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Data Element Detail

Contract service
Identifying and Definitional Attributes
QH 040130 v1
Data Element
Data Element Concept
Current
15-Jan-1998		Superseded
03-Aug-2014
Standard
15-Jan-1998
30-Jun-2014
Service that is provided to a patient under an agreement between a purchaser of hospital care (contractor) and a public or private hospital or day facility providing admitted or non-admitted services (service provider). These definitions do not apply to patients who are not admitted to either hospital and receive service only as a non-admitted patient.

Contracted hospital service is provided to a patient under an agreement between a contractor and provider of hospital services. A contractor is a purchaser of hospital care from a service provider. Contractors can include health authorities, public or private hospitals. However, where the contractor is a health authority the service provider must be a private hospital or private day facility.

Accurate recording of contract service is essential:

* because the current Medicare Agreement requires separate reporting of patients and patient days for public contracted patients attending private hospitals;

* to avoid duplication in the reporting of length of stay and patient days, diagnoses and procedures to allow analyses as required for funding, casemix, resource use and epidemiological purposes; and

* because the introduction of casemix payments dictates that:
i) the DRG assigned to a patient accurately reflects the total treatment provided, even when part of the treatment was provided under contract; and
ii) potential double payments are identified and avoided.

A patient can go on contract for services that are same day or overnight (or longer). If there is no agreement between the two facilities, then the patient must be discharged if he/she is to be admitted to the second facility.

Note that procedures performed by Private Health Organisations with no facility number (eg x-rays) are not recognised as "true" contract services, however, these procedures should be included in the morbidity data at the hospital of admission.
Institutional health care
Representational Attributes
Permissible Values

Permissible_values

-
Supplementary Values

Supplemenary_values

-
Collection and Usage Attributes
Relational Attributes
Related Metadata References

Related Metadata References_IR

  • 1 - 10
ViewRelationshipMetadata Item TypeMetadata Item SubtypeNameIdentifier & VersionApproval Status
Has been superseded byData ElementData Element ConceptContracted hospital care serviceQH 040130 Version 2Current
Relates toData ElementData ElementContract flagQH 040101 Version 1Superseded
Relates toData ElementData ElementContracted hospital care-other hospital identifierQH 041601 Version 1Superseded
Relates toData ElementData ElementEpisode of care-contracting hospital identifierQH 041096 Version 1Retired
Relates toData ElementData ElementFacility contracted toQH 040129 Version 1Superseded
Relates toData ElementData ElementMode of separationQH 040119 Version 6Superseded
Relates toData ElementData ElementMode of separationQH 040119 Version 5Superseded
Relates toData ElementData ElementMode of separationQH 040119 Version 4Superseded
Relates toData ElementData ElementMode of separationQH 040119 Version 3Superseded
Relates toData ElementData Element ConceptContract leaveQH 040265 Version 1Superseded
Implementation in Metadata Sets

Implemented

  • 1 - 1
ViewMetadata Item TypeMetadata Item SubtypeNameIdentifer & VersionObligationApproval StatusEffective FromEffective To
Information AssetData CollectionQueensland Hospital Admitted Patient Data Collection (QHAPDC)QH 020001 Version 1Superseded15-Jan-199830-Jun-2014
Source and Reference Attributes
Contract care; Contract service;