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Data Element Detail

Non-admitted patient service event-patient not present indicator
Identifying and Definitional Attributes
QH 042609 v1
Data Element
Data Element
Draft
08-Feb-2018		Current
17-Jul-2018
Standard
Information Management Strategic Governance Committee (IMSGC), Queensland Health
01-Jul-2018
Indicates that the patient was not present during a non-admitted patient multiple healthcare provider service event.
Non-admitted patient care
Patient not present indicator
Representational Attributes
Numeric
Code
N
1
1
Permissible Values

Permissible_values

CodeDescription
1Yes
Supplementary Values

Supplemenary_values

-
Collection and Usage Attributes
Code 1 Yes
The patient is not present during a non-admitted patient multiple healthcare provider service event.

In accordance with the counting rules prescribed in section 2.12 of the Independent Hospital Pricing Authority's Tier 2 Non-Admitted Services Compendium 2018-19 (draft) the following guideline should be adhered to:

"a) A Multidisciplinary Care Conference (MDCC) must involve three or more health care providers who have direct care responsibilities for the patient discussed. The health care providers may be of the same profession (medical, nursing, midwifery or allied health), however, they must each have a different speciality so that the care provided by each provider is unique. Alternatively, the health care providers may be of different professions (medical, nursing, midwifery or allied health) but of the same specialty (e.g. oncologist, oncology registered nurse, physiotherapist).

b) For each non-admitted patient discussed - a multidisciplinary management plan must be in place or developed at the MDCC, and one participating health care provider must record the following items in each patient's clinical record:
i. the name of the MDCC, the date of the MDCC, and the start and end times (or duration) at which each patient was discussed during the case conference
ii. the names of the participants involved in the discussion relating to the patient and their designations/clinical backgrounds
iii. a description of the non-admitted patient's problems, goals and strategies relevant to that MDCC, and
iv. a summary of the outcomes of the MDCC.

(Note: Items (iii) and (iv) may be completed through documentation (or revision) of a multidisciplinary care plan completed after each non-admitted MDCC where the patient is not present).

c) Patients who are admitted, or registered for care in an emergency department, and are discussed at an MDCC must not be counted as non-admitted MDCC service events.

d) The health care providers participating in the MDCC may attend in person or via ICT (including but not limited to telehealth).

e) Patients whose care is discussed at MDCCs occurring immediately prior to, or immediately following, an outpatient clinic to which the same patients discussed attend, may be counted separately as non-admitted MDCC service events.

f) For multiple MDCCs to be counted for the same patient on a given day, the patient must have been discussed in separate MDCCs where each of the different MDCCs in which the patient was discussed meets the definition of a non-admitted MDCC service event (e.g. on the same day, a patient may be discussed separately in an oncology MDCC and in a musculoskeletal MDCC, both of which had a different and unique focus on the patient's issues).

g) An non-admitted MDCC service event is counted for each patient, not by the number of providers present or number of MDCCs discussed."
May be blank.
Non-admitted patient service event-multiple healthcare provider indicator must be code 1 (Yes).
For further information refer to the Independent Hospital Pricing Authority's Tier 2 Non-Admitted Services Compendium.
Relational Attributes
Related Metadata References

Related Metadata References_IR

  • 1 - 3
ViewRelationshipMetadata Item TypeMetadata Item SubtypeNameIdentifier & VersionApproval Status
Is used in conjunction withData ElementData ElementNon-admitted patient service event-multiple healthcare provider indicatorQH 041930 Version 4Current
Is used in conjunction withData ElementData ElementNon-admitted patient service event-multiple healthcare provider indicatorQH 041930 Version 3Superseded
Relates toData ElementData Element ConceptNon-admitted patient service eventQH 041679 Version 2Current
Implementation in Metadata Sets

Implemented

  • 1 - 3
ViewMetadata Item TypeMetadata Item SubtypeNameIdentifer & VersionObligationApproval StatusEffective FromEffective To
Information AssetData CollectionQueensland Health Non-Admitted Patient Data Collection (QHNAPDC)QH 020262 Version 3ConditionalDraft01-Feb-2023
Information AssetData CollectionQueensland Health Non-Admitted Patient Data Collection (QHNAPDC)QH 020262 Version 2ConditionalCurrent01-Jul-201931-Jan-2023
Information AssetData CollectionQueensland Health Non-Admitted Patient Data Collection (QHNAPDC)QH 020262 Version 1ConditionalSuperseded01-Jul-201830-Jun-2019
Source and Reference Attributes
MDCC; MHCP; Multidisciplinary care conference; Multiple healthcare provider;