[WWW - 2021.12.16]
Identifying and Definitional Attributes
Identifier
QH 020231
Version
2
Metadata Item Type
Information Asset
Metadata Set Type
Data Collection
Approval Status
Draft
11-Jun-2019 
Current
21-Sep-2021 
Approval Type
Standard
Approving Authority
Information Management Strategic Governance Committee (IMSGC), Queensland Health
Effective From
01-Jul-2019
Effective To
-
Description
Queensland sourced data for the National Hospital Cost Data Collection (NHCDC) that is supplied to Independent Hospital Pricing Authority (IHPA).
Short Name
NHCDC
Strategic Alignment Attributes
Actual or potential statewide coverage
Yes
The NHCDC contains patient level costing data from multiple facilities within each Hospital and Health Service (HHS).
Absence would cause significant impact on QH business
Yes
Costing data is a major input into jurisdictional and national Activity Based Funding (ABF) models.
Supports enterprise-wide decision making
Yes
It enables cost and profit loss reporting against weighted activity units.
Supports enterprise-wide reporting requirements
Yes
It underpins annual cost weight tables.
Supports the strategic directions of QH
Yes
Strategic Asset Indicator
Yes
Collection and Usage Attributes
Guide for Use
-
Purpose
To produce the public and private sector cost weights for Australian Refined Diagnosis related group (AR-DRG), Sub-acute and Non admitted groups (SNAP), Urgency Related Groups (URG) and Tier 2 (Outpatients) Non admitted benchmark reporting. 

The costs from this collection  form the base source data for the calculation of the National Efficient Price (NEP) for activity funded ABF Hospitals and the National Efficient Cost (NEC) for block funded ABF Hospitals as agreed between the State of Queensland and the Commonwealth.

The data collection also provides the clinical activity data input into the Public Hospitals Establishment (PHE) collection.
Scope
The NHCDC is based on the principles of casemix costing analysis. Casemix is a scientific approach to the classification of patient care episodes using resource homogenous grouping based on coding of diagnosis and procedures for acute care (AR-DRG classification) , formal patient evaluation and scoring against defined clinical patient evaluation tools for subacute care (SNAP Classification), diagnosis, triage category and discharge disposition for emergency presentations (URG Classification), and mapping of clinics by provider and clinical speciality (Tier 2 classification). 

As a patient centric data collection other measures associated with the individual patient or classification group can be compared for the purposes of analysis, such as resource usage and cost, clinical utilisation patterns, cost profiles, quality outcome indicators, co-morbid conditions and other standard definitions like average length of stay, age, ethnicity, remoteness and sex. 

The national standardisation of the data elements in the NHCDC, underpinned by the Australian Hospital Patient Costing Standards allows for the comparison of cost and patient outcome data between jurisdictions and against national average values. The collection is managed nationally by IHPA.
Coverage
QLD
Content
-
Sites Implemented
Department of Health (Final data).
Published Outputs
Multi-level cost weight reports, five-year comparative cost outcome data is provided annually to HHS costing teams and Chief Finance Officers.
Frequency of Updates
Data is updated annually and aligned with the national costing submission to IHPA at the end of February and contains final data for the prior fiscal year.
Information Security Classification
SENSITIVE
Accessibility
-
Access Constraints
Contact Healthcare Purchasing and Funding Branch.
Use Constraints
Contact Healthcare Purchasing and Funding Branch.
Methodology
Data for the annual Queensland public hospital costing submission is sourced from Queensland Public Hospital and Health Services clinical costing systems.
Statistical Unit
-
Reporting Requirements
Reported to IHPA.
Frequency of Reporting Requirements
Annual.
Comments
-
Relational Attributes
Related Metadata References
Supersedes National Hospital Cost Data Collection (NHCDC) QH 020231 Version 1
Implementation in
-
Included Data Elements and Performance Indicators
Data Quality Declaration
-
Source and Reference Attributes
Source Systems
Transition II (Sunrise Decision Support), Power Performance Manager, CostPro.
Source Organisation
-
Source Document
-
Keywords

Costing; Hospital