care, e.g. activities such as home cleaning, meals on wheels or home maintenance.

Metadata items in this Data Set Specification

Below is a list of all the components within this Dataset Specification.
Each entry includes the item name, whether the item is optional, mandatory or conditional and the maximum times the item can occur in a dataset.
If the items must occur in a particular order in the dataset, the sequence number is included before the item name.


Data Elements
Reference Data Element Data Type Length Inclusion #
Episode of care—source of funding, patient funding source code NN
Conditional Inclusion:

Only required to report Establishment—number of group sessions, total N[NNNNN], Establishment—number of group session non-admitted patient service events, total service events N[NNNNNN] and Establishment—number of individual session non-admitted patient service events, total service events N[NNNNNN] using the following two funding source categories:

  • Medicare Benefits Scheme (07)
  • All other funding sources (01, 02, 03, 04, 05, 06, 08, 09, 10, 11, 12, 13, 88 and 98)
- - mandatory 1
Establishment—Local Hospital Network identifier, code NNN - - mandatory 1

Comments

Guide for use:

A non-admitted patient service event is defined as an interaction between one or more health care provider(s) with one non-admitted patient, which must contain therapeutic/clinical content and result in a dated entry in the patient's medical record.

Counting rules:

1. Non-admitted service events involving multiple health professionals are counted as one non-admitted patient service event.

2. Patients can be counted as having multiple non-admitted patient service events in one day, provided that every visit meets each of the criteria in the definition of a non-admitted patient service event.

3. Patient education services can be counted as non-admitted patient service events, provided that they meet the criteria included in the definition of a non-admitted patient service event.

4. Each patient attending a group session is counted as a non-admitted patient service event, providing that the session included the provision of therapeutic/clinical advice for each patient and that this was recorded using dated entry in each patient’s medical record. A group flag is included in the NMDS to record this type of service event.

5. Telephone and other telehealth consultations can be counted as service events if they substitute for a face to face consultation, provided that they meet all the criteria included in the definition of non-admitted patient service event. A telephone/telehealth consultation is only counted as one non-admitted patient service event, irrespective of the number of health professionals/locations participating in the consultation.

6. Services provided to admitted and emergency department patients (including services provided by staff working in non-admitted services who visit admitted patients in wards or emergency departments, or other types of consultation and liaison services involving admitted or emergency department patients) are not counted as non-admitted patient service events.

7. Travel by a health professional is not counted as a non-admitted patient service event.

8. All non-admitted services that meet the criteria in the definition of non-admitted patient service events must be counted, irrespective of funding source (including Medicare Benefits Schedule) for the non-admitted service. A funding source flag is included in the NMDS.

9. For activity based funding purposes, services from stand-alone diagnostic services are not counted as non-admitted patient service events; these are an integral part of the requesting clinic's non-admitted patient service event.

10. Renal dialysis, total parenteral nutrition, home enteral nutrition and ventilation performed by the patient in their own home without the presence of a health care provider may be counted as a non-admitted patient service event, provided there is documentation of the procedures in the patient's medical record.

Comments:

Interaction with the Non-admitted patient care Local Hospital Network aggregate DSS 2014-15.

The Non-admitted patient care Local Hospital Network aggregate DSS and Non-admitted patient care hospital aggregate NMDS work together to collect data on the public hospital system. The two data set specifications collect the same non-admitted activity data items, but at different levels of the system:

Hierarchical level Data collected through
Public hospital Non-admitted patient care hospital aggregate NMDS
Local Hospital Network Non-admitted patient care Local Hospital Network aggregate DSS
Jurisdictional health authority Non-admitted patient care Local Hospital Network aggregate DSS

It is intended that once the Non-admitted patient care Local Hospital Network aggregate DSS is established, the two collections will be merged into a single NMDS.

In the Non-admitted care patient hospital aggregate NMDS and the Non-admitted patient care Local Hospital Network aggregate DSS, the term 'establishment' is used to refer to entities reporting at each of the hierarchical levels (that is, public hospital, Local Hospital Network and jurisdictional health authority). Thus, for the purposes of this NMDS, the term 'establishment' refers to a public hospital unless specifically identified differently.

The principle should be applied that no activity is to be double-counted or included in both the Non-admitted patient care hospital aggregate NMDS and the Non-admitted patient care Local Hospital Network aggregate DSS.

References

Independent Hospital Pricing Authority 2014. Tier 2 Non-Admitted Services Compendium, Version 3.0. Independent Hospital Pricing Authority, Sydney. Viewed 4 April 2014,

http://ihpa.gov.au/internet/ihpa/publishing.nsf/Content/
tier2-non-admitted-services-compendium-
2014%E2%80%932015-html

Independent Hospital Pricing Authority 2014. Tier 2 Non-Admitted Services Definitions Manual, Version 3.0. Independent Hospital Pricing Authority, Sydney. Viewed 4 April 2014,

http://ihpa.gov.au/internet/ihpa/publishing.nsf/Content/
tier-2-non-admitted-services-definition-manual-
2014%E2%80%9315-html


This content Based on Australian Institute of Health and Welfare material. Attribution provided as required under the AIHW CC-BY licence.

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