Cost unit The cost unit for non-admitted care is a Non-Admitted Patient Service Event. This is “An interaction between one or more healthcare 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.” Scope The of non-admitted care includes service events occurring in outpatient clinics in ABF hospitals and in the community, as explained in the Pricing Framework. Classification The Tier 2 non-admitted services v4.1 is used to classify non-admitted care for the purposes of ABF as explained in the Pricing Framework and set out in the NEP17 Determination. NWAU This section provides an overview of the steps involved in developing the NWAU for non-admitted care. The steps are included below. Adoption of the Historically the Non-admitted cost model had relied heavily on the 2012 Ernst & Young and Subacute Care Costing Study (the EY Costing Study) due to the limited quality and stability of NHCDC reporting. With the improvement in reporting and quality of the NHCDC the cost weights for NEP17 has shifted to adopt the NHCDC. The table below illustrates the shift in hierarchy for non-admitted cost weight selection. Table 11: Non admitted Cost weight selection hierarchy Cost Weight Selection Hierarchy NEP17 Stage 1 Logical Links to acute clinics or other clinics Logical to acute clinics Stage 2 Adopt EY Costing Study or other Costing Adopt NHCDC (Provided adequate sample studies and stable across years) 3 NHCDC Adopt EY Costing Study or other Costing studies 11 illustrates the primary change is the switch in hierarchy between the adoption of NHCDC and the EY Costing Study. For NEP17, this has resulted in 83 Clinics using the NHCDC as the primary data source relative to 13 in the previous NEP. Table 12 provides a breakdown for each clinic by the source data. Table 12: Non-Admitted Data Source Breakdown No. of Clinics No. of Clinics Source NEP 16 NEP 17
Cost unit The cost unit for non-admitted care is a Non-Admitted Patient Service Event. This is “An interaction between one or more healthcare 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.” Scope The of non-admitted care includes service events occurring in outpatient clinics in ABF hospitals and in the community, as explained in the Pricing Framework. Classification The Tier 2 non-admitted services v4.1 is used to classify non-admitted care for the purposes of ABF as explained in the Pricing Framework and set out in the NEP17 Determination. NWAU This section provides an overview of the steps involved in developing the NWAU for non-admitted care. The steps are included below. Adoption of the Historically the Non-admitted cost model had relied heavily on the 2012 Ernst & Young and Subacute Care Costing Study (the EY Costing Study) due to the limited quality and stability of NHCDC reporting. With the improvement in reporting and quality of the NHCDC the cost weights for NEP17 has shifted to adopt the NHCDC. The table below illustrates the shift in hierarchy for non-admitted cost weight selection. Table 11: Non admitted Cost weight selection hierarchy Cost Weight Selection Hierarchy NEP17 Stage 1 Logical Links to acute clinics or other clinics Logical to acute clinics Stage 2 Adopt EY Costing Study or other Costing studies Adopt NHCDC (Provided adequate sample and stable across years) 3 NHCDC Adopt EY Costing Study or other Costing studies 11 illustrates the primary change is the switch in hierarchy between the adoption of NHCDC and the EY Costing Study. For NEP17, this has resulted in 83 Clinics using the NHCDC as the primary data source relative to 13 in the previous NEP. Table 12 provides a breakdown for each clinic by the source data. Table 12: Non-Admitted Data Source Breakdown Source No. of Clinics NEP 16 No. of Clinics NEP 17
nep17_technical_specifications_revised_6.3_2.docx