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Data Element Detail

Episode of admitted patient care-nursing home type patient flag
Identifying and Definitional Attributes
QH 042462 v1
Data Element
Data Element
Current
07-Sep-2017		Superseded
15-Jul-2019
Documented
Director, Statistical Collections and Integration, Statistical Services Branch
01-Jul-1987
30-Jun-2018
A flag to indicate that a patient has been classified as a Nursing Home Type Patient (NHTP) during an episode of admitted patient care. A patient is a NHTP if they have been in hospital for a continuous period exceeding 35 days and are not the subject of a current Acute Care Certificate.
Admitted patient care
Nursing home type patient flag
Representational Attributes
Alphabetic
Code
A(3)
3
3
Permissible Values

Permissible_values

CodeDescription
NHTNursing home type
Supplementary Values

Supplemenary_values

-
Collection and Usage Attributes
A patient classified as a Nursing Home Type Patient (NHTP) must have one of the following care types:
- 09 Geriatric Evaluation and Management
- 10 Psychogeriatric care
- 11 Maintenance care
- 12 Mental health care
- 20 Rehabilitation care
- 30 Palliative care

The 35 day period:
- may accrue in more than one hospital (public, private or both)
- excludes treatment in public psychiatric hospitals
- excludes leave days
- commences upon admission
- continues to accrue if a patient is separated from hospital but return within seven days.

Patients who leave hospital and are not admitted to another hospital for at least seven days will begin at day one towards the 35 day qualifying period on their next admission to hospital.

The 35 day period does not apply if the patient was a resident of a residential care facility immediately before admission to a public psychiatric hospital. If however the patient was a resident of a residential aged care facility and is admitted to an acute hospital, remains in hospital for more than 35 days and is not covered by an Acute Care Certificate the patient must be classified as NHTP.

An Acute Care Certificate is required for all admitted patients where the period of hospitalisation exceeds 35 days and the patient is not classified as a NHTP. If a patient is classified as a NHTP but subsequently requires acute care, the qualifying period of 35 days does not start again.
Queensland Hospital Admitted Patient Data Collection (QHAPDC):
Must not be null for admitted patient episodes with NHTP activity.
Must be a valid Nursing Home Flag code.
Not valid for patients with a care type of:
01 Acute care
05 Newborn care
07 Organ procurement-posthumous
08 Hospital boarder
Public hospitals:
Prior to 2004 a patient classified as a NHTP must have had a care type of Maintenance. As a result, any patient with a care type other than Maintenance who had a length of stay over 35 days and who was not the subject of an Acute Care Certificate had to have their care type changed to Maintenance before they could be classified as a NHTP.

Since 1 September 2004 any sub and non-acute patient who has a length of stay over 35 days and who is not the subject of an Acute Care Certificate can be classified as a NHTP without changing their care type.
For public hospitals this allows a fee to be raised in HBCIS by changing the patient's account class code to an appropriate 'long stay' account class code. This change in account class code will still designate the patient as a NHTP for the purposes of the QHAPDC.

This policy modification means that the patient's care type should only need to be changed (via a statistical separation and admission) as a result of a clinical assessment of the treatment they are receiving, rather than as a result of the administrative process required to raise a fee.

Hospital Based Corporate Information System (HBCIS):
NHTP is derived from admission type.
Relational Attributes
Related Metadata References

Related Metadata References_IR

  • 1 - 10
ViewRelationshipMetadata Item TypeMetadata Item SubtypeNameIdentifier & VersionApproval Status
Has been superseded byData ElementData ElementEpisode of admitted patient care-nursing home type patient flagQH 042462 Version 2Current
Relates toData ElementData ElementEpisode of admitted patient care-nursing home type patient end dateQH 042459 Version 2Current
Relates toData ElementData ElementEpisode of admitted patient care-nursing home type patient end dateQH 042459 Version 1Superseded
Relates toData ElementData ElementEpisode of admitted patient care-nursing home type patient end date (QHAPDC DSR)QH 042464 Version 2Current
Relates toData ElementData ElementEpisode of admitted patient care-nursing home type patient end date (QHAPDC DSR)QH 042464 Version 1Superseded
Relates toData ElementData ElementEpisode of admitted patient care-nursing home type patient start dateQH 042458 Version 2Current
Relates toData ElementData ElementEpisode of admitted patient care-nursing home type patient start dateQH 042458 Version 1Superseded
Relates toData ElementData ElementEpisode of admitted patient care-nursing home type patient start date (QHAPDC DSR)QH 042463 Version 2Current
Relates toData ElementData ElementEpisode of admitted patient care-nursing home type patient start date (QHAPDC DSR)QH 042463 Version 1Superseded
Relates toData ElementData Element ConceptEpisode of admitted patient careQH 041604 Version 1Current
Implementation in Metadata Sets

Implemented

  • 1 - 5
ViewMetadata Item TypeMetadata Item SubtypeNameIdentifer & VersionObligationApproval StatusEffective FromEffective To
Information AssetData CollectionQueensland Hospital Admitted Patient Data Collection (QHAPDC)QH 020001 Version 1ConditionalSuperseded01-Jul-198730-Jun-2018
Data Supply RequirementHHS Service AgreementQueensland Hospital Admitted Patient Data Collection (QHAPDC) Private Facility Data Supply Requirement (DSR) 2016-2017QH 020315 Version 1ConditionalSuperseded01-Jul-201630-Jun-2017
Data Supply RequirementHHS Service AgreementQueensland Hospital Admitted Patient Data Collection (QHAPDC) Private Facility Data Supply Requirement (DSR) 2017-2018QH 020501 Version 1ConditionalSuperseded01-Jul-201730-Jun-2018
Data Supply RequirementHHS Service AgreementQueensland Hospital Admitted Patient Data Collection (QHAPDC) Public Hospital Services Data Supply Requirement (DSR) 2016-2017QH 020314 Version 1ConditionalSuperseded01-Jul-201630-Jun-2017
Data Supply RequirementHHS Service AgreementQueensland Hospital Admitted Patient Data Collection (QHAPDC) Public Hospital Services Data Supply Requirement (DSR) 2017-2018QH 020329 Version 1ConditionalSuperseded01-Jul-201730-Jun-2018
Source and Reference Attributes
NHT; NHTP; Nursing home type;