Government health expenditure organisation expenditure data element cluster
Health industry relevant organisation—main activity type, code NNN Identifying and definitional attributes Short name: Health industry relevant organisation type METeOR identifier: 372264 Registration status: Health, Standard 01/04/2009 Definition: Describes a health industry relevant organisation based on its main activity, as represented by a code. Data Element Concept: Health industry relevant organisation—main activity type Value domain attributes Representational attributes Representation class: Code Data type: Number Format: NNN Maximum character length: 3 Permissible values: Value Meaning Main Health Care Services organisation 101 Hospital – public 102 Hospital – private (excluding private free-standing day hospital facility) 103 Hospital – private free-standing day hospital facility (excluding private non free-standing day hospital facility) 104 Residential facility – mental health care 105 Residential facility – other 106 Provider of ambulance service 107 Medical and diagnostic laboratory 108 Clinical practices – medical – general 109 Clinical practices – medical – specialist 110 Clinical practices – medical – other 111 Clinical practices – dental 112 Clinical practices – other 113 Community health facility – substance abuse 114 Community health facility – mental 115 Community health facility – other 116 Blood and organ bank 117 Retail sale/supplier of medical goods – optical glasses and other vision products 118 Retail sale/supplier of medical goods – hearing aids 119 Retail sale/supplier of medical goods – dispensing community pharmacist 120 Retail sale/supplier of medical goods – other 121 Public health program service provider 122 General health administration service provider 123 Private health insurance 188 Other Main Health Care Service providers 198 Regional health service not further defined 199 State/territory health authority not further defined Secondary/non-Health Care Services organisation 201 Pharmaceutical industry 202 University 203 Non-health related insurance 204 Residential aged care facility 288 Other Secondary/non-Health Care Services organisation Collection and usage attributes Guide for use: Main Health Care Service organisation CODE 101 Hospital – public An organisation comprised of a health care facility or group of health care facilities established under Commonwealth, state or territory legislation as a hospital or free-standing day hospital facility and authorised to provide treatment and/or care to patients. Comprises all health care facilities that are reported as public hospitals to the Public Hospital Establishments National Minimum Data Set (PHE NMDS). This includes organisations such as rehabilitation hospitals; psychiatric hospitals; mothercraft hospitals; and hospices and multi-purpose services defined as hospitals. The list of public hospitals reported to the PHE NMDS is available at www.aihw.gov.au/publications/index.cfm in the Australian Hospital Statistics annual report. NOTE 1: Excludes providers of services where those services are not captured in the hospital financial statements. For example, the provider of a pathology or pharmacy service may be co-located within the hospital, but as a private service, and will pay the hospital for use of the site. The provider of this pathology or pharmacy service would be recorded under codes 106 to 112. CODE 102 Hospital – private (excluding private free-standing day hospital facilities) An organisation comprised of a health care facility or a group of health care facilities established under Commonwealth, state or territory legislation as a hospital and authorised to provide treatment and/or care to patients. Comprises hospitals that are NOT reporting to the PHE NMDS. NOTE: State and territory data providers are to refer to the GHE NMDS Collection Guidelines for instructions on how to report expenditure for this category. Excludes private free-standing day hospital facilities reported under code 103. CODE 103 Hospital - private free-standing day facility (excluding private non free-standing day hospital facilities) An organisation comprised of one or more private free-standing day hospital facilities which provide investigation and treatment for acute conditions on a day-only basis and is approved by the Commonwealth as a hospital for the purposes of private health insurance benefits. The four main types of private free-standing day hospitals are specialist endoscopy, ophthalmic, plastic/cosmetic and general. Excludes private non free-standing day hospital facilities reported under code 102. CODE 104 Residential facility – mental health care An organisation comprised of one or more specialised mental health facilities primarily engaged in providing residential care to persons requiring mental health diagnosis and treatment combined with either nursing, supervisory or other types of care as required (including medical) by the residents. Excludes residential care facilities primarily providing aged care or care for persons requiring treatment for alcohol or other substance abuse or persons with a disability. CODE 105 Residential facility – other Includes all government-funded facilities primarily engaged in providing residential care to persons requiring diagnosis and treatment for alcohol and other substance abuse combined with either nursing, supervisory or other types of care as required (including medical) by the residents. Includes hospices that are not defined as hospitals and respite and transitional care services. Excludes facilities primarily providing services to aged persons or persons requiring mental health diagnosis and treatment. Also excludes residential care facilities that report under the Commonwealth, State and Territory Disability Agreement where the primary purpose is care for persons with a disability. CODE 106 Provider of ambulance service Organisations primarily engaged in providing transportation of patients by ground or air, along with health (or medical) care. These services are often provided during a medical emergency but are not restricted to emergencies. The vehicles are equipped with lifesaving equipment operated by medically trained personnel. Includes organisations providing public ambulance services or flying doctor services such as Royal Flying Doctor Service and Care Flight, and support programs to assist isolated patients with travel to obtain specialised health care. NOTE 2: Excludes providers of services where those services are captured in public or private hospital financial statements. For example, the provider of an ambulance, medical or diagnostic laboratory, general practice, specialist medical, dental or other health practitioner service may be located within a hospital set of accounts and its expenditure recorded on the hospital financial statement. The provider of the ambulance or other service would then be recorded under code 101. CODE 107 Medical and diagnostic laboratory This item is not currently required to be reported by state and territory health authorities. Organisations primarily engaged in providing analytic or diagnostic services, including body fluid analysis and diagnostic imaging, generally to the medical profession or the patient on referral from a health practitioner. Includes diagnostic imaging centres; dental or medical X-ray laboratories ultrasound services; medical testing laboratories; medical pathology laboratories; medical forensic laboratories; and X-ray clinic services. Includes public and private medical and diagnostic laboratories. See NOTE 2 under code 106. CODE 108 Clinical practices – medical – general Organisations of registered medical practitioners holding the degree of a Doctor of medicine or a qualification at a corresponding level primarily engaged in the independent practice of general medicine. These practitioners operate private or group practices in their own offices (e.g., centres, clinics) or in the facilities of others, such as hospitals or medical centres. See NOTE 2 under code 106. This item is not currently required to be reported by state and territory health authorities. CODE 109 Clinical practices – medical – specialist This item is not currently required to be reported by state and territory health authorities. Organisations of health practitioners holding the degree of a Doctor of medicine or a qualification at a corresponding level primarily engaged in the independent practice of specialist medicine or surgery, other than pathology and diagnostic imaging services. These practitioners operate a wide range of specialities in private or group practices in their own offices (e.g., centres, clinics) or in the facilities of others, such as hospitals or health maintenance type medical centres. Includes for example: • Anaesthetist service • Dermatology service • Ear, nose and throat specialist service • Gynaecology service • Neurology service • Obstetrics service • Paediatric service • Psychiatry service • Specialist medical clinic service • Specialist surgical service See NOTE 2 under code 106. CODE 110 Clinical practices – medical – other This item is not currently required to be reported by state and territory health authorities. Includes organisations of physicians not able to be allocated to Codes 108 or 109 CODE 111 Clinical practices – dental Organisations of registered health practitioners holding the degree of Doctor of dental medicine or a qualification at a corresponding level primarily engaged in the independent practice of general or specialised dentistry or dental surgery. These practitioners operate private or group practices in their own offices (e.g., centres, clinics) or in the facilities of others, such as hospitals, medical centres or community health facilities. They can provide either comprehensive preventive, cosmetic, or emergency care, or specialise in a single field of dentistry. Also included are dental hospitals providing ambulatory services only. Includes for example: • Cleft lip and palate services • Community dental service • Dental assessment and treatment • Dental hospital (out-patient) • Dental practice service • Dental practitioner service • Dental surgery service • Endodontic service • Oral and maxillofacial services • Oral pathology service • Oral surgery service • Orthodontic service • Pedodontic service • Periodontic service See NOTE 2 under code 106. CODE 112 Clinical practices – other This item is not currently required to be reported by state and territory health authorities. Organisations of independent health practitioners (other than physicians and dentists), such as chiropractors, optometrists, mental health specialists, physical, occupational, and speech therapists and audiologists organisations primarily engaged in providing ambulatory health care. These practitioners operate private or group practices in their own offices (e.g., centres, clinics) or in the facilities of others, such as hospitals or medical centres. Includes for example: • Acupuncture service • Aromatherapy service • Audiology service • Chiropractic service • Clinical psychology service • Dental hygiene service • Dietician service • Hearing aid dispensing • Homoeopathic service • Midwifery service • Naturopathic service • Nursing service • Occupational therapy service • Optometrist • Osteopathic service • Podiatry service • Speech pathology service • Therapeutic massage service See NOTE 2 under code 106. CODE 113 Community health facility – substance abuse Organisations with health staff primarily engaged in providing ambulatory services related to the diagnosis and treatment of alcohol and other substance abuse. These are community-based organisations that treat patients who do not require admitted patient treatment. They may provide counselling staff and information regarding a wide range of substance abuse issues and/or refer patients to more extensive treatment programmes, if necessary. Includes for example: • Community based alcoholism treatment centres and clinics (other than hospitals or residential care facilities); • Community based detoxification centre and clinics (other than hospitals or residential care facilities); • Community based drug addiction treatment centres and clinics (other than hospitals or residential care facilities); • Community based substance abuse treatment centres and clinics (other than hospitals or residential care facilities). CODE 114 Community health facility – mental An organisation comprised of one or more specialised mental health services or facilities with health staff primarily engaged in providing ambulatory services related to the diagnosis and treatment of mental health disorders. These specialised mental health services generally treat patients who do not require admitted patient treatment. However, these services do include consultation/liaison services provided to admitted patients by community mental health services. They may provide counselling staff and information regarding a wide range of mental health issues and/or refer patients to more extensive treatment programmes, if necessary. They may also provide treatment both on and off site, for example through mobile units. Includes only government-funded specialised mental health services, such as community mental health centres and clinics. Includes expenditure on government-managed community specialised mental health services, plus the cost of the grants to non-government organisations that provide community specialised mental health services, not the total expenditure by these non-government organisations. Excludes mental health clinics in hospitals and residential mental health care facilities. CODE 115 Community health facility – other Organisations with health staff primarily engaged in providing general or specialised ambulatory care. Centres or clinics of health practitioners with the same degree or with different degrees from more than one speciality practising within the same establishment i.e., physician and dentist) are included in this item. Includes only government-funded community health facilities such as: • Community centres and clinics; • General practitioner plus centres; • Multi-speciality community clinics. Excludes clinical practices that provide exclusively medical services or exclusively health services, ambulatory mental health and substance abuse centres, and free-standing ambulatory surgical centres (reported under codes 108 to 114) and kidney dialysis centres and clinics (reported under codes 101 to 103 if part of a hospital or code 109 if they are free-standing ambulatory centres). CODE 116 Blood and organ bank This item is not currently required to be reported by state and territory health authorities. Organisations primarily engaged in collecting, storing and distributing blood and blood products and storing and distributing body organs. CODE 117 Retail sale/supplier of medical goods – optical glasses and other vision products This item is not currently required to be reported by state and territory health authorities. Organisations prrimarily engaged in the retail sale of optical glasses and other vision products to the general public for personal or household consumption or utilisation. This includes the fitting and repair provided in combination with sales of optical glasses and other vision products. Excludes organisations primarily engaged in providing optometric services. CODE 118 Retail sale/supplier of medical goods – hearing aids This item is not currently required to be reported by state and territory health authorities. Organisations primarily engaged in the sale of hearing aids to the general public for personal or household consumption or utilisation. This includes the fitting and repair provided in combination with the sale of hearing aids. Excludes organisations primarily engaged in hearing testing where that also includes a component of hearing aid dispensing and fitting. CODE 119 Retail sale/supplier of medical goods – dispensing community pharmacist This item is not currently required to be reported by state and territory health authorities. Organisations primarily engaged in the retail sale of pharmaceuticals to the general public for personal or household consumption or utilisation. Instances when the processing of medicine may be involved should be only incidental to selling. This includes both medicines with and without prescription. Excludes organisations listed under code 201. CODE 120 Retail sale/supplier of medical goods – other This item is not currently required to be reported by state and territory health authorities. Organisations primarily engaged in the sale of medical appliances other than optical goods and hearing aids to the general public with or without prescription for personal or household consumption or utilisation. Included are: • Organisations primarily engaged in the manufacture of medical appliances but where the fitting and repair is usually done in combination with manufacture of medical appliances. • Organisations engaged in the retail sale of other miscellaneous medical goods to the general public for personal or household consumption or utilisation (included are sales other than by shops, such as electronic shopping and mail-order houses). Illustrative examples • sale of fluids (e.g. for home dialysis); • all other miscellaneous health and personal care stores; • all other sale of pharmaceuticals and medical goods; • electronic shopping and mail-order houses specialised in medical goods. CODE 121 Provision and administration of public health program Organisations engaged in government or private administration and provision of public health programs such as health promotion, organised screening, immunisation and health protection programs. CODE 122 General health administration Organisations primarily engaged in the regulation of activities of agencies that provide health care, overall administration of health policy, and health insurance. This item comprises government administration (excluding social security) primarily engaged in the formulation and administration of government policy in health and in the setting and enforcement of standards for medical and paramedical personnel and for hospitals, clinics, etc., including the regulation and licensing of providers of health services. For example: • Department of Health; • Agencies for the regulation of safety in the workplace. Excludes organisations primarily engaged in the provision and administration of public health programs which is reported under code 121. CODE 123 Private health insurance provider This item is not currently required to be reported by state and territory health authorities. • Organisations engaged in insurance of health (other than social security funds and other social insurance funds) that provide insurance cover for hospital, medical, dental, pharmaceutical or funeral expenses. This includes organisations primarily engaged in activities involved in or closely related to the management of private health insurance (activities of insurance agents, average and loss adjusters and actuaries. CODE 188 Main Health Care Service organisation - other Organisations mainly engaged in providing health care services that are not reported under codes 101 to 123. Includes health or health-related call centres or e-health sites such as Poisons Information Centre and centres that provide information on alcohol and other drugs, mental health or other health issues. CODE 198 Regional health service (not further defined) Organisations at an area health service or regional level could be a combination of categories 101 to 188 but which could not be further disaggregated. CODE 199 State/territory health authority (not further defined) Organisations at the state or territory health authority level that could be a combination of categories 101 to 188 but which could not be further disaggregated. Secondary/non-Health Care Service organisation This item is not currently required to be reported by state and territory health authorities. CODE 201 Pharmaceutical industry This item is not currently required to be reported by state and territory health authorities. Organisations primarily engaged in wholesaling human pharmaceuticals, medicines, cosmetics, perfumes and toiletries. Also included are units mainly engaged in wholesaling veterinary drugs or medicines Excludes organisations listed under code 119. CODE 202 University This item is not currently required to be reported by state and territory health authorities. Organisations primarily engaged in providing undergraduate or postgraduate teaching but which also undertake health research activities. Also includes organisations primarily engaged in undertaking research in the agricultural, biological, physical or social sciences. Units may undertake the research for themselves or others. Includes: • Postgraduate school, university operation • Research school, university operation • Specialist institute or college • Undergraduate school, university operation • University operation For reporting purposes includes only the health or health related research component or other health services component of these organisations' activities. CODE 203 Non-health related insurance This item is not currently required to be reported by state and territory health authorities. Units mainly engaged in providing general insurance cover (except life and health insurance). Includes: • Motor vehicle third party insurance provision • Worker’s compensation insurance provision CODE 204 Residential aged care facility This item is not currently required to be reported by state and territory health authorities. An organisation comprised of one or more government-funded facilities primarily engaged in providing residential care to aged persons and in receipt of funding under the Aged Care Act and subject to Commonwealth reporting requirements (i.e. report to the System for the payment of Aged Residential Care (SPARC) collection. Excludes facilities primarily providing services to persons requiring mental health diagnosis and treatment. Also excludes residential care facilities that report under the Commonwealth, State and Territory Disability Agreement where the primary purpose is care for persons with a disability. CODE 288 Secondary/non-Health Care Service organisation – other This item is not currently required to be reported by state and territory health authorities. This item comprises organisations that are not reported under codes 201 to 203 which provide health care as secondary providers or other providers. Included are providers of occupational health care and home care provided by private households. Includes: Occupational health care services not provided in separate health care organisations (all industries); • Military health services not provided in separate health care organisations • Prison health services not provided in separate health care organisations • School health services • Other providers n.e.c. Other providers of services which support the health care industry such as laundry or catering services. Other providers of services unrelated to the health care industry such as the building or automotive industry. Source and reference attributes Submitting organisation: Health Expenditure Advisory Committee Reference documents: Organisation for Economic Cooperation and Development 2000. A System of Health Accounts. Version 1.0. Paris: OECD. Australian Bureau of Statistics 2006. Australian and New Zealand Standard Industry Classification. Cat. no. 1292.0. Canberra: ABS. RACGP 6 September 2005 <www.racgp.org.au/whatisgeneralpractice> Data element attributes Source and reference attributes Submitting organisation: Health Expenditure Advisory Committee Relational attributes Related metadata references: Supersedes Health industry relevant organisation—main activity type, code NNN Health, Superseded 01/04/2009 Implementation in Data Set Specifications: Government health expenditure organisation expenditure capital consumption data element cluster Health, Standard 04/04/2013 Government health expenditure organisation expenditure data element cluster Health, Standard 04/12/2013 Government health expenditure organisation expenditure employee related data element cluster Health, Standard 04/12/2013 Government health expenditure organisation expenditure purchase of goods and services data element cluster Health, Standard 04/12/2013 Government health expenditure organisation revenue data element cluster Health, Standard 01/04/2009
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Organisation—capital consumption expenses, total Australian currency NNNNN.N Identifying and definitional attributes Short name: Capital consumption expenses METeOR identifier: 376399 Registration status: Health, Standard 01/04/2009 Definition: Expenses of an organisation consisting of consumption of fixed capital (depreciation), in Australian currency. Data Element Concept: Organisation—capital consumption expenses Value domain attributes Representational attributes Representation class: Total Data type: Currency Format: NNNNN.N Maximum character length: 6 Unit of measure: Australian currency (AU$) Source and reference attributes Submitting organisation: Health Expenditure Advisory Committee Data element attributes Collection and usage attributes Guide for use: Data are collected and nationally collated for the reporting period - the financial year ending 30th June each year. Depreciation expenses are to be reported in millions to the nearest 100,000 e.g. $4,064,000 should be reported as $4.1 million. When revenue from transactions are offset against expenses from transactions, the result equates to the net operating balance in accordance with Australian Accounting Standards Board 1049 (September 2006). Depreciation represents the expensing of a long-term asset over its useful life and is related to the basic accounting principle of matching revenue and expenses for the financial period. Depreciation charges for the current financial year only should be shown as expenditure. Where intangible assets are amortised (such as with some private hospitals) this should also be included in recurrent expenditure. Collection methods: Depreciation expenses are to be reported for the Health industry relevant organisation type andTypeof health and health related functions data elements. Health industry relevant organisation type State and territory health authorities are NOT to report the following codes: Codes 106–109; 111; 115–119; 123; 201 and 203 Type of health and health related functions State and territory health authorities are NOT to report the following codes: Codes 199; 299; 303–305; 307; 499; 503–504; 599; 601–603; 688; 699 Comments: In accounting terms, expenses are consumptions or losses of future economic benefits in the form of reductions in assets or increases in liabilities of the entity (other than those relating to distributions to owners) that result in a decrease in equity or net worth during the reporting period. Source and reference attributes Submitting organisation: Health Expenditure Advisory Committee Origin: Australian Bureau of Statistics: Government Finance Statistics 1998, Cat. No. 5514.0. Australian Bureau of Statistics 2006. Australian System of Government Finance Statistics: Concepts, sources and methods, 2005. Cat. no. 5514.0.55.001 Canberra: ABS. Australian Accounting Standards Board 1049, September 2006, <www.aasb.com.au> Relational attributes Related metadata references: Supersedes Organisation—depreciation expenses, total Australian currency NNNNN.N Health, Superseded 01/04/2009 Is used in the formation of Organisation—expenses, total Australian currency NNNNN.N Health, Standard 05/12/2007 Implementation in Data Set Specifications: Government health expenditure organisation expenditure capital consumption data element cluster Health, Standard 04/04/2013 Government health expenditure organisation expenditure data element cluster Health, Standard 04/12/2013
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Organisation—employee related expenses, total Australian currency NNNNN.N Identifying and definitional attributes Short name: Employee expenses METeOR identifier: 359947 Registration status: Health, Standard 05/12/2007 Definition: Expenses of an organisation consisting mainly of wages, salaries and supplements, superannuation employer contributions, and workers compensation premiums and payouts, in Australian currency. Data Element Concept: Organisation—employee related expenses Value domain attributes Representational attributes Representation class: Total Data type: Currency Format: NNNNN.N Maximum character length: 6 Unit of measure: Australian currency (AU$) Source and reference attributes Submitting organisation: Health Expenditure Advisory Committee Data element attributes Collection and usage attributes Guide for use: Data are collected and nationally collated for the reporting period - the financial year ending 30th June each year. Employee related expenses are to be reported in millions to the nearest 100,000 e.g. $4,064,000 should be reported as $4.1 million. When revenue from transactions are offset against expenses from transactions, the result equates to the net operating balance in accordance with Australian Accounting Standards Board 1049 (September 2006). Includes: • Salaries, wages and supplements for all employees of the organisation (including contract staff employed by an agency, provided staffing data is also available). This is to include all paid leave (recreation, sick and long-service) and salary and wage payments relating to workers compensation leave. • Superannuation employer contributions paid or, for an emerging cost scheme, that should be paid (as determined by an actuary) on behalf of establishment employees either by the establishment or a central administration such as a state health authority, to a superannuation fund providing retirement and related benefits to establishment employees, for a financial year. • Workers compensation premiums and payments Collection methods: Employee related expenses are to be reported for the Health industry relevant organisation type and Typeof health and health related functions data elements. Health industry relevant organisation type State and territory health authorities are NOT to report the following codes: Codes 106–109; 111; 115–119; 123; 201 and 203 Type of health and health related functions State and territory health authorities are NOT to report the following codes: Codes 199; 299; 303–305; 307; 499; 503–504; 599; 601–603; 688; 699 Comments: In accounting terms, expenses are consumptions or losses of future economic benefits in the form of reductions in assets or increases in liabilities of the entity (other than those relating to distributions to owners) that result in a decrease in equity or net worth during the reporting period. Source and reference attributes Submitting organisation: Health Expenditure Advisory Committee Origin: Australian Bureau of Statistics: Government Finance Statistics 1998, Cat. No. 5514.0. Australian Bureau of Statistics 2006. Australian System of Government Finance Statistics: Concepts, sources and methods, 2005. Cat. no. 5514.0.55.001 Canberra: ABS. Australian Accounting Standards Board 1049, September 2006, <www.aasb.com.au> Relational attributes Related metadata references: Is used in the formation of Organisation—expenses, total Australian currency NNNNN.N Health, Standard 05/12/2007 Implementation in Data Set Specifications: Government health expenditure organisation expenditure data element cluster Health, Standard 04/12/2013 Government health expenditure organisation expenditure employee related data element cluster Health, Standard 04/12/2013
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Organisation—expenses, total Australian currency NNNNN.N Identifying and definitional attributes Short name: Organisation expenses, total Australian currency METeOR identifier: 359963 Registration status: Health, Standard 05/12/2007 Definition: Expenses of an organisation consisting mainly of wages, salaries and supplements, superannuation employer contributions, workers compensation premiums and payouts, purchases of goods and services and consumption of fixed capital (depreciation), in Australian currency. Data Element Concept: Organisation—expenses Value domain attributes Representational attributes Representation class: Total Data type: Currency Format: NNNNN.N Maximum character length: 6 Unit of measure: Australian currency (AU$) Source and reference attributes Submitting organisation: Health Expenditure Advisory Committee Data element attributes Collection and usage attributes Guide for use: Data are collected and nationally collated for the reporting period - the financial year ending 30th June each year. Expenses are to be reported in millions to the nearest 100,000 e.g. $4,064,000 should be reported as $4.1 million. When revenue from transactions are offset against expenses from transactions, the result equates to the net operating balance in accordance with Australian Accounting Standards Board 1049 (September 2006). Includes: • Salaries, wages and supplements • Superannuation employer contributions • Workers compensation premiums and payments • Consumption of fixed capital (depreciation). • Administrative expenses (excluding workers compensation premiums and payouts) • Domestic services • Drug supplies • Food supplies • Grants • Medical and surgical supplies • Patient transport • Payments to visiting medical officers • Repairs and maintenance • Social benefits • Subsidy expenses • Other expenses Collection methods: Expenses are to be reported for the Health industry relevant organisation type and Typeof health and health related functions data elements. Health industry relevant organisation type State and territory health authorities are NOT to report the following codes: Codes 106–109; 111; 115–119; 123; 201 and 203 Type of health and health related functions State and territory health authorities are NOT to report the following codes: Codes 199; 299; 303–305; 307; 499; 503–504; 599; 601–603; 688; 699 Comments: In accounting terms, expenses are consumptions or losses of future economic benefits in the form of reductions in assets or increases in liabilities of the entity (other than those relating to distributions to owners) that result in a decrease in equity or net worth during the reporting period. Source and reference attributes Submitting organisation: Health Expenditure Advisory Committee Origin: Australian Bureau of Statistics: Government Finance Statistics 1998, Cat. No. 5514.0. Australian Bureau of Statistics 2006. Australian System of Government Finance Statistics: Concepts, sources and methods, 2005. Cat. no. 5514.0.55.001 Canberra: ABS. Australian Accounting Standards Board 1049, September 2006, reference: http://www.aasb.com.au/ Relational attributes Related metadata references: Is formed using Organisation—capital consumption expenses, total Australian currency NNNNN.N Health, Standard 01/04/2009 Is formed using Organisation—employee related expenses, total Australian currency NNNNN.N Health, Standard 05/12/2007 Is formed using Organisation—purchase of goods and services, total Australian currency NNNNN.N Health, Standard 05/12/2007 Implementation in Data Set Specifications: Government health expenditure organisation expenditure data element cluster Health, Standard 04/12/2013
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Organisation—purchase of goods and services, total Australian currency NNNNN.N Identifying and definitional attributes Short name: Purchase of goods and services METeOR identifier: 359935 Registration status: Health, Standard 05/12/2007 Definition: Expenses of an organisation consisting mainly of purchases of goods and services, in Australian currency. Data Element Concept: Organisation—purchase of goods and services Value domain attributes Representational attributes Representation class: Total Data type: Currency Format: NNNNN.N Maximum character length: 6 Unit of measure: Australian currency (AU$) Source and reference attributes Submitting organisation: Health Expenditure Advisory Committee Data element attributes Collection and usage attributes Guide for use: Expenses relating to purchases of goods and services are to be reported in millions to the nearest 100,000 e.g. $4,064,000 should be reported as $4.1 million. When revenue from transactions are offset against expenses from transactions, the result equates to the net operating balance in accordance with Australian Accounting Standards Board 1049 (September 2006). Includes: • administrative expenses (excluding workers compensation premiums and payouts) • domestic services • drug supplies • food supplies • grants • medical and surgical supplies • patient transport • payments to visiting medical officers • repairs and maintenance • social benefits • subsidy expenses • other expenses (includes contracted care services purchased from private hospitals) Collection methods: Data are collected and nationally collated for the reporting period - the financial year ending 30th June each year. In accounting terms, expenses are consumptions or losses of future economic benefits in the form of reductions in assets or increases in liabilities of the entity (other than those relating to distributions to owners) that result in a decrease in equity or net worth during the reporting period. Expenses relating to purchases of goods and services are to be reported for the Health industry relevant organisation type and Typeof health and health related functions data elements. Health industry relevant organisation type State and territory health authorities are NOT to report the following codes: Codes 106–109; 111; 115–119; 123; 201 and 203 Type of health and health related functions State and territory health authorities are NOT to report the following codes: Codes 199; 299; 303–305; 307; 499; 503–504; 599; 601–603; 688; 699 Comments: In accounting terms, expenses are consumptions or losses of future economic benefits in the form of reductions in assets or increases in liabilities of the entity (other than those relating to distributions to owners) that result in a decrease in equity or net worth during the reporting period. Source and reference attributes Submitting organisation: Health Expenditure Advisory Committee Origin: Australian Bureau of Statistics: Government Finance Statistics 1998, Cat. No. 5514.0. Australian Bureau of Statistics 2006. Australian System of Government Finance Statistics: Concepts, sources and methods, 2005. Cat. no. 5514.0.55.001 Canberra: ABS. Australian Accounting Standards Board 1049, September 2006, <www.aasb.com.au> Relational attributes Related metadata references: Is used in the formation of Organisation—expenses, total Australian currency NNNNN.N Health, Standard 05/12/2007 Implementation in Data Set Specifications: Government health expenditure organisation expenditure data element cluster Health, Standard 04/12/2013 Government health expenditure organisation expenditure purchase of goods and services data element cluster Health, Standard 04/12/2013
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Organisation—type of health or health-related function, code NNN Identifying and definitional attributes Short name: Type of health or health-related function METeOR identifier: 533041 Registration status: Health, Standard 04/12/2013 Definition: A description of the type of activities or programs with a health or health-related function provided by an organisation, as represented by a code. Data Element Concept: Organisation—type of health or health-related function Value domain attributes Representational attributes Representation class: Code Data type: Number Format: NNN Maximum character length: 3 Permissible values: Value Meaning 101 Admitted patient care – Mental health program 102 Admitted patient care – Non-mental health program 199 Admitted patient care – Not further defined 201 Residential care – Mental health program 202 Residential care – Non-mental health program 299 Residential care – Not further defined 301 Ambulatory care – Mental health program 302 Ambulatory care – Emergency department 303 Ambulatory care – General practitioner 304 Ambulatory care – Medical specialist 305 Ambulatory care – Imaging/pathology 306 Ambulatory care – Dental service 307 Ambulatory care – Optometry service 308 Ambulatory care – Allied health service 309 Ambulatory care – Community health service 388 Ambulatory care – Other 399 Ambulatory care – Not further defined 401 Public health – Communicable disease control 402 Public health – Selected health promotion 403 Public health – Organised immunisation 404 Public health – Environmental health 405 Public health – Food standards and hygiene 406 Public health – Breast cancer screening 407 Public health – Cervical screening 408 Public health – Bowel cancer screening 409 Public health – Prevention of hazardous and harmful drug use 410 Public health – Public health research 488 Public health – Other public health 499 Public health – Not further defined 501 Health-related care – Patient transport 502 Health-related care – Patient transport subsidies 503 Health-related care – Medications 504 Health-related care – Aids and appliances 505 Health-related care – Health administration 506 Health-related care – Health research 588 Health-related care – Other 599 Health-related care – Not further defined 601 Other function – Home and community care 602 Other function – Aged care 603 Other function – Other welfare 688 Other function – Other 699 Other function – Not further defined Collection and usage attributes Guide for use: CODE 101 Admitted patient care – Mental health program An admission to a mental health program includes: The component of the mental health program that provides admitted patient care. These services are delivered through specialised psychiatric hospitals and designated psychiatric units located within hospitals that are not specialised psychiatric hospitals. NOTE: This is the admitted patient component of the mental health care program reported to the Mental health establishments NMDS. Excludes residential care mental health programs, ambulatory care mental health programs which are provided as outpatient and emergency department care to non-admitted patients, and community-based (non-hospital) mental health programs. CODE 102 Admitted patient care – Non-mental health program An admitted patient non-mental health program includes: All services, excluding mental health services, provided to admitted patients, including acute care, rehabilitative care, palliative care, geriatric evaluation and management, psychogeriatric care, maintenance care, newborn care and any other admitted patient care, e.g. organ procurement – posthumous. Also includes admitted patient services where service delivery is contracted to private hospitals or treatment facilities and hospital-in-the-home services. Excludes emergency department and outpatient care provided to non-admitted patients, and community-based (non-hospital) care. CODE 199 Admitted patient care – Not further defined Comprises admitted patient care services that could be a combination of Codes 101 and 102 but which could not be further disaggregated. State and territory health authorities are only to report admitted patient care under Codes 101 or 102. CODE 201 Residential care – Mental health program A residential mental health care program includes: The component of the specialised mental health program that provides residential care. A resident in one residential mental health service cannot be concurrently a resident in another residential mental health service. A resident in a residential mental health service can be concurrently a patient admitted to a hospital. Comprises the residential component of the mental health care program reported to the Mental health establishments NMDS. Excludes residential aged care services, residential disability, alcohol and other drug treatment health care services and residential type care provided to admitted patients in hospitals. Also excludes mental health programs provided to admitted patients, emergency and outpatient care patients, and community health (non-hospital) and other ambulatory care patients. CODE 202 Residential care – Non-mental health program A residential non-mental health care program includes alcohol and other drug treatment health care services. Excludes residential mental health care program services, residential aged care services, residential disability services and residential type care provided to admitted patients in hospitals. Also excludes services provided to admitted patients and patients receiving ambulatory care. CODE 299 Residential care – Not further defined Comprises residential care services that could be a combination of Codes 201 and 202 but which could not be further disaggregated. State and territory health authorities are only to report residential care under Codes 201 or 202. CODE 301 Ambulatory care – Mental health program The component of a specialised mental health program supplied by a specialised mental health service that provides ambulatory health care. Comprises the ambulatory component of the mental health care program reported to the Mental health establishments NMDS, i.e. specialised mental health program services provided by emergency departments, outpatient clinics and community-based (non-hospital) services. Excludes specialised mental health care provided to admitted and residential patients. CODE 302 Ambulatory care – Emergency department Comprises emergency department services provided in an emergency department. Excludes specialised mental health services provided by emergency departments, outpatient clinics and community-based (non-hospital) services. Also excludes residential and admitted patient services. CODE 303 Ambulatory care – General practitioner This item is not currently required to be reported by state and territory health authorities. The definition relates to the broad type of non-referred general practitioner services as specified on the Medicare Benefits Schedule website. These services comprise general practitioner attendances, including General Practitioner, Vocationally Registered General Practitioner (GP/VRGP) and other non-referred attendances, to non-admitted patients, and services provided by a practice nurse or registered Aboriginal Health Worker on behalf of a general practitioner. This category is not limited to services funded by Medicare Australia. It also includes services funded from other sources such as Motor Vehicle Third Party Insurance and Workers Compensation Insurance, among others. Therefore, general or nurse practitioner services such as vaccinations for overseas travel are included regardless of their funding source. These non-referred general practitioner services are provided in private or group practices in medical clinics, community health care centres or hospital outpatient clinics. Excludes mental health care services reported under Code 301 and services provided to non-admitted patients in an emergency department. CODE 304 Ambulatory care – Medical specialist This item is not currently required to be reported by state and territory health authorities. Specialist attendances, obstetrics, anaesthetics, radiotherapy, operations and assistance at operations care. These services are defined in the current Medicare Benefits Schedule. Includes services funded by Medicare Benefits Scheme, Motor Vehicle Third Party Insurance, Workers Compensation Insurance and from patient out-of-pocket payments. These services are provided in private or group practices in medical clinics, community health care centres or hospital outpatient clinics. Includes salaried medical officers. Excludes mental health care services reported under Code 301 and services provided to non-admitted patients in an emergency department. CODE 305 Ambulatory care – Imaging/pathology service This item is not currently required to be reported by state and territory health authorities. Pathology and diagnostic imaging services as defined in the current Medicare Benefits Schedule. Includes services funded by Medicare Benefits Scheme, Motor Vehicle Third Party Insurance, Workers Compensation Insurance and from patient out-of-pocket payments. These services are provided in private or group practices in medical clinics, community health care centres or hospital outpatient clinics. Excludes services provided to admitted or residential care patients and non-admitted patients in an emergency department. CODE 306 Ambulatory care – Dental service Includes any non-admitted patient and community dental services, including dental assessments, preventative services and treatments, regardless of funding source. Oral and maxillofacial services and cleft lip and palate services, as defined in the current Medicare Benefits Schedule, are also included in this category. Includes dental services funded from a range of sources such as Medicare Benefits Scheme, Motor Vehicle Third Party Insurance and dental services funded by vouchers for dental care. These dental services are provided in private or group practices in dental clinics, community health care centres or hospital outpatient clinics. Excludes dental care provided to admitted patients in hospitals (same day or overnight) or to non-admitted patients in an emergency department. CODE 307 Ambulatory care – Optometry service This item is not currently required to be reported by state and territory health authorities. Optometry services as defined in the current Medicare Benefits Schedule. Includes services funded by Medicare Benefits Scheme, Motor Vehicle Third Party Insurance, Workers Compensation Insurance and from patient out-of-pocket payments. These services are mainly provided in private or group practices, but may be provided in hospital outpatient centres. Excludes optometry services provided to admitted or residential care patients or to non-admitted patients in an emergency department. CODE 308 Ambulatory care – Allied health service Includes services provided by the following allied health items. Aboriginal health worker, diabetes educator, audiologists, exercise physiologist, dietician, mental health worker, occupational therapist, physiotherapist, podiatrist or chiropodist, chiropractor, osteopath, psychologist and speech pathologist. These services are defined in the current Medicare Benefits Schedule. Includes services funded by Medicare Benefits Scheme, Motor Vehicle Third Party Insurance, Workers Compensation Insurance and from patient out-of-pocket payments. Excludes allied health services provided to admitted or residential care patients or to non-admitted patients in an emergency department. CODE 309 Ambulatory care – Community health services Includes community health services such as family, maternal, child and youth health (including well baby clinics) as well as Aboriginal and Torres Strait Islander and migrant health services. Also includes health care for people with acute, post-acute, chronic and end of life illnesses, alcohol and drug treatment services, child psychology services, community midwifery, community nursing, school and district nursing, community rehabilitation, continence services, telehealth, dietetics, family planning and correctional health services. Excludes mental health services reported under Code 301 and services provided to admitted and residential care patients and non-admitted patients in an emergency department. Also excludes services already reported under Codes 303 to 308. CODE 388 Ambulatory care – Other Comprises ambulatory care services other than those reported under Codes 301 to 309. CODE 399 Ambulatory care – Not further defined Comprises ambulatory care services that could be a combination of Codes 301 to 309 and 388, but which could not be further disaggregated, such as public outpatient services. CODE 401 Public health – Communicable disease control This category includes all activities associated with the development and implementation of programs to prevent the spread of communicable diseases. Expenditure on Communicable disease control is recorded using three sub-categories: • HIV/AIDS, hepatitis C and sexually transmitted infections • Needle and syringe programs • Other communicable disease control. The public health component of the HIV/AIDS, hepatitis C and sexually transmitted infections strategies includes all activities associated with the development and implementation of prevention and education programs to prevent the spread of HIV/AIDS, hepatitis C and sexually transmitted infections. Expenditure on treatment or diagnostic services is not included. HIV/AIDS, hepatitis C and sexually transmitted infections Inclusions • Implementation of health promotion strategies aimed at increasing safe behaviour among at-risk populations including people living with HIV/AIDS (including through community sector agencies) • provision of sexual health services to at-risk populations to reduce prevalence of sexually transmitted infections, including testing for sexually transmitted infections (including HIV and hepatitis C), pre-test counselling for all sexually transmitted infections (including HIV), broad-based screening programs and contact tracing • programs toward prevention of sexually transmitted infections (STIs) and blood borne viruses (BBVs), including genital herpes, hepatitis B and C, human papilloma virus, chlamydia, gonorrhoea and syphilis • Indigenous health programs targeting STIs and BBVs • consultation with community sector agencies regarding program priorities and delivery • promotion of access to culturally appropriate services • minimisation of the risk of transmission through occupational and non-occupational exposure through prophylaxis • support of targeted training to ensure provision of best practice sexual health services for at-risk populations • surveillance • development of and participation in relevant committees • diagnostic services • peer support programs immediately following diagnosis which promote safe sex practices and inform patients and carers about how to live with HIV/AIDS, blood borne viruses, hepatitis C and sexuallly transmitted infections • provision of high-quality data to health professionals to improve service delivery • participation in or initiation of research to establish data to inform service provision • funding to NGOs (for example, hepatitis councils, HIV/AIDS councils) • support of volunteer programs through access to training • management of people with HIV who place others at risk Exclusions • treatment for sexually transmitted infections • pharmaceuticals • HIV testing following diagnosis • specialist GPs for primary management of HIV/AIDS • access to HIV treatments and viral load testing • outpatient and ambulatory services • dental health services • welfare and housing referral services • admitted patient services • mental health services • community and home-based care services • palliative and respite care services • maternity services • hepatitis B and HPV immunisation (included in Other organised immunisation) • Safe sexual health messages (included in Selected health promotion). Needle and syringe programs Needle and syringe programs aim to reduce and prevent the transmission and spread of infectious diseases to individuals and the broader community through the provision of sterile injecting and disposal equipment, education, consultation and referral processes. Inclusions • education and training of the labour force • provision of safe injecting equipment, including the cost of equipment, transport and staff to deliver the service • administration of the program, including identifying new sites, negotiating services • costs, addressing public concerns and policy development • negotiation with pharmacies to support initiatives • consultation with community agencies operating needle and syringe program sites. Other communicable disease control This sub-category includes all other communicable disease control activities not assigned to the HIV/AIDS, hepatitis C and sexually transmitted infections or Needle and syringe program sub-categories as defined above. Inclusions • surveillance systems, screenings, recording, notification and reporting systems • case response, contact tracing, investigation and disease outbreak planning and management • policy and support services specifically related to communicable disease control programs • provision and administration of vaccines for the management of disease outbreaks • provision of advice and education on all other communicable diseases • initial counselling for people tested • funding to NGOs for the provision of operating prevention programs • human quarantine-related services • OzFoodNet programs. Exclusions • clinical and treatment services for communicable disease infections including sexually transmitted infections • provision and administration of vaccines for immunisation programs as defined in the Organised immunisation category • referral, treatment and associated counselling for communicable disease infections • staff screening programs, staff immunisation and staff education • infection control activities in hospitals • funding to NGOs for the provision of treatment-based programs. CODE 402 Public health – Selected health promotion This category includes those activities fostering healthy lifestyle and a healthy social environment overall, and health promotion activities targeted at health risk factors which lead to injuries, skin cancer and cardiovascular disease (for example, diet or inactivity) that are delivered on a population-wide basis. The underlying criterion for the inclusion of health promotion programs within this category was that they are population health programs promoting health and wellbeing. Inclusions • State government funding for health promotion councils or NGOs • organised population programs, or programs with a population focus (for example, programs on lifestyle risk factors, population level interventions targeting eating and physical activity, and Healthy communities, children and workers Cities and Healthy Schools programs) • development, administration, implementation and evaluation of policy, programs, guidelines and legislation • development and maintenance of health promotion databases (including data collection), where they can be separated from ‘non-public health’ databases • health sector input to cross-sector health education • organised population health screening of risk factors for preventable chronic disease • communication information and advice to the public • supportive environments for healthy living • Innovative Health Services for homeless youth. Exclusions • opportunistic health checks of individuals, activities for heart disease risk factors (stress, blood pressure, cholesterol) • information programs on management of specific diseases post-diagnosis • community nurse activity (for example, ad-hoc talking to schools about nutrition) • individual counselling including health education on an ad-hoc basis • compliance with safety codes and maintenance of healthy environments • treatment for stress or other mental health disorders (for example, anxiety) • school education ad-hoc, school health nurses and school dental services • well baby clinics, domiciliary care and home nursing services • neighbourhood watch programs • occupational health and safety education (included under ‘Public health-related activities’) • population health programs directed at domestic, family and general violence • population health programs providing a safe sexual health message—these are included in the Communicable disease controlcategory • public health education campaigns and school health education programs funded outside the health sector • health promotion activities that are associated with core public health categories—these are classified in the relevant categories (for example, safe drinking programs should be classified in the Prevention of hazardous and harmful drug use category). CODE 403 Public health – Organised immunisation This category includes immunisation clinics, school immunisation programs, immunisation education, public awareness, immunisation databases and information systems. Expenditure on organised immunisation is recorded using three sub-categories: • Organised childhood immunisation (as defined by the NHMRC National Immunisation Schedule) • Organised pneumococcal and influenza immunisation • All other organised immunisation (for example, tetanus)—as opposed to ad-hoc or opportunistic immunisation. Inclusions • promotion, distribution, provision and administration of vaccines as listed • immunisation clinics and school immunisation programs • immunisation education and public awareness • immunisation databases and information systems • staff vaccination programs where part of Organised immunisation and NHMRC schedule for all tetanus immunisation. Exclusions • immunisation after possible infection or on detection of illness (for example, rabies vaccine)—this expenditure should be included in the Communicable disease control expenditure category. CODE 404 Public health – Environmental health This category relates to health protection education (for example, safe chemical storage, water pollutants), expert advice on specific issues, development of standards, risk management and public health aspects of environmental health protection. The costs of monitoring and regulating are to be included where costs are borne by a regulatory agency and principally have a public health focus (for example, radiation safety, and pharmaceutical regulation and safety). Environmental health includes the following characteristics: • vector control • chemical regulation and safety • radiation safety and control • public health aspects of water quality control and fluoridation • Legionella control • public health input to contaminated sites and unhealthy land • public health aspects of water environment control • public health input to hazardous materials management • public health aspects of waste water and solid waste • public health input to disaster management • public health contribution to environmental sampling, health impact statements and risk assessment • radiation regulation, water quality regulation, lead and asbestos regulation • environmental health monitoring. Inclusions • development, review and administration of legislation, policy and/or regulations health protection education (for example, safe chemical storage, water pollutants) and expert advice on specific issues • response to health complaints and investigation of breaches of legislation and disease outbreaks • surveillance, inspections and investigations to maintain standards (for example, water quality testing, sampling) • expert advice and provision of professional and technical support services on specific issues • administration of relevant legislation, such as the licensing of operators or conducting pest control examinations • maintenance of related databases (for example, issuing radiation licenses, and national notification of agricultural, veterinary and industrial chemicals and pesticides) • regulation and management of water fluoridation (includes addition of fluoride to water supplies) • public health component of assessment, remediation and management of contaminated land • public health input to land development applications • public health input to emergency management and disaster response management, including planning and emergency response teams • public health contribution to environmental sampling, health impact statements and risk assessment • public health input to control activities for vectors (for example, landfill, spraying, baiting, eradication)—to be included only if undertaken by regulatory agency • poisons regulation • pharmaceutical and therapeutic goods regulation • public health input to air and noise pollution control • training of environmental health workers • public health aspects of manufacture and distribution of medicines. Exclusions • costs borne by private or government industry in complying with regulations and legislation such as public health and environmental health acts • hospital infection control • treatment for infections (for example, Ross River fever or encephalitis treatment) • workplace testing or monitoring • installation and maintenance of systems (for example, waste disposal, storm water pollution, air-conditioning units) • management of land development applications • compliance with regulation which protects water courses and national parks • recycling programs • infectious waste control (for example, medical wastes and sharps) and disposal • environmental health protection research (to be included under Code 410, Public health research). CODE 405 Public health – Food standards and hygiene This category includes the development, review and implementation of food standards, regulations and legislation as well as the testing of food by the regulatory agency. Inclusions • development, review and implementation of food standards, regulations, legislation, policy and standards • surveillance (including inspections/audits), monitoring and enforcement of food legislation, policy and standards (including food premises registers, food safety programs, food safety supervisors and food safety auditing) • testing of prescribed contaminants in food by regulatory agency • education such as food safety awareness campaigns for suppliers and/or consumers • training and education for food handlers (including LGAs) • education and advice on food standards/requirements (for example, for food premises) Exclusions • compliance costs of industry associated with food regulations (for example, labelling and safe food handling practices) • testing of food by industry. CODE 406 Public health – Breast cancer screening This category relates to Breast cancer screening and includes expenditure for the complete breast cancer screening pathway through organised programs. The breast cancer screening pathway includes such activities as recruitment, screen taking, screen reading, assessment (this includes fine needle biopsy), core biopsy, open biopsy, service management and program management. Inclusions • State-wide coordination and planning • Strategic policy development and implementation • Service development and support • Management of state registers • Capital procurement and capacity planning • Quality management and monitoring (management of registries, communication and education, including social marketing, workforce development, training and monitoring, evaluation and research). Exclusions • Treatment and surveillance for five years after diagnosis • Post diagnosis follow up counselling and support • Pathology services associated with treatment • Breast cancer research collaboratives (to be included under Code 410, Public health research) CODE 407 Public health – Cervical screening This category relates to organised cervical screening programs such as the state cervical screening programs and rural access programs, including coordination, provision of screens and assessment services. Cervical screening, funded through Medicare, for both screening and diagnostic services is also included. Inclusions • State-wide coordination and planning • Strategic policy development and implementation • Service development and support • Management of state Pap smear registers • Quality management and monitoring • Communication and education, including social marketing • Monitoring, evaluation and research Exclusions • colposcopy services and related histopathology • counselling and/or treatment for patients diagnosed with cervical cancer (the differences between abnormalities and malignant carcinomas are described in Screening to Prevent Cervical Cancer: Guidelines for the Management of Women with Screen Detected Abnormalities. NHMRC 2005) • In some jurisdictions, some aspects of cervical screening are provided by third parties. In reporting expenditure for this category, jurisdictions should note if this is the case and whether or not this expenditure is included in the estimates they provide. CODE 408 Public health – Bowel cancer screening This category relates to the organised National Bowel Cancer Screening Program (NBCSP). The screening pathways include: • Self-administered Faecal occult blood test (FOBT) • the National Register functions including letters of invitation and reminders (Commonwealth to provide costs) • follow up assessment colonoscopy services (public and private) • follow up officers (state-based/Commonwealth funded) tests for analysis • program coordination and management CODE 409 Public health – Prevention of hazardous and harmful drug use This category includes activities targeted at the general population with the aim of preventing or reducing harmful use of alcohol, tobacco, illicit and other drugs of dependence, and mixed drugs. The Australian Standard Classification of Drugs of Concern includes analgesics, sedatives and hypnotics, stimulants and hallucinogens, anabolic agents and selected hormones, antidepressants and anti-psychotics, and also miscellaneous drugs of concern. Report for each sub-category as below, the aggregate of which will be total expenditure on Prevention of hazardous and harmful drug use: • Alcohol • Tobacco • Illicit and other drugs of dependence • Mixed. Alcohol Inclusions • alcohol regulation, labelling, control and licensing • prevention strategies to encourage low risk alcohol use (as described in NHMRC guidelines) and discourage harmful use • formulating alcohol policy • social marketing • alcohol harm reduction strategies Exclusions • any alcohol interventions programs with treatment of individuals as the major focus • activities designated as treatment services • services considered primarily of a welfare services nature (for example, nightt shelters) • services considered to be almost entirely providing accommodation and food services (for example, halfway houses). Tobacco Inclusions • formulating tobacco policy • social marketing • smoke free policies in the workplace • policies relating to smoke-free eating places and other public facilities • tobacco control legislation and enforcement • quit smoking programs such as Quitline • smoking prevention strategies for children and youth Exclusions • activities designated as treatment services. Illicit and other drugs of dependence Inclusions • policy and health promotion strategies to discourage illicit drug use • social marketing • control activity to limit supply and availability for misuse Exclusions • any illicit drug interventions with treatment of individuals as the major focus • activities designated as treatment services • services considered primarily of a welfare services nature (for example, night shelters) • services considered to be almost entirely providing accommodation and food services (for example, halfway houses). Mixed Inclusions • social marketing • policy and health promotion strategies to improve behaviour • public health activities with regard to poly drug use. Exclusions • any anti-drug and alcohol programs with treatment of individuals as the major focus • activities designated as treatment services • services considered primarily of a welfare services nature (for example, night shelters) • services considered to be almost entirely providing accommodation and food services (for example, halfway houses) CODE 410 Public health – Public health research Research and development (R and D) is defined according to the OECD standard as comprising creative work undertaken on a systematic basis in order to increase the stock of knowledge, including knowledge of man, culture and society, and the use of this stock of knowledge to devise new applications. An R and D activity is characterised by originality. It has investigation as a primary objective, the outcome of which is new knowledge, with or without a specific application, or new or improved materials, product, devices, processes or services. R and D ends when work is no longer primarily investigative. (Pink & Geoff 2008). Inclusions • Communicable disease control research • Selected health promotion research • Organised immunisation research • Environmental health research • Food standards and hygiene research • Breast cancer screening research • Cervical screening research • Prevention of hazardous and harmful drug use research • Population health surveys • health status research • Major public health research which cannot be allocated to one of the above categories. Exclusions • public health evaluations CODE 488 Public health – Other public health Comprises public health functions not reported to the National Public Health Expenditure Project. CODE 499 Public health – Not further defined Comprises public health services that could be a combination of Codes 401 to 410 but which could not be further disaggregated. CODE 501 Health-related care – Patient transport This item comprises transportation in a specially-equipped surface vehicle or in a designated air ambulance to and from facilities for the purposes of receiving medical and surgical care. Includes all government ambulance services and transport provided by the Royal Flying Doctor Service, CareFlight and similar services, emergency transport services of public fire rescue departments or defence that operate on a regular basis for civilian emergency services (not only for catastrophe medicine). Includes transport between hospitals or other medical facilities and transport to or from a hospital or other medical facility and a private residence or other non-hospital/medical services location. The provider of this service could be a public or private hospital or an ambulance service. CODE 502 Health-related care – Patient transport subsidies Government subsidies to private ambulance services, for example, patient transport vouchers, support programs to assist isolated patients with travel to obtain specialised health care. It also includes transportation in conventional vehicles, such as taxis, when the latter is authorised and the costs are reimbursed to the patient (for example, for patients undergoing renal dialysis or chemotherapy). CODE 503 Health-related care – Medications This item is not currently required to be reported by state and territory health authorities. Includes pharmaceuticals and other medical non-durables, prescribed medicines and over-the-counter pharmaceuticals. Included within these categories are: medicinal preparations, branded and generic medicines, drugs, patent medicines, serums and vaccines, vitamins and minerals and oral contraceptives, prescribed medicines exclusively sold to customers with a medical voucher, irrespective of whether it is covered by public or private funding. Includes branded and generic products, private households’ non-prescription medicines and a wide range of medical non-durables such as bandages, condoms and other mechanical contraceptive devices, elastic stockings, incontinence articles and toothbrushes, toothpastes and therapeutic mouth washes. CODE 504 Health-related care – Aids and appliances This item is not currently required to be reported by state and territory health authorities. This item comprises glasses and other vision products, orthopaedic appliances and other prosthetics, hearing aids, medico-technical devices including wheelchairs and all other miscellaneous medical durables not elsewhere classified such as blood pressure instruments. CODE 505 Health-related care – Health administration Administrative services which cannot be allocated to a specific health good and service. Those unallocatable services might include, for example, maintaining an office of the Chief Medical Officer; a Departmental liaison officer in the office of the Minister; or a number of other agency-wide items for which it is not possible to derive appropriate or meaningful allocations to particular health programs. CODE 506 Health-related care – Health research Includes all research on health topics that is not included in Public health research (Code 410). That is, it includes all research classified under ABS Australian Standard Research Classification code 320000, excluding code 321200. Excludes public health research and non-health related research. CODE 588 Health-related care – Other Includes, for example, services provided by health and health-related call centres and e-health information services. Excludes health-related care reported under Codes 501 to 506 and health assessments provided under the Aged Care Assessment Program which are reported under Code 602. CODE 599 Health-related care – Not further defined Comprises health-related care that could be a combination of Codes 501 to 506 but which could not be further disaggregated. State and territory health authorities are only to report health-related care under Codes 501 to 506. CODE 601 Other function – Home and community care This item is not currently required to be reported by state and territory health authorities. Comprises Home and Community Care services reported under the Home and Community Care (HACC) NMDS. Information on these service categories is available in the following report: National classifications of community services. Version 2.0. AIHW Cat. No. HWI 40. Canberra: Australian Institute of Health and Welfare, 2003. Excludes services reported under Codes 602 to 603. CODE 602 Other function – Aged care This item is not currently required to be reported by state and territory health authorities. Includes residential care aged care programs, aged care assessment programs and other non-health aged care programs, such as respite care and day care activities. Excludes services provided under the HACC program. CODE 603 Other function – Other welfare This item is not currently required to be reported by state and territory health authorities. Includes services delivered to clients, or groups of clients with special needs such as the young or the disabled. Excludes aged care services reported under Code 602. CODE 688 Other function – Other This item is not currently required to be reported by state and territory health authorities. Includes for example, car parking, accommodation for staff or for patients' relatives, or non-health-related research. CODE 699 Other function – Not further defined This item is not currently required to be reported by state and territory health authorities. Comprises other functions that could be a combination of Codes 601 to 603 but which could not be further disaggregated. Source and reference attributes Submitting organisation:Health Expenditure Advisory CommitteeReference documents: Pink, B. & Geoff, B. 2008. Australian and New Zealand standard research classification (ANZSRC). ABS Cat. no. 1297.0. Canberra: ABS. Australian Government Department of Health and Ageing. Medicare Benefits Schedule Book. Viewed 1 November 2006, http://www.health.gov.au/mbsonline Australian Institute of Health and Welfare 2003. National classifications of community services. Version 2.0. AIHW cat. no. HWI 40. Canberra: AIHW. Australian Institute of Health and Welfare 2007. National public health expenditure report 2004–05. Health and welfare series expenditure series no. 29. cat. no. HWE 36. Canberra: AIHW. Data element attributes Source and reference attributes Submitting organisation:Health Expenditure Advisory Committee Relational attributes Related metadata references: Supersedes Organisation—type of health or health related function, code NNN Health, Superseded 04/12/2013Implementation in Data Set Specifications: Government health expenditure function revenue data element cluster Health, Standard 04/12/2013 Government health expenditure organisation expenditure capital consumption data element cluster Health, Standard 04/04/2013 Government health expenditure organisation expenditure data element cluster Health, Standard 04/12/2013 Government health expenditure organisation expenditure employee related data element cluster Health, Standard 04/12/2013 Government health expenditure organisation expenditure purchase of goods and services data element cluster Health, Standard 04/12/2013
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Government health expenditure organisation expenditure purchase of goods and services data element cluster
Health industry relevant organisation—main activity type, code NNN Obligation: Conditional Identifying and definitional attributes Short name: Health industry relevant organisation type METeOR identifier: 372264 Registration status: Health, Standard 01/04/2009 Definition: Describes a health industry relevant organisation based on its main activity, as represented by a code. Data Element Concept: Health industry relevant organisation—main activity type Value domain attributes Representational attributes Representation class: Code Data type: Number Format: NNN Maximum character length: 3 Permissible values: Value Meaning Main Health Care Services organisation 101 Hospital – public 102 Hospital – private (excluding private free-standing day hospital facility) 103 Hospital – private free-standing day hospital facility (excluding private non free-standing day hospital facility) 104 Residential facility – mental health care 105 Residential facility – other 106 Provider of ambulance service 107 Medical and diagnostic laboratory 108 Clinical practices – medical – general 109 Clinical practices – medical – specialist 110 Clinical practices – medical – other 111 Clinical practices – dental 112 Clinical practices – other 113 Community health facility – substance abuse 114 Community health facility – mental 115 Community health facility – other 116 Blood and organ bank 117 Retail sale/supplier of medical goods – optical glasses and other vision products 118 Retail sale/supplier of medical goods – hearing aids 119 Retail sale/supplier of medical goods – dispensing community pharmacist 120 Retail sale/supplier of medical goods – other 121 Public health program service provider 122 General health administration service provider 123 Private health insurance 188 Other Main Health Care Service providers 198 Regional health service not further defined 199 State/territory health authority not further defined Secondary/non-Health Care Services organisation 201 Pharmaceutical industry 202 University 203 Non-health related insurance 204 Residential aged care facility 288 Other Secondary/non-Health Care Services organisation Collection and usage attributes Guide for use: Main Health Care Service organisation CODE 101 Hospital – public An organisation comprised of a health care facility or group of health care facilities established under Commonwealth, state or territory legislation as a hospital or free-standing day hospital facility and authorised to provide treatment and/or care to patients. Comprises all health care facilities that are reported as public hospitals to the Public Hospital Establishments National Minimum Data Set (PHE NMDS). This includes organisations such as rehabilitation hospitals; psychiatric hospitals; mothercraft hospitals; and hospices and multi-purpose services defined as hospitals. The list of public hospitals reported to the PHE NMDS is available at www.aihw.gov.au/publications/index.cfm in the Australian Hospital Statistics annual report. NOTE 1: Excludes providers of services where those services are not captured in the hospital financial statements. For example, the provider of a pathology or pharmacy service may be co-located within the hospital, but as a private service, and will pay the hospital for use of the site. The provider of this pathology or pharmacy service would be recorded under codes 106 to 112. CODE 102 Hospital – private (excluding private free-standing day hospital facilities) An organisation comprised of a health care facility or a group of health care facilities established under Commonwealth, state or territory legislation as a hospital and authorised to provide treatment and/or care to patients. Comprises hospitals that are NOT reporting to the PHE NMDS. NOTE: State and territory data providers are to refer to the GHE NMDS Collection Guidelines for instructions on how to report expenditure for this category. Excludes private free-standing day hospital facilities reported under code 103. CODE 103 Hospital - private free-standing day facility (excluding private non free-standing day hospital facilities) An organisation comprised of one or more private free-standing day hospital facilities which provide investigation and treatment for acute conditions on a day-only basis and is approved by the Commonwealth as a hospital for the purposes of private health insurance benefits. The four main types of private free-standing day hospitals are specialist endoscopy, ophthalmic, plastic/cosmetic and general. Excludes private non free-standing day hospital facilities reported under code 102. CODE 104 Residential facility – mental health care An organisation comprised of one or more specialised mental health facilities primarily engaged in providing residential care to persons requiring mental health diagnosis and treatment combined with either nursing, supervisory or other types of care as required (including medical) by the residents. Excludes residential care facilities primarily providing aged care or care for persons requiring treatment for alcohol or other substance abuse or persons with a disability. CODE 105 Residential facility – other Includes all government-funded facilities primarily engaged in providing residential care to persons requiring diagnosis and treatment for alcohol and other substance abuse combined with either nursing, supervisory or other types of care as required (including medical) by the residents. Includes hospices that are not defined as hospitals and respite and transitional care services. Excludes facilities primarily providing services to aged persons or persons requiring mental health diagnosis and treatment. Also excludes residential care facilities that report under the Commonwealth, State and Territory Disability Agreement where the primary purpose is care for persons with a disability. CODE 106 Provider of ambulance service Organisations primarily engaged in providing transportation of patients by ground or air, along with health (or medical) care. These services are often provided during a medical emergency but are not restricted to emergencies. The vehicles are equipped with lifesaving equipment operated by medically trained personnel. Includes organisations providing public ambulance services or flying doctor services such as Royal Flying Doctor Service and Care Flight, and support programs to assist isolated patients with travel to obtain specialised health care. NOTE 2: Excludes providers of services where those services are captured in public or private hospital financial statements. For example, the provider of an ambulance, medical or diagnostic laboratory, general practice, specialist medical, dental or other health practitioner service may be located within a hospital set of accounts and its expenditure recorded on the hospital financial statement. The provider of the ambulance or other service would then be recorded under code 101. CODE 107 Medical and diagnostic laboratory This item is not currently required to be reported by state and territory health authorities. Organisations primarily engaged in providing analytic or diagnostic services, including body fluid analysis and diagnostic imaging, generally to the medical profession or the patient on referral from a health practitioner. Includes diagnostic imaging centres; dental or medical X-ray laboratories ultrasound services; medical testing laboratories; medical pathology laboratories; medical forensic laboratories; and X-ray clinic services. Includes public and private medical and diagnostic laboratories. See NOTE 2 under code 106. CODE 108 Clinical practices – medical – general Organisations of registered medical practitioners holding the degree of a Doctor of medicine or a qualification at a corresponding level primarily engaged in the independent practice of general medicine. These practitioners operate private or group practices in their own offices (e.g., centres, clinics) or in the facilities of others, such as hospitals or medical centres. See NOTE 2 under code 106. This item is not currently required to be reported by state and territory health authorities. CODE 109 Clinical practices – medical – specialist This item is not currently required to be reported by state and territory health authorities. Organisations of health practitioners holding the degree of a Doctor of medicine or a qualification at a corresponding level primarily engaged in the independent practice of specialist medicine or surgery, other than pathology and diagnostic imaging services. These practitioners operate a wide range of specialities in private or group practices in their own offices (e.g., centres, clinics) or in the facilities of others, such as hospitals or health maintenance type medical centres. Includes for example: • Anaesthetist service • Dermatology service • Ear, nose and throat specialist service • Gynaecology service • Neurology service • Obstetrics service • Paediatric service • Psychiatry service • Specialist medical clinic service • Specialist surgical service See NOTE 2 under code 106. CODE 110 Clinical practices – medical – other This item is not currently required to be reported by state and territory health authorities. Includes organisations of physicians not able to be allocated to Codes 108 or 109 CODE 111 Clinical practices – dental Organisations of registered health practitioners holding the degree of Doctor of dental medicine or a qualification at a corresponding level primarily engaged in the independent practice of general or specialised dentistry or dental surgery. These practitioners operate private or group practices in their own offices (e.g., centres, clinics) or in the facilities of others, such as hospitals, medical centres or community health facilities. They can provide either comprehensive preventive, cosmetic, or emergency care, or specialise in a single field of dentistry. Also included are dental hospitals providing ambulatory services only. Includes for example: • Cleft lip and palate services • Community dental service • Dental assessment and treatment • Dental hospital (out-patient) • Dental practice service • Dental practitioner service • Dental surgery service • Endodontic service • Oral and maxillofacial services • Oral pathology service • Oral surgery service • Orthodontic service • Pedodontic service • Periodontic service See NOTE 2 under code 106. CODE 112 Clinical practices – other This item is not currently required to be reported by state and territory health authorities. Organisations of independent health practitioners (other than physicians and dentists), such as chiropractors, optometrists, mental health specialists, physical, occupational, and speech therapists and audiologists organisations primarily engaged in providing ambulatory health care. These practitioners operate private or group practices in their own offices (e.g., centres, clinics) or in the facilities of others, such as hospitals or medical centres. Includes for example: • Acupuncture service • Aromatherapy service • Audiology service • Chiropractic service • Clinical psychology service • Dental hygiene service • Dietician service • Hearing aid dispensing • Homoeopathic service • Midwifery service • Naturopathic service • Nursing service • Occupational therapy service • Optometrist • Osteopathic service • Podiatry service • Speech pathology service • Therapeutic massage service See NOTE 2 under code 106. CODE 113 Community health facility – substance abuse Organisations with health staff primarily engaged in providing ambulatory services related to the diagnosis and treatment of alcohol and other substance abuse. These are community-based organisations that treat patients who do not require admitted patient treatment. They may provide counselling staff and information regarding a wide range of substance abuse issues and/or refer patients to more extensive treatment programmes, if necessary. Includes for example: • Community based alcoholism treatment centres and clinics (other than hospitals or residential care facilities); • Community based detoxification centre and clinics (other than hospitals or residential care facilities); • Community based drug addiction treatment centres and clinics (other than hospitals or residential care facilities); • Community based substance abuse treatment centres and clinics (other than hospitals or residential care facilities). CODE 114 Community health facility – mental An organisation comprised of one or more specialised mental health services or facilities with health staff primarily engaged in providing ambulatory services related to the diagnosis and treatment of mental health disorders. These specialised mental health services generally treat patients who do not require admitted patient treatment. However, these services do include consultation/liaison services provided to admitted patients by community mental health services. They may provide counselling staff and information regarding a wide range of mental health issues and/or refer patients to more extensive treatment programmes, if necessary. They may also provide treatment both on and off site, for example through mobile units. Includes only government-funded specialised mental health services, such as community mental health centres and clinics. Includes expenditure on government-managed community specialised mental health services, plus the cost of the grants to non-government organisations that provide community specialised mental health services, not the total expenditure by these non-government organisations. Excludes mental health clinics in hospitals and residential mental health care facilities. CODE 115 Community health facility – other Organisations with health staff primarily engaged in providing general or specialised ambulatory care. Centres or clinics of health practitioners with the same degree or with different degrees from more than one speciality practising within the same establishment i.e., physician and dentist) are included in this item. Includes only government-funded community health facilities such as: • Community centres and clinics; • General practitioner plus centres; • Multi-speciality community clinics. Excludes clinical practices that provide exclusively medical services or exclusively health services, ambulatory mental health and substance abuse centres, and free-standing ambulatory surgical centres (reported under codes 108 to 114) and kidney dialysis centres and clinics (reported under codes 101 to 103 if part of a hospital or code 109 if they are free-standing ambulatory centres). CODE 116 Blood and organ bank This item is not currently required to be reported by state and territory health authorities. Organisations primarily engaged in collecting, storing and distributing blood and blood products and storing and distributing body organs. CODE 117 Retail sale/supplier of medical goods – optical glasses and other vision products This item is not currently required to be reported by state and territory health auuthorities. Organisations primarily engaged in the retail sale of optical glasses and other vision products to the general public for personal or household consumption or utilisation. This includes the fitting and repair provided in combination with sales of optical glasses and other vision products. Excludes organisations primarily engaged in providing optometric services. CODE 118 Retail sale/supplier of medical goods – hearing aids This item is not currently required to be reported by state and territory health authorities. Organisations primarily engaged in the sale of hearing aids to the general public for personal or household consumption or utilisation. This includes the fitting and repair provided in combination with the sale of hearing aids. Excludes organisations primarily engaged in hearing testing where that also includes a component of hearing aid dispensing and fitting. CODE 119 Retail sale/supplier of medical goods – dispensing community pharmacist This item is not currently required to be reported by state and territory health authorities. Organisations primarily engaged in the retail sale of pharmaceuticals to the general public for personal or household consumption or utilisation. Instances when the processing of medicine may be involved should be only incidental to selling. This includes both medicines with and without prescription. Excludes organisations listed under code 201. CODE 120 Retail sale/supplier of medical goods – other This item is not currently required to be reported by state and territory health authorities. Organisations primarily engaged in the sale of medical appliances other than optical goods and hearing aids to the general public with or without prescription for personal or household consumption or utilisation. Included are: • Organisations primarily engaged in the manufacture of medical appliances but where the fitting and repair is usually done in combination with manufacture of medical appliances. • Organisations engaged in the retail sale of other miscellaneous medical goods to the general public for personal or household consumption or utilisation (included are sales other than by shops, such as electronic shopping and mail-order houses). Illustrative examples • sale of fluids (e.g. for home dialysis); • all other miscellaneous health and personal care stores; • all other sale of pharmaceuticals and medical goods; • electronic shopping and mail-order houses specialised in medical goods. CODE 121 Provision and administration of public health program Organisations engaged in government or private administration and provision of public health programs such as health promotion, organised screening, immunisation and health protection programs. CODE 122 General health administration Organisations primarily engaged in the regulation of activities of agencies that provide health care, overall administration of health policy, and health insurance. This item comprises government administration (excluding social security) primarily engaged in the formulation and administration of government policy in health and in the setting and enforcement of standards for medical and paramedical personnel and for hospitals, clinics, etc., including the regulation and licensing of providers of health services. For example: • Department of Health; • Agencies for the regulation of safety in the workplace. Excludes organisations primarily engaged in the provision and administration of public health programs which is reported under code 121. CODE 123 Private health insurance provider This item is not currently required to be reported by state and territory health authorities. • Organisations engaged in insurance of health (other than social security funds and other social insurance funds) that provide insurance cover for hospital, medical, dental, pharmaceutical or funeral expenses. This includes organisations primarily engaged in activities involved in or closely related to the management of private health insurance (activities of insurance agents, average and loss adjusters and actuaries. CODE 188 Main Health Care Service organisation - other Organisations mainly engaged in providing health care services that are not reported under codes 101 to 123. Includes health or health-related call centres or e-health sites such as Poisons Information Centre and centres that provide information on alcohol and other drugs, mental health or other health issues. CODE 198 Regional health service (not further defined) Organisations at an area health service or regional level could be a combination of categories 101 to 188 but which could not be further disaggregated. CODE 199 State/territory health authority (not further defined) Organisations at the state or territory health authority level that could be a combination of categories 101 to 188 but which could not be further disaggregated. Secondary/non-Health Care Service organisation This item is not currently required to be reported by state and territory health authorities. CODE 201 Pharmaceutical industry This item is not currently required to be reported by state and territory health authorities. Organisations primarily engaged in wholesaling human pharmaceuticals, medicines, cosmetics, perfumes and toiletries. Also included are units mainly engaged in wholesaling veterinary drugs or medicines Excludes organisations listed under code 119. CODE 202 University This item is not currently required to be reported by state and territory health authorities. Organisations primarily engaged in providing undergraduate or postgraduate teaching but which also undertake health research activities. Also includes organisations primarily engaged in undertaking research in the agricultural, biological, physical or social sciences. Units may undertake the research for themselves or others. Includes: • Postgraduate school, university operation • Research school, university operation • Specialist institute or college • Undergraduate school, university operation • University operation For reporting purposes includes only the health or health related research component or other health services component of these organisations' activities. CODE 203 Non-health related insurance This item is not currently required to be reported by state and territory health authorities. Units mainly engaged in providing general insurance cover (except life and health insurance). Includes: • Motor vehicle third party insurance provision • Worker’s compensation insurance provision CODE 204 Residential aged care facility This item is not currently required to be reported by state and territory health authorities. An organisation comprised of one or more government-funded facilities primarily engaged in providing residential care to aged persons and in receipt of funding under the Aged Care Act and subject to Commonwealth reporting requirements (i.e. report to the System for the payment of Aged Residential Care (SPARC) collection. Excludes facilities primarily providing services to persons requiring mental health diagnosis and treatment. Also excludes residential care facilities that report under the Commonwealth, State and Territory Disability Agreement where the primary purpose is care for persons with a disability. CODE 288 Secondary/non-Health Care Service organisation – other This item is not currently required to be reported by state and territory health authorities. This item comprises organisations that are not reported under codes 201 to 203 which provide health care as secondary providers or other providers. Included are providers of occupational health care and home care provided by private households. Includes: Occupational health care services not provided in separate health care organisations (all industries); • Military health services not provided in separate health care organisations • Prison health services not provided in separate health care organisations • School health services • Other providers n.e.c. Other providers of services which support the health care industry such as laundry or catering services. Other providers of services unrelated to the health care industry such as the building or automotive industry. Source and reference attributes Submitting organisation: Health Expenditure Advisory Committee Reference documents: Organisation for Economic Cooperation and Development 2000. A System of Health Accounts. Version 1.0. Paris: OECD. Australian Bureau of Statistics 2006. Australian and New Zealand Standard Industry Classification. Cat. no. 1292.0. Canberra: ABS. RACGP 6 September 2005 <www.racgp.org.au/whatisgeneralpractice> Data element attributes Source and reference attributes Submitting organisation: Health Expenditure Advisory Committee Relational attributes Related metadata references: Supersedes Health industry relevant organisation—main activity type, code NNN Health, Superseded 01/04/2009 Implementation in Data Set Specifications: Government health expenditure organisation expenditure capital consumption data element cluster Health, Standard 04/04/2013 Government health expenditure organisation expenditure data element cluster Health, Standard 04/12/2013 Government health expenditure organisation expenditure employee related data element cluster Health, Standard 04/12/2013 Government health expenditure organisation expenditure purchase of goods and services data element cluster Health, Standard 04/12/2013 Government health expenditure organisation revenue data element cluster Health, Standard 01/04/2009
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Organisation—purchase of goods and services, total Australian currency NNNNN.N Identifying and definitional attributes Short name: Purchase of goods and services METeOR identifier: 359935 Registration status: Health, Standard 05/12/2007 Definition: Expenses of an organisation consisting mainly of purchases of goods and services, in Australian currency. Data Element Concept: Organisation—purchase of goods and services Value domain attributes Representational attributes Representation class: Total Data type: Currency Format: NNNNN.N Maximum character length: 6 Unit of measure: Australian currency (AU$) Source and reference attributes Submitting organisation: Health Expenditure Advisory Committee Data element attributes Collection and usage attributes Guide for use: Expenses relating to purchases of goods and services are to be reported in millions to the nearest 100,000 e.g. $4,064,000 should be reported as $4.1 million. When revenue from transactions are offset against expenses from transactions, the result equates to the net operating balance in accordance with Australian Accounting Standards Board 1049 (September 2006). Includes: • administrative expenses (excluding workers compensation premiums and payouts) • domestic services • drug supplies • food supplies • grants • medical and surgical supplies • patient transport • payments to visiting medical officers • repairs and maintenance • social benefits • subsidy expenses • other expenses (includes contracted care services purchased from private hospitals) Collection methods: Data are collected and nationally collated for the reporting period - the financial year ending 30th June each year. In accounting terms, expenses are consumptions or losses of future economic benefits in the form of reductions in assets or increases in liabilities of the entity (other than those relating to distributions to owners) that result in a decrease in equity or net worth during the reporting period. Expenses relating to purchases of goods and services are to be reported for the Health industry relevant organisation type and Typeof health and health related functions data elements. Health industry relevant organisation type State and territory health authorities are NOT to report the following codes: Codes 106–109; 111; 115–119; 123; 201 and 203 Type of health and health related functions State and territory health authorities are NOT to report the following codes: Codes 199; 299; 303–305; 307; 499; 503–504; 599; 601–603; 688; 699 Comments: In accounting terms, expenses are consumptions or losses of future economic benefits in the form of reductions in assets or increases in liabilities of the entity (other than those relating to distributions to owners) that result in a decrease in equity or net worth during the reporting period. Source and reference attributes Submitting organisation: Health Expenditure Advisory Committee Origin: Australian Bureau of Statistics: Government Finance Statistics 1998, Cat. No. 5514.0. Australian Bureau of Statistics 2006. Australian System of Government Finance Statistics: Concepts, sources and methods, 2005. Cat. no. 5514.0.55.001 Canberra: ABS. Australian Accounting Standards Board 1049, September 2006, <www.aasb.com.au> Relational attributes Related metadata references: Is used in the formation of Organisation—expenses, total Australian currency NNNNN.N Health, Standard 05/12/2007 Implementation in Data Set Specifications: Government health expenditure organisation expenditure data element cluster Health, Standard 04/12/2013 Government health expenditure organisation expenditure purchase of goods and services data element cluster Health, Standard 04/12/2013
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Organisation—type of health or health-related function, code NNN Identifying and definitional attributes Short name: Type of health or health-related function METeOR identifier: 533041 Registration status: Health, Standard 04/12/2013 Definition: A description of the type of activities or programs with a health or health-related function provided by an organisation, as represented by a code. Data Element Concept: Organisation—type of health or health-related function Value domain attributes Representational attributes Representation class: Code Data type: Number Format: NNN Maximum character length: 3 Permissible values: Value Meaning 101 Admitted patient care – Mental health program 102 Admitted patient care – Non-mental health program 199 Admitted patient care – Not further defined 201 Residential care – Mental health program 202 Residential care – Non-mental health program 299 Residential care – Not further defined 301 Ambulatory care – Mental health program 302 Ambulatory care – Emergency department 303 Ambulatory care – General practitioner 304 Ambulatory care – Medical specialist 305 Ambulatory care – Imaging/pathology 306 Ambulatory care – Dental service 307 Ambulatory care – Optometry service 308 Ambulatory care – Allied health service 309 Ambulatory care – Community health service 388 Ambulatory care – Other 399 Ambulatory care – Not further defined 401 Public health – Communicable disease control 402 Public health – Selected health promotion 403 Public health – Organised immunisation 404 Public health – Environmental health 405 Public health – Food standards and hygiene 406 Public health – Breast cancer screening 407 Public health – Cervical screening 408 Public health – Bowel cancer screening 409 Public health – Prevention of hazardous and harmful drug use 410 Public health – Public health research 488 Public health – Other public health 499 Public health – Not further defined 501 Health-related care – Patient transport 502 Health-related care – Patient transport subsidies 503 Health-related care – Medications 504 Health-related care – Aids and appliances 505 Health-related care – Health administration 506 Health-related care – Health research 588 Health-related care – Other 599 Health-related care – Not further defined 601 Other function – Home and community care 602 Other function – Aged care 603 Other function – Other welfare 688 Other function – Other 699 Other function – Not further defined Collection and usage attributes Guide for use: CODE 101 Admitted patient care – Mental health program An admission to a mental health program includes: The component of the mental health program that provides admitted patient care. These services are delivered through specialised psychiatric hospitals and designated psychiatric units located within hospitals that are not specialised psychiatric hospitals. NOTE: This is the admitted patient component of the mental health care program reported to the Mental health establishments NMDS. Excludes residential care mental health programs, ambulatory care mental health programs which are provided as outpatient and emergency department care to non-admitted patients, and community-based (non-hospital) mental health programs. CODE 102 Admitted patient care – Non-mental health program An admitted patient non-mental health program includes: All services, excluding mental health services, provided to admitted patients, including acute care, rehabilitative care, palliative care, geriatric evaluation and management, psychogeriatric care, maintenance care, newborn care and any other admitted patient care, e.g. organ procurement – posthumous. Also includes admitted patient services where service delivery is contracted to private hospitals or treatment facilities and hospital-in-the-home services. Excludes emergency department and outpatient care provided to non-admitted patients, and community-based (non-hospital) care. CODE 199 Admitted patient care – Not further defined Comprises admitted patient care services that could be a combination of Codes 101 and 102 but which could not be further disaggregated. State and territory health authorities are only to report admitted patient care under Codes 101 or 102. CODE 201 Residential care – Mental health program A residential mental health care program includes: The component of the specialised mental health program that provides residential care. A resident in one residential mental health service cannot be concurrently a resident in another residential mental health service. A resident in a residential mental health service can be concurrently a patient admitted to a hospital. Comprises the residential component of the mental health care program reported to the Mental health establishments NMDS. Excludes residential aged care services, residential disability, alcohol and other drug treatment health care services and residential type care provided to admitted patients in hospitals. Also excludes mental health programs provided to admitted patients, emergency and outpatient care patients, and community health (non-hospital) and other ambulatory care patients. CODE 202 Residential care – Non-mental health program A residential non-mental health care program includes alcohol and other drug treatment health care services. Excludes residential mental health care program services, residential aged care services, residential disability services and residential type care provided to admitted patients in hospitals. Also excludes services provided to admitted patients and patients receiving ambulatory care. CODE 299 Residential care – Not further defined Comprises residential care services that could be a combination of Codes 201 and 202 but which could not be further disaggregated. State and territory health authorities are only to report residential care under Codes 201 or 202. CODE 301 Ambulatory care – Mental health program The component of a specialised mental health program supplied by a specialised mental health service that provides ambulatory health care. Comprises the ambulatory component of the mental health care program reported to the Mental health establishments NMDS, i.e. specialised mental health program services provided by emergency departments, outpatient clinics and community-based (non-hospital) services. Excludes specialised mental health care provided to admitted and residential patients. CODE 302 Ambulatory care – Emergency department Comprises emergency department services provided in an emergency department. Excludes specialised mental health services provided by emergency departments, outpatient clinics and community-based (non-hospital) services. Also excludes residential and admitted patient services. CODE 303 Ambulatory care – General practitioner This item is not currently required to be reported by state and territory health authorities. The definition relates to the broad type of non-referred general practitioner services as specified on the Medicare Benefits Schedule website. These services comprise general practitioner attendances, including General Practitioner, Vocationally Registered General Practitioner (GP/VRGP) and other non-referred attendances, to non-admitted patients, and services provided by a practice nurse or registered Aboriginal Health Worker on behalf of a general practitioner. This category is not limited to services funded by Medicare Australia. It also includes services funded from other sources such as Motor Vehicle Third Party Insurance and Workers Compensation Insurance, among others. Therefore, general or nurse practitioner services such as vaccinations for overseas travel are included regardless of their funding source. These non-referred general practitioner services are provided in private or group practices in medical clinics, community health care centres or hospital outpatient clinics. Excludes mental health care services reported under Code 301 and services provided to non-admitted patients in an emergency department. CODE 304 Ambulatory care – Medical specialist This item is not currently required to be reported by state and territory health authorities. Specialist attendances, obstetrics, anaesthetics, radiotherapy, operations and assistance at operations care. These services are defined in the current Medicare Benefits Schedule. Includes services funded by Medicare Benefits Scheme, Motor Vehicle Third Party Insurance, Workers Compensation Insurance and from patient out-of-pocket payments. These services are provided in private or group practices in medical clinics, community health care centres or hospital outpatient clinics. Includes salaried medical officers. Excludes mental health care services reported under Code 301 and services provided to non-admitted patients in an emergency department. CODE 305 Ambulatory care – Imaging/pathology service This item is not currently required to be reported by state and territory health authorities. Pathology and diagnostic imaging services as defined in the current Medicare Benefits Schedule. Includes services funded by Medicare Benefits Scheme, Motor Vehicle Third Party Insurance, Workers Compensation Insurance and from patient out-of-pocket payments. These services are provided in private or group practices in medical clinics, community health care centres or hospital outpatient clinics. Excludes services provided to admitted or residential care patients and non-admitted patients in an emergency department. CODE 306 Ambulatory care – Dental service Includes any non-admitted patient and community dental services, including dental assessments, preventative services and treatments, regardless of funding source. Oral and maxillofacial services and cleft lip and palate services, as defined in the current Medicare Benefits Schedule, are also included in this category. Includes dental services funded from a range of sources such as Medicare Benefits Scheme, Motor Vehicle Third Party Insurance and dental services funded by vouchers for dental care. These dental services are provided in private or group practices in dental clinics, community health care centres or hospital outpatient clinics. Excludes dental care provided to admitted patients in hospitals (same day or overnight) or to non-admitted patients in an emergency department. CODE 307 Ambulatory care – Optometry service This item is not currently required to be reported by state and territory health authorities. Optometry services as defined in the current Medicare Benefits Schedule. Includes services funded by Medicare Benefits Scheme, Motor Vehicle Third Party Insurance, Workers Compensation Insurance and from patient out-of-pocket payments. These services are mainly provided in private or group practices, but may be provided in hospital outpatient centres. Excludes optometry services provided to admitted or residential care patients or to non-admitted patients in an emergency department. CODE 308 Ambulatory care – Allied health service Includes services provided by the following allied health items. Aboriginal health worker, diabetes educator, audiologists, exercise physiologist, dietician, mental health worker, occupational therapist, physiotherapist, podiatrist or chiropodist, chiropractor, osteopath, psychologist and speech pathologist. These services are defined in the current Medicare Benefits Schedule. Includes services funded by Medicare Benefits Scheme, Motor Vehicle Third Party Insurance, Workers Compensation Insurance and from patient out-of-pocket payments. Excludes allied health services provided to admitted or residential care patients or to non-admitted patients in an emergency department. CODE 309 Ambulatory care – Community health services Includes community health services such as family, maternal, child and youth health (including well baby clinics) as well as Aboriginal and Torres Strait Islander and migrant health services. Also includes health care for people with acute, post-acute, chronic and end of life illnesses, alcohol and drug treatment services, child psychology services, community midwifery, community nursing, school and district nursing, community rehabilitation, continence services, telehealth, dietetics, family planning and correctional health services. Excludes mental health services reported under Code 301 and services provided to admitted and residential care patients and non-admitted patients in an emergency department. Also excludes services already reported under Codes 303 to 308. CODE 388 Ambulatory care – Other Comprises ambulatory care services other than those reported under Codes 301 to 309. CODE 399 Ambulatory care – Not further defined Comprises ambulatory care services that could be a combination of Codes 301 to 309 and 388, but which could not be further disaggregated, such as public outpatient services. CODE 401 Public health – Communicable disease control This category includes all activities associated with the development and implementation of programs to prevent the spread of communicable diseases. Expenditure on Communicable disease control is recorded using three sub-categories: • HIV/AIDS, hepatitis C and sexually transmitted infections • Needle and syringe programs • Other communicable disease control. The public health component of the HIV/AIDS, hepatitis C and sexually transmitted infections strategies includes all activities associated with the development and implementation of prevention and education programs to prevent the spread of HIV/AIDS, hepatitis C and sexually transmitted infections. Expenditure on treatment or diagnostic services is not included. HIV/AIDS, hepatitis C and sexually transmitted infections Inclusions • Implementation of health promotion strategies aimed at increasing safe behaviour among at-risk populations including people living with HIV/AIDS (including through community sector agencies) • provision of sexual health services to at-risk populations to reduce prevalence of sexually transmitted infections, including testing for sexually transmitted infections (including HIV and hepatitis C), pre-test counselling for all sexually transmitted infections (including HIV), broad-based screening programs and contact tracing • programs toward prevention of sexually transmitted infections (STIs) and blood borne viruses (BBVs), including genital herpes, hepatitis B and C, human papilloma virus, chlamydia, gonorrhoea and syphilis • Indigenous health programs targeting STIs and BBVs • consultation with community sector agencies regarding program priorities and delivery • promotion of access to culturally appropriate services • minimisation of the risk of transmission through occupational and non-occupational exposure through prophylaxis • support of targeted training to ensure provision of best practice sexual health services for at-risk populations • surveillance • development of and participation in relevant committees • diagnostic services • peer support programs immediately following diagnosis which promote safe sex practices and inform patients and carers about how to live with HIV/AIDS, blood borne viruses, hepatitis C and sexuallly transmitted infections • provision of high-quality data to health professionals to improve service delivery • participation in or initiation of research to establish data to inform service provision • funding to NGOs (for example, hepatitis councils, HIV/AIDS councils) • support of volunteer programs through access to training • management of people with HIV who place others at risk Exclusions • treatment for sexually transmitted infections • pharmaceuticals • HIV testing following diagnosis • specialist GPs for primary management of HIV/AIDS • access to HIV treatments and viral load testing • outpatient and ambulatory services • dental health services • welfare and housing referral services • admitted patient services • mental health services • community and home-based care services • palliative and respite care services • maternity services • hepatitis B and HPV immunisation (included in Other organised immunisation) • Safe sexual health messages (included in Selected health promotion). Needle and syringe programs Needle and syringe programs aim to reduce and prevent the transmission and spread of infectious diseases to individuals and the broader community through the provision of sterile injecting and disposal equipment, education, consultation and referral processes. Inclusions • education and training of the labour force • provision of safe injecting equipment, including the cost of equipment, transport and staff to deliver the service • administration of the program, including identifying new sites, negotiating services • costs, addressing public concerns and policy development • negotiation with pharmacies to support initiatives • consultation with community agencies operating needle and syringe program sites. Other communicable disease control This sub-category includes all other communicable disease control activities not assigned to the HIV/AIDS, hepatitis C and sexually transmitted infections or Needle and syringe program sub-categories as defined above. Inclusions • surveillance systems, screenings, recording, notification and reporting systems • case response, contact tracing, investigation and disease outbreak planning and management • policy and support services specifically related to communicable disease control programs • provision and administration of vaccines for the management of disease outbreaks • provision of advice and education on all other communicable diseases • initial counselling for people tested • funding to NGOs for the provision of operating prevention programs • human quarantine-related services • OzFoodNet programs. Exclusions • clinical and treatment services for communicable disease infections including sexually transmitted infections • provision and administration of vaccines for immunisation programs as defined in the Organised immunisation category • referral, treatment and associated counselling for communicable disease infections • staff screening programs, staff immunisation and staff education • infection control activities in hospitals • funding to NGOs for the provision of treatment-based programs. CODE 402 Public health – Selected health promotion This category includes those activities fostering healthy lifestyle and a healthy social environment overall, and health promotion activities targeted at health risk factors which lead to injuries, skin cancer and cardiovascular disease (for example, diet or inactivity) that are delivered on a population-wide basis. The underlying criterion for the inclusion of health promotion programs within this category was that they are population health programs promoting health and wellbeing. Inclusions • State government funding for health promotion councils or NGOs • organised population programs, or programs with a population focus (for example, programs on lifestyle risk factors, population level interventions targeting eating and physical activity, and Healthy communities, children and workers Cities and Healthy Schools programs) • development, administration, implementation and evaluation of policy, programs, guidelines and legislation • development and maintenance of health promotion databases (including data collection), where they can be separated from ‘non-public health’ databases • health sector input to cross-sector health education • organised population health screening of risk factors for preventable chronic disease • communication information and advice to the public • supportive environments for healthy living • Innovative Health Services for homeless youth. Exclusions • opportunistic health checks of individuals, activities for heart disease risk factors (stress, blood pressure, cholesterol) • information programs on management of specific diseases post-diagnosis • community nurse activity (for example, ad-hoc talking to schools about nutrition) • individual counselling including health education on an ad-hoc basis • compliance with safety codes and maintenance of healthy environments • treatment for stress or other mental health disorders (for example, anxiety) • school education ad-hoc, school health nurses and school dental services • well baby clinics, domiciliary care and home nursing services • neighbourhood watch programs • occupational health and safety education (included under ‘Public health-related activities’) • population health programs directed at domestic, family and general violence • population health programs providing a safe sexual health message—these are included in the Communicable disease controlcategory • public health education campaigns and school health education programs funded outside the health sector • health promotion activities that are associated with core public health categories—these are classified in the relevant categories (for example, safe drinking programs should be classified in the Prevention of hazardous and harmful drug use category). CODE 403 Public health – Organised immunisation This category includes immunisation clinics, school immunisation programs, immunisation education, public awareness, immunisation databases and information systems. Expenditure on organised immunisation is recorded using three sub-categories: • Organised childhood immunisation (as defined by the NHMRC National Immunisation Schedule) • Organised pneumococcal and influenza immunisation • All other organised immunisation (for example, tetanus)—as opposed to ad-hoc or opportunistic immunisation. Inclusions • promotion, distribution, provision and administration of vaccines as listed • immunisation clinics and school immunisation programs • immunisation education and public awareness • immunisation databases and information systems • staff vaccination programs where part of Organised immunisation and NHMRC schedule for all tetanus immunisation. Exclusions • immunisation after possible infection or on detection of illness (for example, rabies vaccine)—this expenditure should be included in the Communicable disease control expenditure category. CODE 404 Public health – Environmental health This category relates to health protection education (for example, safe chemical storage, water pollutants), expert advice on specific issues, development of standards, risk management and public health aspects of environmental health protection. The costs of monitoring and regulating are to be included where costs are borne by a regulatory agency and principally have a public health focus (for example, radiation safety, and pharmaceutical regulation and safety). Environmental health includes the following characteristics: • vector control • chemical regulation and safety • radiation safety and control • public health aspects of water quality control and fluoridation • Legionella control • public health input to contaminated sites and unhealthy land • public health aspects of water environment control • public health input to hazardous materials management • public health aspects of waste water and solid waste • public health input to disaster management • public health contribution to environmental sampling, health impact statements and risk assessment • radiation regulation, water quality regulation, lead and asbestos regulation • environmental health monitoring. Inclusions • development, review and administration of legislation, policy and/or regulations health protection education (for example, safe chemical storage, water pollutants) and expert advice on specific issues • response to health complaints and investigation of breaches of legislation and disease outbreaks • surveillance, inspections and investigations to maintain standards (for example, water quality testing, sampling) • expert advice and provision of professional and technical support services on specific issues • administration of relevant legislation, such as the licensing of operators or conducting pest control examinations • maintenance of related databases (for example, issuing radiation licenses, and national notification of agricultural, veterinary and industrial chemicals and pesticides) • regulation and management of water fluoridation (includes addition of fluoride to water supplies) • public health component of assessment, remediation and management of contaminated land • public health input to land development applications • public health input to emergency management and disaster response management, including planning and emergency response teams • public health contribution to environmental sampling, health impact statements and risk assessment • public health input to control activities for vectors (for example, landfill, spraying, baiting, eradication)—to be included only if undertaken by regulatory agency • poisons regulation • pharmaceutical and therapeutic goods regulation • public health input to air and noise pollution control • training of environmental health workers • public health aspects of manufacture and distribution of medicines. Exclusions • costs borne by private or government industry in complying with regulations and legislation such as public health and environmental health acts • hospital infection control • treatment for infections (for example, Ross River fever or encephalitis treatment) • workplace testing or monitoring • installation and maintenance of systems (for example, waste disposal, storm water pollution, air-conditioning units) • management of land development applications • compliance with regulation which protects water courses and national parks • recycling programs • infectious waste control (for example, medical wastes and sharps) and disposal • environmental health protection research (to be included under Code 410, Public health research). CODE 405 Public health – Food standards and hygiene This category includes the development, review and implementation of food standards, regulations and legislation as well as the testing of food by the regulatory agency. Inclusions • development, review and implementation of food standards, regulations, legislation, policy and standards • surveillance (including inspections/audits), monitoring and enforcement of food legislation, policy and standards (including food premises registers, food safety programs, food safety supervisors and food safety auditing) • testing of prescribed contaminants in food by regulatory agency • education such as food safety awareness campaigns for suppliers and/or consumers • training and education for food handlers (including LGAs) • education and advice on food standards/requirements (for example, for food premises) Exclusions • compliance costs of industry associated with food regulations (for example, labelling and safe food handling practices) • testing of food by industry. CODE 406 Public health – Breast cancer screening This category relates to Breast cancer screening and includes expenditure for the complete breast cancer screening pathway through organised programs. The breast cancer screening pathway includes such activities as recruitment, screen taking, screen reading, assessment (this includes fine needle biopsy), core biopsy, open biopsy, service management and program management. Inclusions • State-wide coordination and planning • Strategic policy development and implementation • Service development and support • Management of state registers • Capital procurement and capacity planning • Quality management and monitoring (management of registries, communication and education, including social marketing, workforce development, training and monitoring, evaluation and research). Exclusions • Treatment and surveillance for five years after diagnosis • Post diagnosis follow up counselling and support • Pathology services associated with treatment • Breast cancer research collaboratives (to be included under Code 410, Public health research) CODE 407 Public health – Cervical screening This category relates to organised cervical screening programs such as the state cervical screening programs and rural access programs, including coordination, provision of screens and assessment services. Cervical screening, funded through Medicare, for both screening and diagnostic services is also included. Inclusions • State-wide coordination and planning • Strategic policy development and implementation • Service development and support • Management of state Pap smear registers • Quality management and monitoring • Communication and education, including social marketing • Monitoring, evaluation and research Exclusions • colposcopy services and related histopathology • counselling and/or treatment for patients diagnosed with cervical cancer (the differences between abnormalities and malignant carcinomas are described in Screening to Prevent Cervical Cancer: Guidelines for the Management of Women with Screen Detected Abnormalities. NHMRC 2005) • In some jurisdictions, some aspects of cervical screening are provided by third parties. In reporting expenditure for this category, jurisdictions should note if this is the case and whether or not this expenditure is included in the estimates they provide. CODE 408 Public health – Bowel cancer screening This category relates to the organised National Bowel Cancer Screening Program (NBCSP). The screening pathways include: • Self-administered Faecal occult blood test (FOBT) • the National Register functions including letters of invitation and reminders (Commonwealth to provide costs) • follow up assessment colonoscopy services (public and private) • follow up officers (state-based/Commonwealth funded) tests for analysis • program coordination and management CODE 409 Public health – Prevention of hazardous and harmful drug use This category includes activities targeted at the general population with the aim of preventing or reducing harmful use of alcohol, tobacco, illicit and other drugs of dependence, and mixed drugs. The Australian Standard Classification of Drugs of Concern includes analgesics, sedatives and hypnotics, stimulants and hallucinogens, anabolic agents and selected hormones, antidepressants and anti-psychotics, and also miscellaneous drugs of concern. Report for each sub-category as below, the aggregate of which will be total expenditure on Prevention of hazardous and harmful drug use: • Alcohol • Tobacco • Illicit and other drugs of dependence • Mixed. Alcohol Inclusions • alcohol regulation, labelling, control and licensing • prevention strategies to encourage low risk alcohol use (as described in NHMRC guidelines) and discourage harmful use • formulating alcohol policy • social marketing • alcohol harm reduction strategies Exclusions • any alcohol interventions programs with treatment of individuals as the major focus • activities designated as treatment services • services considered primarily of a welfare services nature (for example, nightt shelters) • services considered to be almost entirely providing accommodation and food services (for example, halfway houses). Tobacco Inclusions • formulating tobacco policy • social marketing • smoke free policies in the workplace • policies relating to smoke-free eating places and other public facilities • tobacco control legislation and enforcement • quit smoking programs such as Quitline • smoking prevention strategies for children and youth Exclusions • activities designated as treatment services. Illicit and other drugs of dependence Inclusions • policy and health promotion strategies to discourage illicit drug use • social marketing • control activity to limit supply and availability for misuse Exclusions • any illicit drug interventions with treatment of individuals as the major focus • activities designated as treatment services • services considered primarily of a welfare services nature (for example, night shelters) • services considered to be almost entirely providing accommodation and food services (for example, halfway houses). Mixed Inclusions • social marketing • policy and health promotion strategies to improve behaviour • public health activities with regard to poly drug use. Exclusions • any anti-drug and alcohol programs with treatment of individuals as the major focus • activities designated as treatment services • services considered primarily of a welfare services nature (for example, night shelters) • services considered to be almost entirely providing accommodation and food services (for example, halfway houses) CODE 410 Public health – Public health research Research and development (R and D) is defined according to the OECD standard as comprising creative work undertaken on a systematic basis in order to increase the stock of knowledge, including knowledge of man, culture and society, and the use of this stock of knowledge to devise new applications. An R and D activity is characterised by originality. It has investigation as a primary objective, the outcome of which is new knowledge, with or without a specific application, or new or improved materials, product, devices, processes or services. R and D ends when work is no longer primarily investigative. (Pink & Geoff 2008). Inclusions • Communicable disease control research • Selected health promotion research • Organised immunisation research • Environmental health research • Food standards and hygiene research • Breast cancer screening research • Cervical screening research • Prevention of hazardous and harmful drug use research • Population health surveys • health status research • Major public health research which cannot be allocated to one of the above categories. Exclusions • public health evaluations CODE 488 Public health – Other public health Comprises public health functions not reported to the National Public Health Expenditure Project. CODE 499 Public health – Not further defined Comprises public health services that could be a combination of Codes 401 to 410 but which could not be further disaggregated. CODE 501 Health-related care – Patient transport This item comprises transportation in a specially-equipped surface vehicle or in a designated air ambulance to and from facilities for the purposes of receiving medical and surgical care. Includes all government ambulance services and transport provided by the Royal Flying Doctor Service, CareFlight and similar services, emergency transport services of public fire rescue departments or defence that operate on a regular basis for civilian emergency services (not only for catastrophe medicine). Includes transport between hospitals or other medical facilities and transport to or from a hospital or other medical facility and a private residence or other non-hospital/medical services location. The provider of this service could be a public or private hospital or an ambulance service. CODE 502 Health-related care – Patient transport subsidies Government subsidies to private ambulance services, for example, patient transport vouchers, support programs to assist isolated patients with travel to obtain specialised health care. It also includes transportation in conventional vehicles, such as taxis, when the latter is authorised and the costs are reimbursed to the patient (for example, for patients undergoing renal dialysis or chemotherapy). CODE 503 Health-related care – Medications This item is not currently required to be reported by state and territory health authorities. Includes pharmaceuticals and other medical non-durables, prescribed medicines and over-the-counter pharmaceuticals. Included within these categories are: medicinal preparations, branded and generic medicines, drugs, patent medicines, serums and vaccines, vitamins and minerals and oral contraceptives, prescribed medicines exclusively sold to customers with a medical voucher, irrespective of whether it is covered by public or private funding. Includes branded and generic products, private households’ non-prescription medicines and a wide range of medical non-durables such as bandages, condoms and other mechanical contraceptive devices, elastic stockings, incontinence articles and toothbrushes, toothpastes and therapeutic mouth washes. CODE 504 Health-related care – Aids and appliances This item is not currently required to be reported by state and territory health authorities. This item comprises glasses and other vision products, orthopaedic appliances and other prosthetics, hearing aids, medico-technical devices including wheelchairs and all other miscellaneous medical durables not elsewhere classified such as blood pressure instruments. CODE 505 Health-related care – Health administration Administrative services which cannot be allocated to a specific health good and service. Those unallocatable services might include, for example, maintaining an office of the Chief Medical Officer; a Departmental liaison officer in the office of the Minister; or a number of other agency-wide items for which it is not possible to derive appropriate or meaningful allocations to particular health programs. CODE 506 Health-related care – Health research Includes all research on health topics that is not included in Public health research (Code 410). That is, it includes all research classified under ABS Australian Standard Research Classification code 320000, excluding code 321200. Excludes public health research and non-health related research. CODE 588 Health-related care – Other Includes, for example, services provided by health and health-related call centres and e-health information services. Excludes health-related care reported under Codes 501 to 506 and health assessments provided under the Aged Care Assessment Program which are reported under Code 602. CODE 599 Health-related care – Not further defined Comprises health-related care that could be a combination of Codes 501 to 506 but which could not be further disaggregated. State and territory health authorities are only to report health-related care under Codes 501 to 506. CODE 601 Other function – Home and community care This item is not currently required to be reported by state and territory health authorities. Comprises Home and Community Care services reported under the Home and Community Care (HACC) NMDS. Information on these service categories is available in the following report: National classifications of community services. Version 2.0. AIHW Cat. No. HWI 40. Canberra: Australian Institute of Health and Welfare, 2003. Excludes services reported under Codes 602 to 603. CODE 602 Other function – Aged care This item is not currently required to be reported by state and territory health authorities. Includes residential care aged care programs, aged care assessment programs and other non-health aged care programs, such as respite care and day care activities. Excludes services provided under the HACC program. CODE 603 Other function – Other welfare This item is not currently required to be reported by state and territory health authorities. Includes services delivered to clients, or groups of clients with special needs such as the young or the disabled. Excludes aged care services reported under Code 602. CODE 688 Other function – Other This item is not currently required to be reported by state and territory health authorities. Includes for example, car parking, accommodation for staff or for patients' relatives, or non-health-related research. CODE 699 Other function – Not further defined This item is not currently required to be reported by state and territory health authorities. Comprises other functions that could be a combination of Codes 601 to 603 but which could not be further disaggregated. Source and reference attributes Submitting organisation:Health Expenditure Advisory CommitteeReference documents: Pink, B. & Geoff, B. 2008. Australian and New Zealand standard research classification (ANZSRC). ABS Cat. no. 1297.0. Canberra: ABS. Australian Government Department of Health and Ageing. Medicare Benefits Schedule Book. Viewed 1 November 2006, http://www.health.gov.au/mbsonline Australian Institute of Health and Welfare 2003. National classifications of community services. Version 2.0. AIHW cat. no. HWI 40. Canberra: AIHW. Australian Institute of Health and Welfare 2007. National public health expenditure report 2004–05. Health and welfare series expenditure series no. 29. cat. no. HWE 36. Canberra: AIHW. Data element attributes Source and reference attributes Submitting organisation:Health Expenditure Advisory Committee Relational attributes Related metadata references: Supersedes Organisation—type of health or health related function, code NNN Health, Superseded 04/12/2013Implementation in Data Set Specifications: Government health expenditure function revenue data element cluster Health, Standard 04/12/2013 Government health expenditure organisation expenditure capital consumption data element cluster Health, Standard 04/04/2013 Government health expenditure organisation expenditure data element cluster Health, Standard 04/12/2013 Government health expenditure organisation expenditure employee related data element cluster Health, Standard 04/12/2013 Government health expenditure organisation expenditure purchase of goods and services data element cluster Health, Standard 04/12/2013
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Government health expenditure organisation expenditure employee related data element cluster
Health industry relevant organisation—main activity type, code NNN Obligation: Conditional Identifying and definitional attributes Short name: Health industry relevant organisation type METeOR identifier: 372264 Registration status: Health, Standard 01/04/2009 Definition: Describes a health industry relevant organisation based on its main activity, as represented by a code. Data Element Concept: Health industry relevant organisation—main activity type Value domain attributes Representational attributes Representation class: Code Data type: Number Format: NNN Maximum character length: 3 Permissible values: Value Meaning Main Health Care Services organisation 101 Hospital – public 102 Hospital – private (excluding private free-standing day hospital facility) 103 Hospital – private free-standing day hospital facility (excluding private non free-standing day hospital facility) 104 Residential facility – mental health care 105 Residential facility – other 106 Provider of ambulance service 107 Medical and diagnostic laboratory 108 Clinical practices – medical – general 109 Clinical practices – medical – specialist 110 Clinical practices – medical – other 111 Clinical practices – dental 112 Clinical practices – other 113 Community health facility – substance abuse 114 Community health facility – mental 115 Community health facility – other 116 Blood and organ bank 117 Retail sale/supplier of medical goods – optical glasses and other vision products 118 Retail sale/supplier of medical goods – hearing aids 119 Retail sale/supplier of medical goods – dispensing community pharmacist 120 Retail sale/supplier of medical goods – other 121 Public health program service provider 122 General health administration service provider 123 Private health insurance 188 Other Main Health Care Service providers 198 Regional health service not further defined 199 State/territory health authority not further defined Secondary/non-Health Care Services organisation 201 Pharmaceutical industry 202 University 203 Non-health related insurance 204 Residential aged care facility 288 Other Secondary/non-Health Care Services organisation Collection and usage attributes Guide for use: Main Health Care Service organisation CODE 101 Hospital – public An organisation comprised of a health care facility or group of health care facilities established under Commonwealth, state or territory legislation as a hospital or free-standing day hospital facility and authorised to provide treatment and/or care to patients. Comprises all health care facilities that are reported as public hospitals to the Public Hospital Establishments National Minimum Data Set (PHE NMDS). This includes organisations such as rehabilitation hospitals; psychiatric hospitals; mothercraft hospitals; and hospices and multi-purpose services defined as hospitals. The list of public hospitals reported to the PHE NMDS is available at www.aihw.gov.au/publications/index.cfm in the Australian Hospital Statistics annual report. NOTE 1: Excludes providers of services where those services are not captured in the hospital financial statements. For example, the provider of a pathology or pharmacy service may be co-located within the hospital, but as a private service, and will pay the hospital for use of the site. The provider of this pathology or pharmacy service would be recorded under codes 106 to 112. CODE 102 Hospital – private (excluding private free-standing day hospital facilities) An organisation comprised of a health care facility or a group of health care facilities established under Commonwealth, state or territory legislation as a hospital and authorised to provide treatment and/or care to patients. Comprises hospitals that are NOT reporting to the PHE NMDS. NOTE: State and territory data providers are to refer to the GHE NMDS Collection Guidelines for instructions on how to report expenditure for this category. Excludes private free-standing day hospital facilities reported under code 103. CODE 103 Hospital - private free-standing day facility (excluding private non free-standing day hospital facilities) An organisation comprised of one or more private free-standing day hospital facilities which provide investigation and treatment for acute conditions on a day-only basis and is approved by the Commonwealth as a hospital for the purposes of private health insurance benefits. The four main types of private free-standing day hospitals are specialist endoscopy, ophthalmic, plastic/cosmetic and general. Excludes private non free-standing day hospital facilities reported under code 102. CODE 104 Residential facility – mental health care An organisation comprised of one or more specialised mental health facilities primarily engaged in providing residential care to persons requiring mental health diagnosis and treatment combined with either nursing, supervisory or other types of care as required (including medical) by the residents. Excludes residential care facilities primarily providing aged care or care for persons requiring treatment for alcohol or other substance abuse or persons with a disability. CODE 105 Residential facility – other Includes all government-funded facilities primarily engaged in providing residential care to persons requiring diagnosis and treatment for alcohol and other substance abuse combined with either nursing, supervisory or other types of care as required (including medical) by the residents. Includes hospices that are not defined as hospitals and respite and transitional care services. Excludes facilities primarily providing services to aged persons or persons requiring mental health diagnosis and treatment. Also excludes residential care facilities that report under the Commonwealth, State and Territory Disability Agreement where the primary purpose is care for persons with a disability. CODE 106 Provider of ambulance service Organisations primarily engaged in providing transportation of patients by ground or air, along with health (or medical) care. These services are often provided during a medical emergency but are not restricted to emergencies. The vehicles are equipped with lifesaving equipment operated by medically trained personnel. Includes organisations providing public ambulance services or flying doctor services such as Royal Flying Doctor Service and Care Flight, and support programs to assist isolated patients with travel to obtain specialised health care. NOTE 2: Excludes providers of services where those services are captured in public or private hospital financial statements. For example, the provider of an ambulance, medical or diagnostic laboratory, general practice, specialist medical, dental or other health practitioner service may be located within a hospital set of accounts and its expenditure recorded on the hospital financial statement. The provider of the ambulance or other service would then be recorded under code 101. CODE 107 Medical and diagnostic laboratory This item is not currently required to be reported by state and territory health authorities. Organisations primarily engaged in providing analytic or diagnostic services, including body fluid analysis and diagnostic imaging, generally to the medical profession or the patient on referral from a health practitioner. Includes diagnostic imaging centres; dental or medical X-ray laboratories ultrasound services; medical testing laboratories; medical pathology laboratories; medical forensic laboratories; and X-ray clinic services. Includes public and private medical and diagnostic laboratories. See NOTE 2 under code 106. CODE 108 Clinical practices – medical – general Organisations of registered medical practitioners holding the degree of a Doctor of medicine or a qualification at a corresponding level primarily engaged in the independent practice of general medicine. These practitioners operate private or group practices in their own offices (e.g., centres, clinics) or in the facilities of others, such as hospitals or medical centres. See NOTE 2 under code 106. This item is not currently required to be reported by state and territory health authorities. CODE 109 Clinical practices – medical – specialist This item is not currently required to be reported by state and territory health authorities. Organisations of health practitioners holding the degree of a Doctor of medicine or a qualification at a corresponding level primarily engaged in the independent practice of specialist medicine or surgery, other than pathology and diagnostic imaging services. These practitioners operate a wide range of specialities in private or group practices in their own offices (e.g., centres, clinics) or in the facilities of others, such as hospitals or health maintenance type medical centres. Includes for example: • Anaesthetist service • Dermatology service • Ear, nose and throat specialist service • Gynaecology service • Neurology service • Obstetrics service • Paediatric service • Psychiatry service • Specialist medical clinic service • Specialist surgical service See NOTE 2 under code 106. CODE 110 Clinical practices – medical – other This item is not currently required to be reported by state and territory health authorities. Includes organisations of physicians not able to be allocated to Codes 108 or 109 CODE 111 Clinical practices – dental Organisations of registered health practitioners holding the degree of Doctor of dental medicine or a qualification at a corresponding level primarily engaged in the independent practice of general or specialised dentistry or dental surgery. These practitioners operate private or group practices in their own offices (e.g., centres, clinics) or in the facilities of others, such as hospitals, medical centres or community health facilities. They can provide either comprehensive preventive, cosmetic, or emergency care, or specialise in a single field of dentistry. Also included are dental hospitals providing ambulatory services only. Includes for example: • Cleft lip and palate services • Community dental service • Dental assessment and treatment • Dental hospital (out-patient) • Dental practice service • Dental practitioner service • Dental surgery service • Endodontic service • Oral and maxillofacial services • Oral pathology service • Oral surgery service • Orthodontic service • Pedodontic service • Periodontic service See NOTE 2 under code 106. CODE 112 Clinical practices – other This item is not currently required to be reported by state and territory health authorities. Organisations of independent health practitioners (other than physicians and dentists), such as chiropractors, optometrists, mental health specialists, physical, occupational, and speech therapists and audiologists organisations primarily engaged in providing ambulatory health care. These practitioners operate private or group practices in their own offices (e.g., centres, clinics) or in the facilities of others, such as hospitals or medical centres. Includes for example: • Acupuncture service • Aromatherapy service • Audiology service • Chiropractic service • Clinical psychology service • Dental hygiene service • Dietician service • Hearing aid dispensing • Homoeopathic service • Midwifery service • Naturopathic service • Nursing service • Occupational therapy service • Optometrist • Osteopathic service • Podiatry service • Speech pathology service • Therapeutic massage service See NOTE 2 under code 106. CODE 113 Community health facility – substance abuse Organisations with health staff primarily engaged in providing ambulatory services related to the diagnosis and treatment of alcohol and other substance abuse. These are community-based organisations that treat patients who do not require admitted patient treatment. They may provide counselling staff and information regarding a wide range of substance abuse issues and/or refer patients to more extensive treatment programmes, if necessary. Includes for example: • Community based alcoholism treatment centres and clinics (other than hospitals or residential care facilities); • Community based detoxification centre and clinics (other than hospitals or residential care facilities); • Community based drug addiction treatment centres and clinics (other than hospitals or residential care facilities); • Community based substance abuse treatment centres and clinics (other than hospitals or residential care facilities). CODE 114 Community health facility – mental An organisation comprised of one or more specialised mental health services or facilities with health staff primarily engaged in providing ambulatory services related to the diagnosis and treatment of mental health disorders. These specialised mental health services generally treat patients who do not require admitted patient treatment. However, these services do include consultation/liaison services provided to admitted patients by community mental health services. They may provide counselling staff and information regarding a wide range of mental health issues and/or refer patients to more extensive treatment programmes, if necessary. They may also provide treatment both on and off site, for example through mobile units. Includes only government-funded specialised mental health services, such as community mental health centres and clinics. Includes expenditure on government-managed community specialised mental health services, plus the cost of the grants to non-government organisations that provide community specialised mental health services, not the total expenditure by these non-government organisations. Excludes mental health clinics in hospitals and residential mental health care facilities. CODE 115 Community health facility – other Organisations with health staff primarily engaged in providing general or specialised ambulatory care. Centres or clinics of health practitioners with the same degree or with different degrees from more than one speciality practising within the same establishment i.e., physician and dentist) are included in this item. Includes only government-funded community health facilities such as: • Community centres and clinics; • General practitioner plus centres; • Multi-speciality community clinics. Excludes clinical practices that provide exclusively medical services or exclusively health services, ambulatory mental health and substance abuse centres, and free-standing ambulatory surgical centres (reported under codes 108 to 114) and kidney dialysis centres and clinics (reported under codes 101 to 103 if part of a hospital or code 109 if they are free-standing ambulatory centres). CODE 116 Blood and organ bank This item is not currently required to be reported by state and territory health authorities. Organisations primarily engaged in collecting, storing and distributing blood and blood products and storing and distributing body organs. CODE 117 Retail sale/supplier of medical goods – optical glasses and other vision products This item is not currently required to be reported by state and territory health authorities. Organisationns primarily engaged in the retail sale of optical glasses and other vision products to the general public for personal or household consumption or utilisation. This includes the fitting and repair provided in combination with sales of optical glasses and other vision products. Excludes organisations primarily engaged in providing optometric services. CODE 118 Retail sale/supplier of medical goods – hearing aids This item is not currently required to be reported by state and territory health authorities. Organisations primarily engaged in the sale of hearing aids to the general public for personal or household consumption or utilisation. This includes the fitting and repair provided in combination with the sale of hearing aids. Excludes organisations primarily engaged in hearing testing where that also includes a component of hearing aid dispensing and fitting. CODE 119 Retail sale/supplier of medical goods – dispensing community pharmacist This item is not currently required to be reported by state and territory health authorities. Organisations primarily engaged in the retail sale of pharmaceuticals to the general public for personal or household consumption or utilisation. Instances when the processing of medicine may be involved should be only incidental to selling. This includes both medicines with and without prescription. Excludes organisations listed under code 201. CODE 120 Retail sale/supplier of medical goods – other This item is not currently required to be reported by state and territory health authorities. Organisations primarily engaged in the sale of medical appliances other than optical goods and hearing aids to the general public with or without prescription for personal or household consumption or utilisation. Included are: • Organisations primarily engaged in the manufacture of medical appliances but where the fitting and repair is usually done in combination with manufacture of medical appliances. • Organisations engaged in the retail sale of other miscellaneous medical goods to the general public for personal or household consumption or utilisation (included are sales other than by shops, such as electronic shopping and mail-order houses). Illustrative examples • sale of fluids (e.g. for home dialysis); • all other miscellaneous health and personal care stores; • all other sale of pharmaceuticals and medical goods; • electronic shopping and mail-order houses specialised in medical goods. CODE 121 Provision and administration of public health program Organisations engaged in government or private administration and provision of public health programs such as health promotion, organised screening, immunisation and health protection programs. CODE 122 General health administration Organisations primarily engaged in the regulation of activities of agencies that provide health care, overall administration of health policy, and health insurance. This item comprises government administration (excluding social security) primarily engaged in the formulation and administration of government policy in health and in the setting and enforcement of standards for medical and paramedical personnel and for hospitals, clinics, etc., including the regulation and licensing of providers of health services. For example: • Department of Health; • Agencies for the regulation of safety in the workplace. Excludes organisations primarily engaged in the provision and administration of public health programs which is reported under code 121. CODE 123 Private health insurance provider This item is not currently required to be reported by state and territory health authorities. • Organisations engaged in insurance of health (other than social security funds and other social insurance funds) that provide insurance cover for hospital, medical, dental, pharmaceutical or funeral expenses. This includes organisations primarily engaged in activities involved in or closely related to the management of private health insurance (activities of insurance agents, average and loss adjusters and actuaries. CODE 188 Main Health Care Service organisation - other Organisations mainly engaged in providing health care services that are not reported under codes 101 to 123. Includes health or health-related call centres or e-health sites such as Poisons Information Centre and centres that provide information on alcohol and other drugs, mental health or other health issues. CODE 198 Regional health service (not further defined) Organisations at an area health service or regional level could be a combination of categories 101 to 188 but which could not be further disaggregated. CODE 199 State/territory health authority (not further defined) Organisations at the state or territory health authority level that could be a combination of categories 101 to 188 but which could not be further disaggregated. Secondary/non-Health Care Service organisation This item is not currently required to be reported by state and territory health authorities. CODE 201 Pharmaceutical industry This item is not currently required to be reported by state and territory health authorities. Organisations primarily engaged in wholesaling human pharmaceuticals, medicines, cosmetics, perfumes and toiletries. Also included are units mainly engaged in wholesaling veterinary drugs or medicines Excludes organisations listed under code 119. CODE 202 University This item is not currently required to be reported by state and territory health authorities. Organisations primarily engaged in providing undergraduate or postgraduate teaching but which also undertake health research activities. Also includes organisations primarily engaged in undertaking research in the agricultural, biological, physical or social sciences. Units may undertake the research for themselves or others. Includes: • Postgraduate school, university operation • Research school, university operation • Specialist institute or college • Undergraduate school, university operation • University operation For reporting purposes includes only the health or health related research component or other health services component of these organisations' activities. CODE 203 Non-health related insurance This item is not currently required to be reported by state and territory health authorities. Units mainly engaged in providing general insurance cover (except life and health insurance). Includes: • Motor vehicle third party insurance provision • Worker’s compensation insurance provision CODE 204 Residential aged care facility This item is not currently required to be reported by state and territory health authorities. An organisation comprised of one or more government-funded facilities primarily engaged in providing residential care to aged persons and in receipt of funding under the Aged Care Act and subject to Commonwealth reporting requirements (i.e. report to the System for the payment of Aged Residential Care (SPARC) collection. Excludes facilities primarily providing services to persons requiring mental health diagnosis and treatment. Also excludes residential care facilities that report under the Commonwealth, State and Territory Disability Agreement where the primary purpose is care for persons with a disability. CODE 288 Secondary/non-Health Care Service organisation – other This item is not currently required to be reported by state and territory health authorities. This item comprises organisations that are not reported under codes 201 to 203 which provide health care as secondary providers or other providers. Included are providers of occupational health care and home care provided by private households. Includes: Occupational health care services not provided in separate health care organisations (all industries); • Military health services not provided in separate health care organisations • Prison health services not provided in separate health care organisations • School health services • Other providers n.e.c. Other providers of services which support the health care industry such as laundry or catering services. Other providers of services unrelated to the health care industry such as the building or automotive industry. Source and reference attributes Submitting organisation: Health Expenditure Advisory Committee Reference documents: Organisation for Economic Cooperation and Development 2000. A System of Health Accounts. Version 1.0. Paris: OECD. Australian Bureau of Statistics 2006. Australian and New Zealand Standard Industry Classification. Cat. no. 1292.0. Canberra: ABS. RACGP 6 September 2005 <www.racgp.org.au/whatisgeneralpractice> Data element attributes Source and reference attributes Submitting organisation: Health Expenditure Advisory Committee Relational attributes Related metadata references: Supersedes Health industry relevant organisation—main activity type, code NNN Health, Superseded 01/04/2009 Implementation in Data Set Specifications: Government health expenditure organisation expenditure capital consumption data element cluster Health, Standard 04/04/2013 Government health expenditure organisation expenditure data element cluster Health, Standard 04/12/2013 Government health expenditure organisation expenditure employee related data element cluster Health, Standard 04/12/2013 Government health expenditure organisation expenditure purchase of goods and services data element cluster Health, Standard 04/12/2013 Government health expenditure organisation revenue data element cluster Health, Standard 01/04/2009
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Organisation—employee related expenses, total Australian currency NNNNN.N Identifying and definitional attributes Short name: Employee expenses METeOR identifier: 359947 Registration status: Health, Standard 05/12/2007 Definition: Expenses of an organisation consisting mainly of wages, salaries and supplements, superannuation employer contributions, and workers compensation premiums and payouts, in Australian currency. Data Element Concept: Organisation—employee related expenses Value domain attributes Representational attributes Representation class: Total Data type: Currency Format: NNNNN.N Maximum character length: 6 Unit of measure: Australian currency (AU$) Source and reference attributes Submitting organisation: Health Expenditure Advisory Committee Data element attributes Collection and usage attributes Guide for use: Data are collected and nationally collated for the reporting period - the financial year ending 30th June each year. Employee related expenses are to be reported in millions to the nearest 100,000 e.g. $4,064,000 should be reported as $4.1 million. When revenue from transactions are offset against expenses from transactions, the result equates to the net operating balance in accordance with Australian Accounting Standards Board 1049 (September 2006). Includes: • Salaries, wages and supplements for all employees of the organisation (including contract staff employed by an agency, provided staffing data is also available). This is to include all paid leave (recreation, sick and long-service) and salary and wage payments relating to workers compensation leave. • Superannuation employer contributions paid or, for an emerging cost scheme, that should be paid (as determined by an actuary) on behalf of establishment employees either by the establishment or a central administration such as a state health authority, to a superannuation fund providing retirement and related benefits to establishment employees, for a financial year. • Workers compensation premiums and payments Collection methods: Employee related expenses are to be reported for the Health industry relevant organisation type and Typeof health and health related functions data elements. Health industry relevant organisation type State and territory health authorities are NOT to report the following codes: Codes 106–109; 111; 115–119; 123; 201 and 203 Type of health and health related functions State and territory health authorities are NOT to report the following codes: Codes 199; 299; 303–305; 307; 499; 503–504; 599; 601–603; 688; 699 Comments: In accounting terms, expenses are consumptions or losses of future economic benefits in the form of reductions in assets or increases in liabilities of the entity (other than those relating to distributions to owners) that result in a decrease in equity or net worth during the reporting period. Source and reference attributes Submitting organisation: Health Expenditure Advisory Committee Origin: Australian Bureau of Statistics: Government Finance Statistics 1998, Cat. No. 5514.0. Australian Bureau of Statistics 2006. Australian System of Government Finance Statistics: Concepts, sources and methods, 2005. Cat. no. 5514.0.55.001 Canberra: ABS. Australian Accounting Standards Board 1049, September 2006, <www.aasb.com.au> Relational attributes Related metadata references: Is used in the formation of Organisation—expenses, total Australian currency NNNNN.N Health, Standard 05/12/2007 Implementation in Data Set Specifications: Government health expenditure organisation expenditure data element cluster Health, Standard 04/12/2013 Government health expenditure organisation expenditure employee related data element cluster Health, Standard 04/12/2013
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Organisation—type of health or health-related function, code NNN Obligation: Conditional Identifying and definitional attributes Short name: Type of health or health-related function METeOR identifier: 533041 Registration status: Health, Standard 04/12/2013 Definition: A description of the type of activities or programs with a health or health-related function provided by an organisation, as represented by a code. Data Element Concept: Organisation—type of health or health-related function Value domain attributes Representational attributes Representation class: Code Data type: Number Format: NNN Maximum character length: 3 Permissible values: Value Meaning 101 Admitted patient care – Mental health program 102 Admitted patient care – Non-mental health program 199 Admitted patient care – Not further defined 201 Residential care – Mental health program 202 Residential care – Non-mental health program 299 Residential care – Not further defined 301 Ambulatory care – Mental health program 302 Ambulatory care – Emergency department 303 Ambulatory care – General practitioner 304 Ambulatory care – Medical specialist 305 Ambulatory care – Imaging/pathology 306 Ambulatory care – Dental service 307 Ambulatory care – Optometry service 308 Ambulatory care – Allied health service 309 Ambulatory care – Community health service 388 Ambulatory care – Other 399 Ambulatory care – Not further defined 401 Public health – Communicable disease control 402 Public health – Selected health promotion 403 Public health – Organised immunisation 404 Public health – Environmental health 405 Public health – Food standards and hygiene 406 Public health – Breast cancer screening 407 Public health – Cervical screening 408 Public health – Bowel cancer screening 409 Public health – Prevention of hazardous and harmful drug use 410 Public health – Public health research 488 Public health – Other public health 499 Public health – Not further defined 501 Health-related care – Patient transport 502 Health-related care – Patient transport subsidies 503 Health-related care – Medications 504 Health-related care – Aids and appliances 505 Health-related care – Health administration 506 Health-related care – Health research 588 Health-related care – Other 599 Health-related care – Not further defined 601 Other function – Home and community care 602 Other function – Aged care 603 Other function – Other welfare 688 Other function – Other 699 Other function – Not further defined Collection and usage attributes Guide for use: CODE 101 Admitted patient care – Mental health program An admission to a mental health program includes: The component of the mental health program that provides admitted patient care. These services are delivered through specialised psychiatric hospitals and designated psychiatric units located within hospitals that are not specialised psychiatric hospitals. NOTE: This is the admitted patient component of the mental health care program reported to the Mental health establishments NMDS. Excludes residential care mental health programs, ambulatory care mental health programs which are provided as outpatient and emergency department care to non-admitted patients, and community-based (non-hospital) mental health programs. CODE 102 Admitted patient care – Non-mental health program An admitted patient non-mental health program includes: All services, excluding mental health services, provided to admitted patients, including acute care, rehabilitative care, palliative care, geriatric evaluation and management, psychogeriatric care, maintenance care, newborn care and any other admitted patient care, e.g. organ procurement – posthumous. Also includes admitted patient services where service delivery is contracted to private hospitals or treatment facilities and hospital-in-the-home services. Excludes emergency department and outpatient care provided to non-admitted patients, and community-based (non-hospital) care. CODE 199 Admitted patient care – Not further defined Comprises admitted patient care services that could be a combination of Codes 101 and 102 but which could not be further disaggregated. State and territory health authorities are only to report admitted patient care under Codes 101 or 102. CODE 201 Residential care – Mental health program A residential mental health care program includes: The component of the specialised mental health program that provides residential care. A resident in one residential mental health service cannot be concurrently a resident in another residential mental health service. A resident in a residential mental health service can be concurrently a patient admitted to a hospital. Comprises the residential component of the mental health care program reported to the Mental health establishments NMDS. Excludes residential aged care services, residential disability, alcohol and other drug treatment health care services and residential type care provided to admitted patients in hospitals. Also excludes mental health programs provided to admitted patients, emergency and outpatient care patients, and community health (non-hospital) and other ambulatory care patients. CODE 202 Residential care – Non-mental health program A residential non-mental health care program includes alcohol and other drug treatment health care services. Excludes residential mental health care program services, residential aged care services, residential disability services and residential type care provided to admitted patients in hospitals. Also excludes services provided to admitted patients and patients receiving ambulatory care. CODE 299 Residential care – Not further defined Comprises residential care services that could be a combination of Codes 201 and 202 but which could not be further disaggregated. State and territory health authorities are only to report residential care under Codes 201 or 202. CODE 301 Ambulatory care – Mental health program The component of a specialised mental health program supplied by a specialised mental health service that provides ambulatory health care. Comprises the ambulatory component of the mental health care program reported to the Mental health establishments NMDS, i.e. specialised mental health program services provided by emergency departments, outpatient clinics and community-based (non-hospital) services. Excludes specialised mental health care provided to admitted and residential patients. CODE 302 Ambulatory care – Emergency department Comprises emergency department services provided in an emergency department. Excludes specialised mental health services provided by emergency departments, outpatient clinics and community-based (non-hospital) services. Also excludes residential and admitted patient services. CODE 303 Ambulatory care – General practitioner This item is not currently required to be reported by state and territory health authorities. The definition relates to the broad type of non-referred general practitioner services as specified on the Medicare Benefits Schedule website. These services comprise general practitioner attendances, including General Practitioner, Vocationally Registered General Practitioner (GP/VRGP) and other non-referred attendances, to non-admitted patients, and services provided by a practice nurse or registered Aboriginal Health Worker on behalf of a general practitioner. This category is not limited to services funded by Medicare Australia. It also includes services funded from other sources such as Motor Vehicle Third Party Insurance and Workers Compensation Insurance, among others. Therefore, general or nurse practitioner services such as vaccinations for overseas travel are included regardless of their funding source. These non-referred general practitioner services are provided in private or group practices in medical clinics, community health care centres or hospital outpatient clinics. Excludes mental health care services reported under Code 301 and services provided to non-admitted patients in an emergency department. CODE 304 Ambulatory care – Medical specialist This item is not currently required to be reported by state and territory health authorities. Specialist attendances, obstetrics, anaesthetics, radiotherapy, operations and assistance at operations care. These services are defined in the current Medicare Benefits Schedule. Includes services funded by Medicare Benefits Scheme, Motor Vehicle Third Party Insurance, Workers Compensation Insurance and from patient out-of-pocket payments. These services are provided in private or group practices in medical clinics, community health care centres or hospital outpatient clinics. Includes salaried medical officers. Excludes mental health care services reported under Code 301 and services provided to non-admitted patients in an emergency department. CODE 305 Ambulatory care – Imaging/pathology service This item is not currently required to be reported by state and territory health authorities. Pathology and diagnostic imaging services as defined in the current Medicare Benefits Schedule. Includes services funded by Medicare Benefits Scheme, Motor Vehicle Third Party Insurance, Workers Compensation Insurance and from patient out-of-pocket payments. These services are provided in private or group practices in medical clinics, community health care centres or hospital outpatient clinics. Excludes services provided to admitted or residential care patients and non-admitted patients in an emergency department. CODE 306 Ambulatory care – Dental service Includes any non-admitted patient and community dental services, including dental assessments, preventative services and treatments, regardless of funding source. Oral and maxillofacial services and cleft lip and palate services, as defined in the current Medicare Benefits Schedule, are also included in this category. Includes dental services funded from a range of sources such as Medicare Benefits Scheme, Motor Vehicle Third Party Insurance and dental services funded by vouchers for dental care. These dental services are provided in private or group practices in dental clinics, community health care centres or hospital outpatient clinics. Excludes dental care provided to admitted patients in hospitals (same day or overnight) or to non-admitted patients in an emergency department. CODE 307 Ambulatory care – Optometry service This item is not currently required to be reported by state and territory health authorities. Optometry services as defined in the current Medicare Benefits Schedule. Includes services funded by Medicare Benefits Scheme, Motor Vehicle Third Party Insurance, Workers Compensation Insurance and from patient out-of-pocket payments. These services are mainly provided in private or group practices, but may be provided in hospital outpatient centres. Excludes optometry services provided to admitted or residential care patients or to non-admitted patients in an emergency department. CODE 308 Ambulatory care – Allied health service Includes services provided by the following allied health items. Aboriginal health worker, diabetes educator, audiologists, exercise physiologist, dietician, mental health worker, occupational therapist, physiotherapist, podiatrist or chiropodist, chiropractor, osteopath, psychologist and speech pathologist. These services are defined in the current Medicare Benefits Schedule. Includes services funded by Medicare Benefits Scheme, Motor Vehicle Third Party Insurance, Workers Compensation Insurance and from patient out-of-pocket payments. Excludes allied health services provided to admitted or residential care patients or to non-admitted patients in an emergency department. CODE 309 Ambulatory care – Community health services Includes community health services such as family, maternal, child and youth health (including well baby clinics) as well as Aboriginal and Torres Strait Islander and migrant health services. Also includes health care for people with acute, post-acute, chronic and end of life illnesses, alcohol and drug treatment services, child psychology services, community midwifery, community nursing, school and district nursing, community rehabilitation, continence services, telehealth, dietetics, family planning and correctional health services. Excludes mental health services reported under Code 301 and services provided to admitted and residential care patients and non-admitted patients in an emergency department. Also excludes services already reported under Codes 303 to 308. CODE 388 Ambulatory care – Other Comprises ambulatory care services other than those reported under Codes 301 to 309. CODE 399 Ambulatory care – Not further defined Comprises ambulatory care services that could be a combination of Codes 301 to 309 and 388, but which could not be further disaggregated, such as public outpatient services. CODE 401 Public health – Communicable disease control This category includes all activities associated with the development and implementation of programs to prevent the spread of communicable diseases. Expenditure on Communicable disease control is recorded using three sub-categories: • HIV/AIDS, hepatitis C and sexually transmitted infections • Needle and syringe programs • Other communicable disease control. The public health component of the HIV/AIDS, hepatitis C and sexually transmitted infections strategies includes all activities associated with the development and implementation of prevention and education programs to prevent the spread of HIV/AIDS, hepatitis C and sexually transmitted infections. Expenditure on treatment or diagnostic services is not included. HIV/AIDS, hepatitis C and sexually transmitted infections Inclusions • Implementation of health promotion strategies aimed at increasing safe behaviour among at-risk populations including people living with HIV/AIDS (including through community sector agencies) • provision of sexual health services to at-risk populations to reduce prevalence of sexually transmitted infections, including testing for sexually transmitted infections (including HIV and hepatitis C), pre-test counselling for all sexually transmitted infections (including HIV), broad-based screening programs and contact tracing • programs toward prevention of sexually transmitted infections (STIs) and blood borne viruses (BBVs), including genital herpes, hepatitis B and C, human papilloma virus, chlamydia, gonorrhoea and syphilis • Indigenous health programs targeting STIs and BBVs • consultation with community sector agencies regarding program priorities and delivery • promotion of access to culturally appropriate services • minimisation of the risk of transmission through occupational and non-occupational exposure through prophylaxis • support of targeted training to ensure provision of best practice sexual health services for at-risk populations • surveillance • development of and participation in relevant committees • diagnostic services • peer support programs immediately following diagnosis which promote safe sex practices and inform patients and carers about how to live with HIV/AIDS, blood borne viruses, hepatitis C and ssexuallly transmitted infections • provision of high-quality data to health professionals to improve service delivery • participation in or initiation of research to establish data to inform service provision • funding to NGOs (for example, hepatitis councils, HIV/AIDS councils) • support of volunteer programs through access to training • management of people with HIV who place others at risk Exclusions • treatment for sexually transmitted infections • pharmaceuticals • HIV testing following diagnosis • specialist GPs for primary management of HIV/AIDS • access to HIV treatments and viral load testing • outpatient and ambulatory services • dental health services • welfare and housing referral services • admitted patient services • mental health services • community and home-based care services • palliative and respite care services • maternity services • hepatitis B and HPV immunisation (included in Other organised immunisation) • Safe sexual health messages (included in Selected health promotion). Needle and syringe programs Needle and syringe programs aim to reduce and prevent the transmission and spread of infectious diseases to individuals and the broader community through the provision of sterile injecting and disposal equipment, education, consultation and referral processes. Inclusions • education and training of the labour force • provision of safe injecting equipment, including the cost of equipment, transport and staff to deliver the service • administration of the program, including identifying new sites, negotiating services • costs, addressing public concerns and policy development • negotiation with pharmacies to support initiatives • consultation with community agencies operating needle and syringe program sites. Other communicable disease control This sub-category includes all other communicable disease control activities not assigned to the HIV/AIDS, hepatitis C and sexually transmitted infections or Needle and syringe program sub-categories as defined above. Inclusions • surveillance systems, screenings, recording, notification and reporting systems • case response, contact tracing, investigation and disease outbreak planning and management • policy and support services specifically related to communicable disease control programs • provision and administration of vaccines for the management of disease outbreaks • provision of advice and education on all other communicable diseases • initial counselling for people tested • funding to NGOs for the provision of operating prevention programs • human quarantine-related services • OzFoodNet programs. Exclusions • clinical and treatment services for communicable disease infections including sexually transmitted infections • provision and administration of vaccines for immunisation programs as defined in the Organised immunisation category • referral, treatment and associated counselling for communicable disease infections • staff screening programs, staff immunisation and staff education • infection control activities in hospitals • funding to NGOs for the provision of treatment-based programs. CODE 402 Public health – Selected health promotion This category includes those activities fostering healthy lifestyle and a healthy social environment overall, and health promotion activities targeted at health risk factors which lead to injuries, skin cancer and cardiovascular disease (for example, diet or inactivity) that are delivered on a population-wide basis. The underlying criterion for the inclusion of health promotion programs within this category was that they are population health programs promoting health and wellbeing. Inclusions • State government funding for health promotion councils or NGOs • organised population programs, or programs with a population focus (for example, programs on lifestyle risk factors, population level interventions targeting eating and physical activity, and Healthy communities, children and workers Cities and Healthy Schools programs) • development, administration, implementation and evaluation of policy, programs, guidelines and legislation • development and maintenance of health promotion databases (including data collection), where they can be separated from ‘non-public health’ databases • health sector input to cross-sector health education • organised population health screening of risk factors for preventable chronic disease • communication information and advice to the public • supportive environments for healthy living • Innovative Health Services for homeless youth. Exclusions • opportunistic health checks of individuals, activities for heart disease risk factors (stress, blood pressure, cholesterol) • information programs on management of specific diseases post-diagnosis • community nurse activity (for example, ad-hoc talking to schools about nutrition) • individual counselling including health education on an ad-hoc basis • compliance with safety codes and maintenance of healthy environments • treatment for stress or other mental health disorders (for example, anxiety) • school education ad-hoc, school health nurses and school dental services • well baby clinics, domiciliary care and home nursing services • neighbourhood watch programs • occupational health and safety education (included under ‘Public health-related activities’) • population health programs directed at domestic, family and general violence • population health programs providing a safe sexual health message—these are included in the Communicable disease controlcategory • public health education campaigns and school health education programs funded outside the health sector • health promotion activities that are associated with core public health categories—these are classified in the relevant categories (for example, safe drinking programs should be classified in the Prevention of hazardous and harmful drug use category). CODE 403 Public health – Organised immunisation This category includes immunisation clinics, school immunisation programs, immunisation education, public awareness, immunisation databases and information systems. Expenditure on organised immunisation is recorded using three sub-categories: • Organised childhood immunisation (as defined by the NHMRC National Immunisation Schedule) • Organised pneumococcal and influenza immunisation • All other organised immunisation (for example, tetanus)—as opposed to ad-hoc or opportunistic immunisation. Inclusions • promotion, distribution, provision and administration of vaccines as listed • immunisation clinics and school immunisation programs • immunisation education and public awareness • immunisation databases and information systems • staff vaccination programs where part of Organised immunisation and NHMRC schedule for all tetanus immunisation. Exclusions • immunisation after possible infection or on detection of illness (for example, rabies vaccine)—this expenditure should be included in the Communicable disease control expenditure category. CODE 404 Public health – Environmental health This category relates to health protection education (for example, safe chemical storage, water pollutants), expert advice on specific issues, development of standards, risk management and public health aspects of environmental health protection. The costs of monitoring and regulating are to be included where costs are borne by a regulatory agency and principally have a public health focus (for example, radiation safety, and pharmaceutical regulation and safety). Environmental health includes the following characteristics: • vector control • chemical regulation and safety • radiation safety and control • public health aspects of water quality control and fluoridation • Legionella control • public health input to contaminated sites and unhealthy land • public health aspects of water environment control • public health input to hazardous materials management • public health aspects of waste water and solid waste • public health input to disaster management • public health contribution to environmental sampling, health impact statements and risk assessment • radiation regulation, water quality regulation, lead and asbestos regulation • environmental health monitoring. Inclusions • development, review and administration of legislation, policy and/or regulations health protection education (for example, safe chemical storage, water pollutants) and expert advice on specific issues • response to health complaints and investigation of breaches of legislation and disease outbreaks • surveillance, inspections and investigations to maintain standards (for example, water quality testing, sampling) • expert advice and provision of professional and technical support services on specific issues • administration of relevant legislation, such as the licensing of operators or conducting pest control examinations • maintenance of related databases (for example, issuing radiation licenses, and national notification of agricultural, veterinary and industrial chemicals and pesticides) • regulation and management of water fluoridation (includes addition of fluoride to water supplies) • public health component of assessment, remediation and management of contaminated land • public health input to land development applications • public health input to emergency management and disaster response management, including planning and emergency response teams • public health contribution to environmental sampling, health impact statements and risk assessment • public health input to control activities for vectors (for example, landfill, spraying, baiting, eradication)—to be included only if undertaken by regulatory agency • poisons regulation • pharmaceutical and therapeutic goods regulation • public health input to air and noise pollution control • training of environmental health workers • public health aspects of manufacture and distribution of medicines. Exclusions • costs borne by private or government industry in complying with regulations and legislation such as public health and environmental health acts • hospital infection control • treatment for infections (for example, Ross River fever or encephalitis treatment) • workplace testing or monitoring • installation and maintenance of systems (for example, waste disposal, storm water pollution, air-conditioning units) • management of land development applications • compliance with regulation which protects water courses and national parks • recycling programs • infectious waste control (for example, medical wastes and sharps) and disposal • environmental health protection research (to be included under Code 410, Public health research). CODE 405 Public health – Food standards and hygiene This category includes the development, review and implementation of food standards, regulations and legislation as well as the testing of food by the regulatory agency. Inclusions • development, review and implementation of food standards, regulations, legislation, policy and standards • surveillance (including inspections/audits), monitoring and enforcement of food legislation, policy and standards (including food premises registers, food safety programs, food safety supervisors and food safety auditing) • testing of prescribed contaminants in food by regulatory agency • education such as food safety awareness campaigns for suppliers and/or consumers • training and education for food handlers (including LGAs) • education and advice on food standards/requirements (for example, for food premises) Exclusions • compliance costs of industry associated with food regulations (for example, labelling and safe food handling practices) • testing of food by industry. CODE 406 Public health – Breast cancer screening This category relates to Breast cancer screening and includes expenditure for the complete breast cancer screening pathway through organised programs. The breast cancer screening pathway includes such activities as recruitment, screen taking, screen reading, assessment (this includes fine needle biopsy), core biopsy, open biopsy, service management and program management. Inclusions • State-wide coordination and planning • Strategic policy development and implementation • Service development and support • Management of state registers • Capital procurement and capacity planning • Quality management and monitoring (management of registries, communication and education, including social marketing, workforce development, training and monitoring, evaluation and research). Exclusions • Treatment and surveillance for five years after diagnosis • Post diagnosis follow up counselling and support • Pathology services associated with treatment • Breast cancer research collaboratives (to be included under Code 410, Public health research) CODE 407 Public health – Cervical screening This category relates to organised cervical screening programs such as the state cervical screening programs and rural access programs, including coordination, provision of screens and assessment services. Cervical screening, funded through Medicare, for both screening and diagnostic services is also included. Inclusions • State-wide coordination and planning • Strategic policy development and implementation • Service development and support • Management of state Pap smear registers • Quality management and monitoring • Communication and education, including social marketing • Monitoring, evaluation and research Exclusions • colposcopy services and related histopathology • counselling and/or treatment for patients diagnosed with cervical cancer (the differences between abnormalities and malignant carcinomas are described in Screening to Prevent Cervical Cancer: Guidelines for the Management of Women with Screen Detected Abnormalities. NHMRC 2005) • In some jurisdictions, some aspects of cervical screening are provided by third parties. In reporting expenditure for this category, jurisdictions should note if this is the case and whether or not this expenditure is included in the estimates they provide. CODE 408 Public health – Bowel cancer screening This category relates to the organised National Bowel Cancer Screening Program (NBCSP). The screening pathways include: • Self-administered Faecal occult blood test (FOBT) • the National Register functions including letters of invitation and reminders (Commonwealth to provide costs) • follow up assessment colonoscopy services (public and private) • follow up officers (state-based/Commonwealth funded) tests for analysis • program coordination and management CODE 409 Public health – Prevention of hazardous and harmful drug use This category includes activities targeted at the general population with the aim of preventing or reducing harmful use of alcohol, tobacco, illicit and other drugs of dependence, and mixed drugs. The Australian Standard Classification of Drugs of Concern includes analgesics, sedatives and hypnotics, stimulants and hallucinogens, anabolic agents and selected hormones, antidepressants and anti-psychotics, and also miscellaneous drugs of concern. Report for each sub-category as below, the aggregate of which will be total expenditure on Prevention of hazardous and harmful drug use: • Alcohol • Tobacco • Illicit and other drugs of dependence • Mixed. Alcohol Inclusions • alcohol regulation, labelling, control and licensing • prevention strategies to encourage low risk alcohol use (as described in NHMRC guidelines) and discourage harmful use • formulating alcohol policy • social marketing • alcohol harm reduction strategies Exclusions • any alcohol interventions programs with treatment of individuals as the major focus • activities designated as treatment services • services considered primarily of a welfare services nature (for eexamplee, nightt shelters) • services considered to be almost entirely providing accommodation and food services (for example, halfway houses). Tobacco Inclusions • formulating tobacco policy • social marketing • smoke free policies in the workplace • policies relating to smoke-free eating places and other public facilities • tobacco control legislation and enforcement • quit smoking programs such as Quitline • smoking prevention strategies for children and youth Exclusions • activities designated as treatment services. Illicit and other drugs of dependence Inclusions • policy and health promotion strategies to discourage illicit drug use • social marketing • control activity to limit supply and availability for misuse Exclusions • any illicit drug interventions with treatment of individuals as the major focus • activities designated as treatment services • services considered primarily of a welfare services nature (for example, night shelters) • services considered to be almost entirely providing accommodation and food services (for example, halfway houses). Mixed Inclusions • social marketing • policy and health promotion strategies to improve behaviour • public health activities with regard to poly drug use. Exclusions • any anti-drug and alcohol programs with treatment of individuals as the major focus • activities designated as treatment services • services considered primarily of a welfare services nature (for example, night shelters) • services considered to be almost entirely providing accommodation and food services (for example, halfway houses) CODE 410 Public health – Public health research Research and development (R and D) is defined according to the OECD standard as comprising creative work undertaken on a systematic basis in order to increase the stock of knowledge, including knowledge of man, culture and society, and the use of this stock of knowledge to devise new applications. An R and D activity is characterised by originality. It has investigation as a primary objective, the outcome of which is new knowledge, with or without a specific application, or new or improved materials, product, devices, processes or services. R and D ends when work is no longer primarily investigative. (Pink & Geoff 2008). Inclusions • Communicable disease control research • Selected health promotion research • Organised immunisation research • Environmental health research • Food standards and hygiene research • Breast cancer screening research • Cervical screening research • Prevention of hazardous and harmful drug use research • Population health surveys • health status research • Major public health research which cannot be allocated to one of the above categories. Exclusions • public health evaluations CODE 488 Public health – Other public health Comprises public health functions not reported to the National Public Health Expenditure Project. CODE 499 Public health – Not further defined Comprises public health services that could be a combination of Codes 401 to 410 but which could not be further disaggregated. CODE 501 Health-related care – Patient transport This item comprises transportation in a specially-equipped surface vehicle or in a designated air ambulance to and from facilities for the purposes of receiving medical and surgical care. Includes all government ambulance services and transport provided by the Royal Flying Doctor Service, CareFlight and similar services, emergency transport services of public fire rescue departments or defence that operate on a regular basis for civilian emergency services (not only for catastrophe medicine). Includes transport between hospitals or other medical facilities and transport to or from a hospital or other medical facility and a private residence or other non-hospital/medical services location. The provider of this service could be a public or private hospital or an ambulance service. CODE 502 Health-related care – Patient transport subsidies Government subsidies to private ambulance services, for example, patient transport vouchers, support programs to assist isolated patients with travel to obtain specialised health care. It also includes transportation in conventional vehicles, such as taxis, when the latter is authorised and the costs are reimbursed to the patient (for example, for patients undergoing renal dialysis or chemotherapy). CODE 503 Health-related care – Medications This item is not currently required to be reported by state and territory health authorities. Includes pharmaceuticals and other medical non-durables, prescribed medicines and over-the-counter pharmaceuticals. Included within these categories are: medicinal preparations, branded and generic medicines, drugs, patent medicines, serums and vaccines, vitamins and minerals and oral contraceptives, prescribed medicines exclusively sold to customers with a medical voucher, irrespective of whether it is covered by public or private funding. Includes branded and generic products, private households’ non-prescription medicines and a wide range of medical non-durables such as bandages, condoms and other mechanical contraceptive devices, elastic stockings, incontinence articles and toothbrushes, toothpastes and therapeutic mouth washes. CODE 504 Health-related care – Aids and appliances This item is not currently required to be reported by state and territory health authorities. This item comprises glasses and other vision products, orthopaedic appliances and other prosthetics, hearing aids, medico-technical devices including wheelchairs and all other miscellaneous medical durables not elsewhere classified such as blood pressure instruments. CODE 505 Health-related care – Health administration Administrative services which cannot be allocated to a specific health good and service. Those unallocatable services might include, for example, maintaining an office of the Chief Medical Officer; a Departmental liaison officer in the office of the Minister; or a number of other agency-wide items for which it is not possible to derive appropriate or meaningful allocations to particular health programs. CODE 506 Health-related care – Health research Includes all research on health topics that is not included in Public health research (Code 410). That is, it includes all research classified under ABS Australian Standard Research Classification code 320000, excluding code 321200. Excludes public health research and non-health related research. CODE 588 Health-related care – Other Includes, for example, services provided by health and health-related call centres and e-health information services. Excludes health-related care reported under Codes 501 to 506 and health assessments provided under the Aged Care Assessment Program which are reported under Code 602. CODE 599 Health-related care – Not further defined Comprises health-related care that could be a combination of Codes 501 to 506 but which could not be further disaggregated. State and territory health authorities are only to report health-related care under Codes 501 to 506. CODE 601 Other function – Home and community care This item is not currently required to be reported by state and territory health authorities. Comprises Home and Community Care services reported under the Home and Community Care (HACC) NMDS. Information on these service categories is available in the following report: National classifications of community services. Version 2.0. AIHW Cat. No. HWI 40. Canberra: Australian Institute of Health and Welfare, 2003. Excludes services reported under Codes 602 to 603. CODE 602 Other function – Aged care This item is not currently required to be reported by state and territory health authorities. Includes residential care aged care programs, aged care assessment programs and other non-health aged care programs, such as respite care and day care activities. Excludes services provided under the HACC program. CODE 603 Other function – Other welfare This item is not currently required to be reported by state and territory health authorities. Includes services delivered to clients, or groups of clients with special needs such as the young or the disabled. Excludes aged care services reported under Code 602. CODE 688 Other function – Other This item is not currently required to be reported by state and territory health authorities. Includes for example, car parking, accommodation for staff or for patients' relatives, or non-health-related research. CODE 699 Other function – Not further defined This item is not currently required to be reported by state and territory health authorities. Comprises other functions that could be a combination of Codes 601 to 603 but which could not be further disaggregated. Source and reference attributes Submitting organisation:Health Expenditure Advisory CommitteeReference documents: Pink, B. & Geoff, B. 2008. Australian and New Zealand standard research classification (ANZSRC). ABS Cat. no. 1297.0. Canberra: ABS. Australian Government Department of Health and Ageing. Medicare Benefits Schedule Book. Viewed 1 November 2006, http://www.health.gov.au/mbsonline Australian Institute of Health and Welfare 2003. National classifications of community services. Version 2.0. AIHW cat. no. HWI 40. Canberra: AIHW. Australian Institute of Health and Welfare 2007. National public health expenditure report 2004–05. Health and welfare series expenditure series no. 29. cat. no. HWE 36. Canberra: AIHW. Data element attributes Source and reference attributes Submitting organisation:Health Expenditure Advisory Committee Relational attributes Related metadata references: Supersedes Organisation—type of health or health related function, code NNN Health, Superseded 04/12/2013Implementation in Data Set Specifications: Government health expenditure function revenue data element cluster Health, Standard 04/12/2013 Government health expenditure organisation expenditure capital consumption data element cluster Health, Standard 04/04/2013 Government health expenditure organisation expenditure data element cluster Health, Standard 04/12/2013 Government health expenditure organisation expenditure employee related data element cluster Health, Standard 04/12/2013 Government health expenditure organisation expenditure purchase of goods and services data element cluster Health, Standard 04/12/2013
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Government health expenditure organisation expenditure capital consumption data element cluster
Health industry relevant organisation—main activity type, code NNN Obligation: Conditional Identifying and definitional attributes Short name: Health industry relevant organisation type METeOR identifier: 372264 Registration status: Health, Standard 01/04/2009 Definition: Describes a health industry relevant organisation based on its main activity, as represented by a code. Data Element Concept: Health industry relevant organisation—main activity type Value domain attributes Representational attributes Representation class: Code Data type: Number Format: NNN Maximum character length: 3 Permissible values: Value Meaning Main Health Care Services organisation 101 Hospital – public 102 Hospital – private (excluding private free-standing day hospital facility) 103 Hospital – private free-standing day hospital facility (excluding private non free-standing day hospital facility) 104 Residential facility – mental health care 105 Residential facility – other 106 Provider of ambulance service 107 Medical and diagnostic laboratory 108 Clinical practices – medical – general 109 Clinical practices – medical – specialist 110 Clinical practices – medical – other 111 Clinical practices – dental 112 Clinical practices – other 113 Community health facility – substance abuse 114 Community health facility – mental 115 Community health facility – other 116 Blood and organ bank 117 Retail sale/supplier of medical goods – optical glasses and other vision products 118 Retail sale/supplier of medical goods – hearing aids 119 Retail sale/supplier of medical goods – dispensing community pharmacist 120 Retail sale/supplier of medical goods – other 121 Public health program service provider 122 General health administration service provider 123 Private health insurance 188 Other Main Health Care Service providers 198 Regional health service not further defined 199 State/territory health authority not further defined Secondary/non-Health Care Services organisation 201 Pharmaceutical industry 202 University 203 Non-health related insurance 204 Residential aged care facility 288 Other Secondary/non-Health Care Services organisation Collection and usage attributes Guide for use: Main Health Care Service organisation CODE 101 Hospital – public An organisation comprised of a health care facility or group of health care facilities established under Commonwealth, state or territory legislation as a hospital or free-standing day hospital facility and authorised to provide treatment and/or care to patients. Comprises all health care facilities that are reported as public hospitals to the Public Hospital Establishments National Minimum Data Set (PHE NMDS). This includes organisations such as rehabilitation hospitals; psychiatric hospitals; mothercraft hospitals; and hospices and multi-purpose services defined as hospitals. The list of public hospitals reported to the PHE NMDS is available at www.aihw.gov.au/publications/index.cfm in the Australian Hospital Statistics annual report. NOTE 1: Excludes providers of services where those services are not captured in the hospital financial statements. For example, the provider of a pathology or pharmacy service may be co-located within the hospital, but as a private service, and will pay the hospital for use of the site. The provider of this pathology or pharmacy service would be recorded under codes 106 to 112. CODE 102 Hospital – private (excluding private free-standing day hospital facilities) An organisation comprised of a health care facility or a group of health care facilities established under Commonwealth, state or territory legislation as a hospital and authorised to provide treatment and/or care to patients. Comprises hospitals that are NOT reporting to the PHE NMDS. NOTE: State and territory data providers are to refer to the GHE NMDS Collection Guidelines for instructions on how to report expenditure for this category. Excludes private free-standing day hospital facilities reported under code 103. CODE 103 Hospital - private free-standing day facility (excluding private non free-standing day hospital facilities) An organisation comprised of one or more private free-standing day hospital facilities which provide investigation and treatment for acute conditions on a day-only basis and is approved by the Commonwealth as a hospital for the purposes of private health insurance benefits. The four main types of private free-standing day hospitals are specialist endoscopy, ophthalmic, plastic/cosmetic and general. Excludes private non free-standing day hospital facilities reported under code 102. CODE 104 Residential facility – mental health care An organisation comprised of one or more specialised mental health facilities primarily engaged in providing residential care to persons requiring mental health diagnosis and treatment combined with either nursing, supervisory or other types of care as required (including medical) by the residents. Excludes residential care facilities primarily providing aged care or care for persons requiring treatment for alcohol or other substance abuse or persons with a disability. CODE 105 Residential facility – other Includes all government-funded facilities primarily engaged in providing residential care to persons requiring diagnosis and treatment for alcohol and other substance abuse combined with either nursing, supervisory or other types of care as required (including medical) by the residents. Includes hospices that are not defined as hospitals and respite and transitional care services. Excludes facilities primarily providing services to aged persons or persons requiring mental health diagnosis and treatment. Also excludes residential care facilities that report under the Commonwealth, State and Territory Disability Agreement where the primary purpose is care for persons with a disability. CODE 106 Provider of ambulance service Organisations primarily engaged in providing transportation of patients by ground or air, along with health (or medical) care. These services are often provided during a medical emergency but are not restricted to emergencies. The vehicles are equipped with lifesaving equipment operated by medically trained personnel. Includes organisations providing public ambulance services or flying doctor services such as Royal Flying Doctor Service and Care Flight, and support programs to assist isolated patients with travel to obtain specialised health care. NOTE 2: Excludes providers of services where those services are captured in public or private hospital financial statements. For example, the provider of an ambulance, medical or diagnostic laboratory, general practice, specialist medical, dental or other health practitioner service may be located within a hospital set of accounts and its expenditure recorded on the hospital financial statement. The provider of the ambulance or other service would then be recorded under code 101. CODE 107 Medical and diagnostic laboratory This item is not currently required to be reported by state and territory health authorities. Organisations primarily engaged in providing analytic or diagnostic services, including body fluid analysis and diagnostic imaging, generally to the medical profession or the patient on referral from a health practitioner. Includes diagnostic imaging centres; dental or medical X-ray laboratories ultrasound services; medical testing laboratories; medical pathology laboratories; medical forensic laboratories; and X-ray clinic services. Includes public and private medical and diagnostic laboratories. See NOTE 2 under code 106. CODE 108 Clinical practices – medical – general Organisations of registered medical practitioners holding the degree of a Doctor of medicine or a qualification at a corresponding level primarily engaged in the independent practice of general medicine. These practitioners operate private or group practices in their own offices (e.g., centres, clinics) or in the facilities of others, such as hospitals or medical centres. See NOTE 2 under code 106. This item is not currently required to be reported by state and territory health authorities. CODE 109 Clinical practices – medical – specialist This item is not currently required to be reported by state and territory health authorities. Organisations of health practitioners holding the degree of a Doctor of medicine or a qualification at a corresponding level primarily engaged in the independent practice of specialist medicine or surgery, other than pathology and diagnostic imaging services. These practitioners operate a wide range of specialities in private or group practices in their own offices (e.g., centres, clinics) or in the facilities of others, such as hospitals or health maintenance type medical centres. Includes for example: • Anaesthetist service • Dermatology service • Ear, nose and throat specialist service • Gynaecology service • Neurology service • Obstetrics service • Paediatric service • Psychiatry service • Specialist medical clinic service • Specialist surgical service See NOTE 2 under code 106. CODE 110 Clinical practices – medical – other This item is not currently required to be reported by state and territory health authorities. Includes organisations of physicians not able to be allocated to Codes 108 or 109 CODE 111 Clinical practices – dental Organisations of registered health practitioners holding the degree of Doctor of dental medicine or a qualification at a corresponding level primarily engaged in the independent practice of general or specialised dentistry or dental surgery. These practitioners operate private or group practices in their own offices (e.g., centres, clinics) or in the facilities of others, such as hospitals, medical centres or community health facilities. They can provide either comprehensive preventive, cosmetic, or emergency care, or specialise in a single field of dentistry. Also included are dental hospitals providing ambulatory services only. Includes for example: • Cleft lip and palate services • Community dental service • Dental assessment and treatment • Dental hospital (out-patient) • Dental practice service • Dental practitioner service • Dental surgery service • Endodontic service • Oral and maxillofacial services • Oral pathology service • Oral surgery service • Orthodontic service • Pedodontic service • Periodontic service See NOTE 2 under code 106. CODE 112 Clinical practices – other This item is not currently required to be reported by state and territory health authorities. Organisations of independent health practitioners (other than physicians and dentists), such as chiropractors, optometrists, mental health specialists, physical, occupational, and speech therapists and audiologists organisations primarily engaged in providing ambulatory health care. These practitioners operate private or group practices in their own offices (e.g., centres, clinics) or in the facilities of others, such as hospitals or medical centres. Includes for example: • Acupuncture service • Aromatherapy service • Audiology service • Chiropractic service • Clinical psychology service • Dental hygiene service • Dietician service • Hearing aid dispensing • Homoeopathic service • Midwifery service • Naturopathic service • Nursing service • Occupational therapy service • Optometrist • Osteopathic service • Podiatry service • Speech pathology service • Therapeutic massage service See NOTE 2 under code 106. CODE 113 Community health facility – substance abuse Organisations with health staff primarily engaged in providing ambulatory services related to the diagnosis and treatment of alcohol and other substance abuse. These are community-based organisations that treat patients who do not require admitted patient treatment. They may provide counselling staff and information regarding a wide range of substance abuse issues and/or refer patients to more extensive treatment programmes, if necessary. Includes for example: • Community based alcoholism treatment centres and clinics (other than hospitals or residential care facilities); • Community based detoxification centre and clinics (other than hospitals or residential care facilities); • Community based drug addiction treatment centres and clinics (other than hospitals or residential care facilities); • Community based substance abuse treatment centres and clinics (other than hospitals or residential care facilities). CODE 114 Community health facility – mental An organisation comprised of one or more specialised mental health services or facilities with health staff primarily engaged in providing ambulatory services related to the diagnosis and treatment of mental health disorders. These specialised mental health services generally treat patients who do not require admitted patient treatment. However, these services do include consultation/liaison services provided to admitted patients by community mental health services. They may provide counselling staff and information regarding a wide range of mental health issues and/or refer patients to more extensive treatment programmes, if necessary. They may also provide treatment both on and off site, for example through mobile units. Includes only government-funded specialised mental health services, such as community mental health centres and clinics. Includes expenditure on government-managed community specialised mental health services, plus the cost of the grants to non-government organisations that provide community specialised mental health services, not the total expenditure by these non-government organisations. Excludes mental health clinics in hospitals and residential mental health care facilities. CODE 115 Community health facility – other Organisations with health staff primarily engaged in providing general or specialised ambulatory care. Centres or clinics of health practitioners with the same degree or with different degrees from more than one speciality practising within the same establishment i.e., physician and dentist) are included in this item. Includes only government-funded community health facilities such as: • Community centres and clinics; • General practitioner plus centres; • Multi-speciality community clinics. Excludes clinical practices that provide exclusively medical services or exclusively health services, ambulatory mental health and substance abuse centres, and free-standing ambulatory surgical centres (reported under codes 108 to 114) and kidney dialysis centres and clinics (reported under codes 101 to 103 if part of a hospital or code 109 if they are free-standing ambulatory centres). CODE 116 Blood and organ bank This item is not currently required to be reported by state and territory health authorities. Organisations primarily engaged in collecting, storing and distributing blood and blood products and storing and distributing body organs. CODE 117 Retail sale/supplier of medical goods – optical glasses and other vision products This item is not currently required to be reported by state and territory health authorities. Organnisations prrimarily engaged in the retail sale of optical glasses and other vision products to the general public for personal or household consumption or utilisation. This includes the fitting and repair provided in combination with sales of optical glasses and other vision products. Excludes organisations primarily engaged in providing optometric services. CODE 118 Retail sale/supplier of medical goods – hearing aids This item is not currently required to be reported by state and territory health authorities. Organisations primarily engaged in the sale of hearing aids to the general public for personal or household consumption or utilisation. This includes the fitting and repair provided in combination with the sale of hearing aids. Excludes organisations primarily engaged in hearing testing where that also includes a component of hearing aid dispensing and fitting. CODE 119 Retail sale/supplier of medical goods – dispensing community pharmacist This item is not currently required to be reported by state and territory health authorities. Organisations primarily engaged in the retail sale of pharmaceuticals to the general public for personal or household consumption or utilisation. Instances when the processing of medicine may be involved should be only incidental to selling. This includes both medicines with and without prescription. Excludes organisations listed under code 201. CODE 120 Retail sale/supplier of medical goods – other This item is not currently required to be reported by state and territory health authorities. Organisations primarily engaged in the sale of medical appliances other than optical goods and hearing aids to the general public with or without prescription for personal or household consumption or utilisation. Included are: • Organisations primarily engaged in the manufacture of medical appliances but where the fitting and repair is usually done in combination with manufacture of medical appliances. • Organisations engaged in the retail sale of other miscellaneous medical goods to the general public for personal or household consumption or utilisation (included are sales other than by shops, such as electronic shopping and mail-order houses). Illustrative examples • sale of fluids (e.g. for home dialysis); • all other miscellaneous health and personal care stores; • all other sale of pharmaceuticals and medical goods; • electronic shopping and mail-order houses specialised in medical goods. CODE 121 Provision and administration of public health program Organisations engaged in government or private administration and provision of public health programs such as health promotion, organised screening, immunisation and health protection programs. CODE 122 General health administration Organisations primarily engaged in the regulation of activities of agencies that provide health care, overall administration of health policy, and health insurance. This item comprises government administration (excluding social security) primarily engaged in the formulation and administration of government policy in health and in the setting and enforcement of standards for medical and paramedical personnel and for hospitals, clinics, etc., including the regulation and licensing of providers of health services. For example: • Department of Health; • Agencies for the regulation of safety in the workplace. Excludes organisations primarily engaged in the provision and administration of public health programs which is reported under code 121. CODE 123 Private health insurance provider This item is not currently required to be reported by state and territory health authorities. • Organisations engaged in insurance of health (other than social security funds and other social insurance funds) that provide insurance cover for hospital, medical, dental, pharmaceutical or funeral expenses. This includes organisations primarily engaged in activities involved in or closely related to the management of private health insurance (activities of insurance agents, average and loss adjusters and actuaries. CODE 188 Main Health Care Service organisation - other Organisations mainly engaged in providing health care services that are not reported under codes 101 to 123. Includes health or health-related call centres or e-health sites such as Poisons Information Centre and centres that provide information on alcohol and other drugs, mental health or other health issues. CODE 198 Regional health service (not further defined) Organisations at an area health service or regional level could be a combination of categories 101 to 188 but which could not be further disaggregated. CODE 199 State/territory health authority (not further defined) Organisations at the state or territory health authority level that could be a combination of categories 101 to 188 but which could not be further disaggregated. Secondary/non-Health Care Service organisation This item is not currently required to be reported by state and territory health authorities. CODE 201 Pharmaceutical industry This item is not currently required to be reported by state and territory health authorities. Organisations primarily engaged in wholesaling human pharmaceuticals, medicines, cosmetics, perfumes and toiletries. Also included are units mainly engaged in wholesaling veterinary drugs or medicines Excludes organisations listed under code 119. CODE 202 University This item is not currently required to be reported by state and territory health authorities. Organisations primarily engaged in providing undergraduate or postgraduate teaching but which also undertake health research activities. Also includes organisations primarily engaged in undertaking research in the agricultural, biological, physical or social sciences. Units may undertake the research for themselves or others. Includes: • Postgraduate school, university operation • Research school, university operation • Specialist institute or college • Undergraduate school, university operation • University operation For reporting purposes includes only the health or health related research component or other health services component of these organisations' activities. CODE 203 Non-health related insurance This item is not currently required to be reported by state and territory health authorities. Units mainly engaged in providing general insurance cover (except life and health insurance). Includes: • Motor vehicle third party insurance provision • Worker’s compensation insurance provision CODE 204 Residential aged care facility This item is not currently required to be reported by state and territory health authorities. An organisation comprised of one or more government-funded facilities primarily engaged in providing residential care to aged persons and in receipt of funding under the Aged Care Act and subject to Commonwealth reporting requirements (i.e. report to the System for the payment of Aged Residential Care (SPARC) collection. Excludes facilities primarily providing services to persons requiring mental health diagnosis and treatment. Also excludes residential care facilities that report under the Commonwealth, State and Territory Disability Agreement where the primary purpose is care for persons with a disability. CODE 288 Secondary/non-Health Care Service organisation – other This item is not currently required to be reported by state and territory health authorities. This item comprises organisations that are not reported under codes 201 to 203 which provide health care as secondary providers or other providers. Included are providers of occupational health care and home care provided by private households. Includes: Occupational health care services not provided in separate health care organisations (all industries); • Military health services not provided in separate health care organisations • Prison health services not provided in separate health care organisations • School health services • Other providers n.e.c. Other providers of services which support the health care industry such as laundry or catering services. Other providers of services unrelated to the health care industry such as the building or automotive industry. Source and reference attributes Submitting organisation: Health Expenditure Advisory Committee Reference documents: Organisation for Economic Cooperation and Development 2000. A System of Health Accounts. Version 1.0. Paris: OECD. Australian Bureau of Statistics 2006. Australian and New Zealand Standard Industry Classification. Cat. no. 1292.0. Canberra: ABS. RACGP 6 September 2005 <www.racgp.org.au/whatisgeneralpractice> Data element attributes Source and reference attributes Submitting organisation: Health Expenditure Advisory Committee Relational attributes Related metadata references: Supersedes Health industry relevant organisation—main activity type, code NNN Health, Superseded 01/04/2009 Implementation in Data Set Specifications: Government health expenditure organisation expenditure capital consumption data element cluster Health, Standard 04/04/2013 Government health expenditure organisation expenditure data element cluster Health, Standard 04/12/2013 Government health expenditure organisation expenditure employee related data element cluster Health, Standard 04/12/2013 Government health expenditure organisation expenditure purchase of goods and services data element cluster Health, Standard 04/12/2013 Government health expenditure organisation revenue data element cluster Health, Standard 01/04/2009
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Organisation—capital consumption expenses, total Australian currency NNNNN.N Obligation: Conditional Identifying and definitional attributes Short name: Capital consumption expenses METeOR identifier: 376399 Registration status: Health, Standard 01/04/2009 Definition: Expenses of an organisation consisting of consumption of fixed capital (depreciation), in Australian currency. Data Element Concept: Organisation—capital consumption expenses Value domain attributes Representational attributes Representation class: Total Data type: Currency Format: NNNNN.N Maximum character length: 6 Unit of measure: Australian currency (AU$) Source and reference attributes Submitting organisation: Health Expenditure Advisory Committee Data element attributes Collection and usage attributes Guide for use: Data are collected and nationally collated for the reporting period - the financial year ending 30th June each year. Depreciation expenses are to be reported in millions to the nearest 100,000 e.g. $4,064,000 should be reported as $4.1 million. When revenue from transactions are offset against expenses from transactions, the result equates to the net operating balance in accordance with Australian Accounting Standards Board 1049 (September 2006). Depreciation represents the expensing of a long-term asset over its useful life and is related to the basic accounting principle of matching revenue and expenses for the financial period. Depreciation charges for the current financial year only should be shown as expenditure. Where intangible assets are amortised (such as with some private hospitals) this should also be included in recurrent expenditure. Collection methods: Depreciation expenses are to be reported for the Health industry relevant organisation type andTypeof health and health related functions data elements. Health industry relevant organisation type State and territory health authorities are NOT to report the following codes: Codes 106–109; 111; 115–119; 123; 201 and 203 Type of health and health related functions State and territory health authorities are NOT to report the following codes: Codes 199; 299; 303–305; 307; 499; 503–504; 599; 601–603; 688; 699 Comments: In accounting terms, expenses are consumptions or losses of future economic benefits in the form of reductions in assets or increases in liabilities of the entity (other than those relating to distributions to owners) that result in a decrease in equity or net worth during the reporting period. Source and reference attributes Submitting organisation: Health Expenditure Advisory Committee Origin: Australian Bureau of Statistics: Government Finance Statistics 1998, Cat. No. 5514.0. Australian Bureau of Statistics 2006. Australian System of Government Finance Statistics: Concepts, sources and methods, 2005. Cat. no. 5514.0.55.001 Canberra: ABS. Australian Accounting Standards Board 1049, September 2006, <www.aasb.com.au> Relational attributes Related metadata references: Supersedes Organisation—depreciation expenses, total Australian currency NNNNN.N Health, Superseded 01/04/2009 Is used in the formation of Organisation—expenses, total Australian currency NNNNN.N Health, Standard 05/12/2007 Implementation in Data Set Specifications: Government health expenditure organisation expenditure capital consumption data element cluster Health, Standard 04/04/2013 Government health expenditure organisation expenditure data element cluster Health, Standard 04/12/2013
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Organisation—type of health or health-related function, code NNN Obligation: Conditional Identifying and definitional attributes Short name: Type of health or health-related function METeOR identifier: 533041 Registration status: Health, Standard 04/12/2013 Definition: A description of the type of activities or programs with a health or health-related function provided by an organisation, as represented by a code. Data Element Concept: Organisation—type of health or health-related function Value domain attributes Representational attributes Representation class: Code Data type: Number Format: NNN Maximum character length: 3 Permissible values: Value Meaning 101 Admitted patient care – Mental health program 102 Admitted patient care – Non-mental health program 199 Admitted patient care – Not further defined 201 Residential care – Mental health program 202 Residential care – Non-mental health program 299 Residential care – Not further defined 301 Ambulatory care – Mental health program 302 Ambulatory care – Emergency department 303 Ambulatory care – General practitioner 304 Ambulatory care – Medical specialist 305 Ambulatory care – Imaging/pathology 306 Ambulatory care – Dental service 307 Ambulatory care – Optometry service 308 Ambulatory care – Allied health service 309 Ambulatory care – Community health service 388 Ambulatory care – Other 399 Ambulatory care – Not further defined 401 Public health – Communicable disease control 402 Public health – Selected health promotion 403 Public health – Organised immunisation 404 Public health – Environmental health 405 Public health – Food standards and hygiene 406 Public health – Breast cancer screening 407 Public health – Cervical screening 408 Public health – Bowel cancer screening 409 Public health – Prevention of hazardous and harmful drug use 410 Public health – Public health research 488 Public health – Other public health 499 Public health – Not further defined 501 Health-related care – Patient transport 502 Health-related care – Patient transport subsidies 503 Health-related care – Medications 504 Health-related care – Aids and appliances 505 Health-related care – Health administration 506 Health-related care – Health research 588 Health-related care – Other 599 Health-related care – Not further defined 601 Other function – Home and community care 602 Other function – Aged care 603 Other function – Other welfare 688 Other function – Other 699 Other function – Not further defined Collection and usage attributes Guide for use: CODE 101 Admitted patient care – Mental health program An admission to a mental health program includes: The component of the mental health program that provides admitted patient care. These services are delivered through specialised psychiatric hospitals and designated psychiatric units located within hospitals that are not specialised psychiatric hospitals. NOTE: This is the admitted patient component of the mental health care program reported to the Mental health establishments NMDS. Excludes residential care mental health programs, ambulatory care mental health programs which are provided as outpatient and emergency department care to non-admitted patients, and community-based (non-hospital) mental health programs. CODE 102 Admitted patient care – Non-mental health program An admitted patient non-mental health program includes: All services, excluding mental health services, provided to admitted patients, including acute care, rehabilitative care, palliative care, geriatric evaluation and management, psychogeriatric care, maintenance care, newborn care and any other admitted patient care, e.g. organ procurement – posthumous. Also includes admitted patient services where service delivery is contracted to private hospitals or treatment facilities and hospital-in-the-home services. Excludes emergency department and outpatient care provided to non-admitted patients, and community-based (non-hospital) care. CODE 199 Admitted patient care – Not further defined Comprises admitted patient care services that could be a combination of Codes 101 and 102 but which could not be further disaggregated. State and territory health authorities are only to report admitted patient care under Codes 101 or 102. CODE 201 Residential care – Mental health program A residential mental health care program includes: The component of the specialised mental health program that provides residential care. A resident in one residential mental health service cannot be concurrently a resident in another residential mental health service. A resident in a residential mental health service can be concurrently a patient admitted to a hospital. Comprises the residential component of the mental health care program reported to the Mental health establishments NMDS. Excludes residential aged care services, residential disability, alcohol and other drug treatment health care services and residential type care provided to admitted patients in hospitals. Also excludes mental health programs provided to admitted patients, emergency and outpatient care patients, and community health (non-hospital) and other ambulatory care patients. CODE 202 Residential care – Non-mental health program A residential non-mental health care program includes alcohol and other drug treatment health care services. Excludes residential mental health care program services, residential aged care services, residential disability services and residential type care provided to admitted patients in hospitals. Also excludes services provided to admitted patients and patients receiving ambulatory care. CODE 299 Residential care – Not further defined Comprises residential care services that could be a combination of Codes 201 and 202 but which could not be further disaggregated. State and territory health authorities are only to report residential care under Codes 201 or 202. CODE 301 Ambulatory care – Mental health program The component of a specialised mental health program supplied by a specialised mental health service that provides ambulatory health care. Comprises the ambulatory component of the mental health care program reported to the Mental health establishments NMDS, i.e. specialised mental health program services provided by emergency departments, outpatient clinics and community-based (non-hospital) services. Excludes specialised mental health care provided to admitted and residential patients. CODE 302 Ambulatory care – Emergency department Comprises emergency department services provided in an emergency department. Excludes specialised mental health services provided by emergency departments, outpatient clinics and community-based (non-hospital) services. Also excludes residential and admitted patient services. CODE 303 Ambulatory care – General practitioner This item is not currently required to be reported by state and territory health authorities. The definition relates to the broad type of non-referred general practitioner services as specified on the Medicare Benefits Schedule website. These services comprise general practitioner attendances, including General Practitioner, Vocationally Registered General Practitioner (GP/VRGP) and other non-referred attendances, to non-admitted patients, and services provided by a practice nurse or registered Aboriginal Health Worker on behalf of a general practitioner. This category is not limited to services funded by Medicare Australia. It also includes services funded from other sources such as Motor Vehicle Third Party Insurance and Workers Compensation Insurance, among others. Therefore, general or nurse practitioner services such as vaccinations for overseas travel are included regardless of their funding source. These non-referred general practitioner services are provided in private or group practices in medical clinics, community health care centres or hospital outpatient clinics. Excludes mental health care services reported under Code 301 and services provided to non-admitted patients in an emergency department. CODE 304 Ambulatory care – Medical specialist This item is not currently required to be reported by state and territory health authorities. Specialist attendances, obstetrics, anaesthetics, radiotherapy, operations and assistance at operations care. These services are defined in the current Medicare Benefits Schedule. Includes services funded by Medicare Benefits Scheme, Motor Vehicle Third Party Insurance, Workers Compensation Insurance and from patient out-of-pocket payments. These services are provided in private or group practices in medical clinics, community health care centres or hospital outpatient clinics. Includes salaried medical officers. Excludes mental health care services reported under Code 301 and services provided to non-admitted patients in an emergency department. CODE 305 Ambulatory care – Imaging/pathology service This item is not currently required to be reported by state and territory health authorities. Pathology and diagnostic imaging services as defined in the current Medicare Benefits Schedule. Includes services funded by Medicare Benefits Scheme, Motor Vehicle Third Party Insurance, Workers Compensation Insurance and from patient out-of-pocket payments. These services are provided in private or group practices in medical clinics, community health care centres or hospital outpatient clinics. Excludes services provided to admitted or residential care patients and non-admitted patients in an emergency department. CODE 306 Ambulatory care – Dental service Includes any non-admitted patient and community dental services, including dental assessments, preventative services and treatments, regardless of funding source. Oral and maxillofacial services and cleft lip and palate services, as defined in the current Medicare Benefits Schedule, are also included in this category. Includes dental services funded from a range of sources such as Medicare Benefits Scheme, Motor Vehicle Third Party Insurance and dental services funded by vouchers for dental care. These dental services are provided in private or group practices in dental clinics, community health care centres or hospital outpatient clinics. Excludes dental care provided to admitted patients in hospitals (same day or overnight) or to non-admitted patients in an emergency department. CODE 307 Ambulatory care – Optometry service This item is not currently required to be reported by state and territory health authorities. Optometry services as defined in the current Medicare Benefits Schedule. Includes services funded by Medicare Benefits Scheme, Motor Vehicle Third Party Insurance, Workers Compensation Insurance and from patient out-of-pocket payments. These services are mainly provided in private or group practices, but may be provided in hospital outpatient centres. Excludes optometry services provided to admitted or residential care patients or to non-admitted patients in an emergency department. CODE 308 Ambulatory care – Allied health service Includes services provided by the following allied health items. Aboriginal health worker, diabetes educator, audiologists, exercise physiologist, dietician, mental health worker, occupational therapist, physiotherapist, podiatrist or chiropodist, chiropractor, osteopath, psychologist and speech pathologist. These services are defined in the current Medicare Benefits Schedule. Includes services funded by Medicare Benefits Scheme, Motor Vehicle Third Party Insurance, Workers Compensation Insurance and from patient out-of-pocket payments. Excludes allied health services provided to admitted or residential care patients or to non-admitted patients in an emergency department. CODE 309 Ambulatory care – Community health services Includes community health services such as family, maternal, child and youth health (including well baby clinics) as well as Aboriginal and Torres Strait Islander and migrant health services. Also includes health care for people with acute, post-acute, chronic and end of life illnesses, alcohol and drug treatment services, child psychology services, community midwifery, community nursing, school and district nursing, community rehabilitation, continence services, telehealth, dietetics, family planning and correctional health services. Excludes mental health services reported under Code 301 and services provided to admitted and residential care patients and non-admitted patients in an emergency department. Also excludes services already reported under Codes 303 to 308. CODE 388 Ambulatory care – Other Comprises ambulatory care services other than those reported under Codes 301 to 309. CODE 399 Ambulatory care – Not further defined Comprises ambulatory care services that could be a combination of Codes 301 to 309 and 388, but which could not be further disaggregated, such as public outpatient services. CODE 401 Public health – Communicable disease control This category includes all activities associated with the development and implementation of programs to prevent the spread of communicable diseases. Expenditure on Communicable disease control is recorded using three sub-categories: • HIV/AIDS, hepatitis C and sexually transmitted infections • Needle and syringe programs • Other communicable disease control. The public health component of the HIV/AIDS, hepatitis C and sexually transmitted infections strategies includes all activities associated with the development and implementation of prevention and education programs to prevent the spread of HIV/AIDS, hepatitis C and sexually transmitted infections. Expenditure on treatment or diagnostic services is not included. HIV/AIDS, hepatitis C and sexually transmitted infections Inclusions • Implementation of health promotion strategies aimed at increasing safe behaviour among at-risk populations including people living with HIV/AIDS (including through community sector agencies) • provision of sexual health services to at-risk populations to reduce prevalence of sexually transmitted infections, including testing for sexually transmitted infections (including HIV and hepatitis C), pre-test counselling for all sexually transmitted infections (including HIV), broad-based screening programs and contact tracing • programs toward prevention of sexually transmitted infections (STIs) and blood borne viruses (BBVs), including genital herpes, hepatitis B and C, human papilloma virus, chlamydia, gonorrhoea and syphilis • Indigenous health programs targeting STIs and BBVs • consultation with community sector agencies regarding program priorities and delivery • promotion of access to culturally appropriate services • minimisation of the risk of transmission through occupational and non-occupational exposure through prophylaxis • support of targeted training to ensure provision of best practice sexual health services for at-risk populations • surveillance • development of and participation in relevant committees • diagnostic services • peer support programs immediately following diagnosis which promote safe sex practices and inform patients and carers about how to live with HIV/AIDS, blood borne viruses, heppatitis C and sexuallly transmitted infections • provision of high-quality data to health professionals to improve service delivery • participation in or initiation of research to establish data to inform service provision • funding to NGOs (for example, hepatitis councils, HIV/AIDS councils) • support of volunteer programs through access to training • management of people with HIV who place others at risk Exclusions • treatment for sexually transmitted infections • pharmaceuticals • HIV testing following diagnosis • specialist GPs for primary management of HIV/AIDS • access to HIV treatments and viral load testing • outpatient and ambulatory services • dental health services • welfare and housing referral services • admitted patient services • mental health services • community and home-based care services • palliative and respite care services • maternity services • hepatitis B and HPV immunisation (included in Other organised immunisation) • Safe sexual health messages (included in Selected health promotion). Needle and syringe programs Needle and syringe programs aim to reduce and prevent the transmission and spread of infectious diseases to individuals and the broader community through the provision of sterile injecting and disposal equipment, education, consultation and referral processes. Inclusions • education and training of the labour force • provision of safe injecting equipment, including the cost of equipment, transport and staff to deliver the service • administration of the program, including identifying new sites, negotiating services • costs, addressing public concerns and policy development • negotiation with pharmacies to support initiatives • consultation with community agencies operating needle and syringe program sites. Other communicable disease control This sub-category includes all other communicable disease control activities not assigned to the HIV/AIDS, hepatitis C and sexually transmitted infections or Needle and syringe program sub-categories as defined above. Inclusions • surveillance systems, screenings, recording, notification and reporting systems • case response, contact tracing, investigation and disease outbreak planning and management • policy and support services specifically related to communicable disease control programs • provision and administration of vaccines for the management of disease outbreaks • provision of advice and education on all other communicable diseases • initial counselling for people tested • funding to NGOs for the provision of operating prevention programs • human quarantine-related services • OzFoodNet programs. Exclusions • clinical and treatment services for communicable disease infections including sexually transmitted infections • provision and administration of vaccines for immunisation programs as defined in the Organised immunisation category • referral, treatment and associated counselling for communicable disease infections • staff screening programs, staff immunisation and staff education • infection control activities in hospitals • funding to NGOs for the provision of treatment-based programs. CODE 402 Public health – Selected health promotion This category includes those activities fostering healthy lifestyle and a healthy social environment overall, and health promotion activities targeted at health risk factors which lead to injuries, skin cancer and cardiovascular disease (for example, diet or inactivity) that are delivered on a population-wide basis. The underlying criterion for the inclusion of health promotion programs within this category was that they are population health programs promoting health and wellbeing. Inclusions • State government funding for health promotion councils or NGOs • organised population programs, or programs with a population focus (for example, programs on lifestyle risk factors, population level interventions targeting eating and physical activity, and Healthy communities, children and workers Cities and Healthy Schools programs) • development, administration, implementation and evaluation of policy, programs, guidelines and legislation • development and maintenance of health promotion databases (including data collection), where they can be separated from ‘non-public health’ databases • health sector input to cross-sector health education • organised population health screening of risk factors for preventable chronic disease • communication information and advice to the public • supportive environments for healthy living • Innovative Health Services for homeless youth. Exclusions • opportunistic health checks of individuals, activities for heart disease risk factors (stress, blood pressure, cholesterol) • information programs on management of specific diseases post-diagnosis • community nurse activity (for example, ad-hoc talking to schools about nutrition) • individual counselling including health education on an ad-hoc basis • compliance with safety codes and maintenance of healthy environments • treatment for stress or other mental health disorders (for example, anxiety) • school education ad-hoc, school health nurses and school dental services • well baby clinics, domiciliary care and home nursing services • neighbourhood watch programs • occupational health and safety education (included under ‘Public health-related activities’) • population health programs directed at domestic, family and general violence • population health programs providing a safe sexual health message—these are included in the Communicable disease controlcategory • public health education campaigns and school health education programs funded outside the health sector • health promotion activities that are associated with core public health categories—these are classified in the relevant categories (for example, safe drinking programs should be classified in the Prevention of hazardous and harmful drug use category). CODE 403 Public health – Organised immunisation This category includes immunisation clinics, school immunisation programs, immunisation education, public awareness, immunisation databases and information systems. Expenditure on organised immunisation is recorded using three sub-categories: • Organised childhood immunisation (as defined by the NHMRC National Immunisation Schedule) • Organised pneumococcal and influenza immunisation • All other organised immunisation (for example, tetanus)—as opposed to ad-hoc or opportunistic immunisation. Inclusions • promotion, distribution, provision and administration of vaccines as listed • immunisation clinics and school immunisation programs • immunisation education and public awareness • immunisation databases and information systems • staff vaccination programs where part of Organised immunisation and NHMRC schedule for all tetanus immunisation. Exclusions • immunisation after possible infection or on detection of illness (for example, rabies vaccine)—this expenditure should be included in the Communicable disease control expenditure category. CODE 404 Public health – Environmental health This category relates to health protection education (for example, safe chemical storage, water pollutants), expert advice on specific issues, development of standards, risk management and public health aspects of environmental health protection. The costs of monitoring and regulating are to be included where costs are borne by a regulatory agency and principally have a public health focus (for example, radiation safety, and pharmaceutical regulation and safety). Environmental health includes the following characteristics: • vector control • chemical regulation and safety • radiation safety and control • public health aspects of water quality control and fluoridation • Legionella control • public health input to contaminated sites and unhealthy land • public health aspects of water environment control • public health input to hazardous materials management • public health aspects of waste water and solid waste • public health input to disaster management • public health contribution to environmental sampling, health impact statements and risk assessment • radiation regulation, water quality regulation, lead and asbestos regulation • environmental health monitoring. Inclusions • development, review and administration of legislation, policy and/or regulations health protection education (for example, safe chemical storage, water pollutants) and expert advice on specific issues • response to health complaints and investigation of breaches of legislation and disease outbreaks • surveillance, inspections and investigations to maintain standards (for example, water quality testing, sampling) • expert advice and provision of professional and technical support services on specific issues • administration of relevant legislation, such as the licensing of operators or conducting pest control examinations • maintenance of related databases (for example, issuing radiation licenses, and national notification of agricultural, veterinary and industrial chemicals and pesticides) • regulation and management of water fluoridation (includes addition of fluoride to water supplies) • public health component of assessment, remediation and management of contaminated land • public health input to land development applications • public health input to emergency management and disaster response management, including planning and emergency response teams • public health contribution to environmental sampling, health impact statements and risk assessment • public health input to control activities for vectors (for example, landfill, spraying, baiting, eradication)—to be included only if undertaken by regulatory agency • poisons regulation • pharmaceutical and therapeutic goods regulation • public health input to air and noise pollution control • training of environmental health workers • public health aspects of manufacture and distribution of medicines. Exclusions • costs borne by private or government industry in complying with regulations and legislation such as public health and environmental health acts • hospital infection control • treatment for infections (for example, Ross River fever or encephalitis treatment) • workplace testing or monitoring • installation and maintenance of systems (for example, waste disposal, storm water pollution, air-conditioning units) • management of land development applications • compliance with regulation which protects water courses and national parks • recycling programs • infectious waste control (for example, medical wastes and sharps) and disposal • environmental health protection research (to be included under Code 410, Public health research). CODE 405 Public health – Food standards and hygiene This category includes the development, review and implementation of food standards, regulations and legislation as well as the testing of food by the regulatory agency. Inclusions • development, review and implementation of food standards, regulations, legislation, policy and standards • surveillance (including inspections/audits), monitoring and enforcement of food legislation, policy and standards (including food premises registers, food safety programs, food safety supervisors and food safety auditing) • testing of prescribed contaminants in food by regulatory agency • education such as food safety awareness campaigns for suppliers and/or consumers • training and education for food handlers (including LGAs) • education and advice on food standards/requirements (for example, for food premises) Exclusions • compliance costs of industry associated with food regulations (for example, labelling and safe food handling practices) • testing of food by industry. CODE 406 Public health – Breast cancer screening This category relates to Breast cancer screening and includes expenditure for the complete breast cancer screening pathway through organised programs. The breast cancer screening pathway includes such activities as recruitment, screen taking, screen reading, assessment (this includes fine needle biopsy), core biopsy, open biopsy, service management and program management. Inclusions • State-wide coordination and planning • Strategic policy development and implementation • Service development and support • Management of state registers • Capital procurement and capacity planning • Quality management and monitoring (management of registries, communication and education, including social marketing, workforce development, training and monitoring, evaluation and research). Exclusions • Treatment and surveillance for five years after diagnosis • Post diagnosis follow up counselling and support • Pathology services associated with treatment • Breast cancer research collaboratives (to be included under Code 410, Public health research) CODE 407 Public health – Cervical screening This category relates to organised cervical screening programs such as the state cervical screening programs and rural access programs, including coordination, provision of screens and assessment services. Cervical screening, funded through Medicare, for both screening and diagnostic services is also included. Inclusions • State-wide coordination and planning • Strategic policy development and implementation • Service development and support • Management of state Pap smear registers • Quality management and monitoring • Communication and education, including social marketing • Monitoring, evaluation and research Exclusions • colposcopy services and related histopathology • counselling and/or treatment for patients diagnosed with cervical cancer (the differences between abnormalities and malignant carcinomas are described in Screening to Prevent Cervical Cancer: Guidelines for the Management of Women with Screen Detected Abnormalities. NHMRC 2005) • In some jurisdictions, some aspects of cervical screening are provided by third parties. In reporting expenditure for this category, jurisdictions should note if this is the case and whether or not this expenditure is included in the estimates they provide. CODE 408 Public health – Bowel cancer screening This category relates to the organised National Bowel Cancer Screening Program (NBCSP). The screening pathways include: • Self-administered Faecal occult blood test (FOBT) • the National Register functions including letters of invitation and reminders (Commonwealth to provide costs) • follow up assessment colonoscopy services (public and private) • follow up officers (state-based/Commonwealth funded) tests for analysis • program coordination and management CODE 409 Public health – Prevention of hazardous and harmful drug use This category includes activities targeted at the general population with the aim of preventing or reducing harmful use of alcohol, tobacco, illicit and other drugs of dependence, and mixed drugs. The Australian Standard Classification of Drugs of Concern includes analgesics, sedatives and hypnotics, stimulants and hallucinogens, anabolic agents and selected hormones, antidepressants and anti-psychotics, and also miscellaneous drugs of concern. Report for each sub-category as below, the aggregate of which will be total expenditure on Prevention of hazardous and harmful drug use: • Alcohol • Tobacco • Illicit and other drugs of dependence • Mixed. Alcohol Inclusions • alcohol regulation, labelling, control and licensing • prevention strategies to encourage low risk alcohol use (as described in NHMRC guidelines) and discourage harmful use • formulating alcohol policy • social marketing • alcohol harm reduction strategies Exclusions • any alcohol interventions programs with treatment of individuals as the major focus • activities designated as treatment services • services considered primarily of a welfare services naturee (for example, nightt shelters) • services considered to be almost entirely providing accommodation and food services (for example, halfway houses). Tobacco Inclusions • formulating tobacco policy • social marketing • smoke free policies in the workplace • policies relating to smoke-free eating places and other public facilities • tobacco control legislation and enforcement • quit smoking programs such as Quitline • smoking prevention strategies for children and youth Exclusions • activities designated as treatment services. Illicit and other drugs of dependence Inclusions • policy and health promotion strategies to discourage illicit drug use • social marketing • control activity to limit supply and availability for misuse Exclusions • any illicit drug interventions with treatment of individuals as the major focus • activities designated as treatment services • services considered primarily of a welfare services nature (for example, night shelters) • services considered to be almost entirely providing accommodation and food services (for example, halfway houses). Mixed Inclusions • social marketing • policy and health promotion strategies to improve behaviour • public health activities with regard to poly drug use. Exclusions • any anti-drug and alcohol programs with treatment of individuals as the major focus • activities designated as treatment services • services considered primarily of a welfare services nature (for example, night shelters) • services considered to be almost entirely providing accommodation and food services (for example, halfway houses) CODE 410 Public health – Public health research Research and development (R and D) is defined according to the OECD standard as comprising creative work undertaken on a systematic basis in order to increase the stock of knowledge, including knowledge of man, culture and society, and the use of this stock of knowledge to devise new applications. An R and D activity is characterised by originality. It has investigation as a primary objective, the outcome of which is new knowledge, with or without a specific application, or new or improved materials, product, devices, processes or services. R and D ends when work is no longer primarily investigative. (Pink & Geoff 2008). Inclusions • Communicable disease control research • Selected health promotion research • Organised immunisation research • Environmental health research • Food standards and hygiene research • Breast cancer screening research • Cervical screening research • Prevention of hazardous and harmful drug use research • Population health surveys • health status research • Major public health research which cannot be allocated to one of the above categories. Exclusions • public health evaluations CODE 488 Public health – Other public health Comprises public health functions not reported to the National Public Health Expenditure Project. CODE 499 Public health – Not further defined Comprises public health services that could be a combination of Codes 401 to 410 but which could not be further disaggregated. CODE 501 Health-related care – Patient transport This item comprises transportation in a specially-equipped surface vehicle or in a designated air ambulance to and from facilities for the purposes of receiving medical and surgical care. Includes all government ambulance services and transport provided by the Royal Flying Doctor Service, CareFlight and similar services, emergency transport services of public fire rescue departments or defence that operate on a regular basis for civilian emergency services (not only for catastrophe medicine). Includes transport between hospitals or other medical facilities and transport to or from a hospital or other medical facility and a private residence or other non-hospital/medical services location. The provider of this service could be a public or private hospital or an ambulance service. CODE 502 Health-related care – Patient transport subsidies Government subsidies to private ambulance services, for example, patient transport vouchers, support programs to assist isolated patients with travel to obtain specialised health care. It also includes transportation in conventional vehicles, such as taxis, when the latter is authorised and the costs are reimbursed to the patient (for example, for patients undergoing renal dialysis or chemotherapy). CODE 503 Health-related care – Medications This item is not currently required to be reported by state and territory health authorities. Includes pharmaceuticals and other medical non-durables, prescribed medicines and over-the-counter pharmaceuticals. Included within these categories are: medicinal preparations, branded and generic medicines, drugs, patent medicines, serums and vaccines, vitamins and minerals and oral contraceptives, prescribed medicines exclusively sold to customers with a medical voucher, irrespective of whether it is covered by public or private funding. Includes branded and generic products, private households’ non-prescription medicines and a wide range of medical non-durables such as bandages, condoms and other mechanical contraceptive devices, elastic stockings, incontinence articles and toothbrushes, toothpastes and therapeutic mouth washes. CODE 504 Health-related care – Aids and appliances This item is not currently required to be reported by state and territory health authorities. This item comprises glasses and other vision products, orthopaedic appliances and other prosthetics, hearing aids, medico-technical devices including wheelchairs and all other miscellaneous medical durables not elsewhere classified such as blood pressure instruments. CODE 505 Health-related care – Health administration Administrative services which cannot be allocated to a specific health good and service. Those unallocatable services might include, for example, maintaining an office of the Chief Medical Officer; a Departmental liaison officer in the office of the Minister; or a number of other agency-wide items for which it is not possible to derive appropriate or meaningful allocations to particular health programs. CODE 506 Health-related care – Health research Includes all research on health topics that is not included in Public health research (Code 410). That is, it includes all research classified under ABS Australian Standard Research Classification code 320000, excluding code 321200. Excludes public health research and non-health related research. CODE 588 Health-related care – Other Includes, for example, services provided by health and health-related call centres and e-health information services. Excludes health-related care reported under Codes 501 to 506 and health assessments provided under the Aged Care Assessment Program which are reported under Code 602. CODE 599 Health-related care – Not further defined Comprises health-related care that could be a combination of Codes 501 to 506 but which could not be further disaggregated. State and territory health authorities are only to report health-related care under Codes 501 to 506. CODE 601 Other function – Home and community care This item is not currently required to be reported by state and territory health authorities. Comprises Home and Community Care services reported under the Home and Community Care (HACC) NMDS. Information on these service categories is available in the following report: National classifications of community services. Version 2.0. AIHW Cat. No. HWI 40. Canberra: Australian Institute of Health and Welfare, 2003. Excludes services reported under Codes 602 to 603. CODE 602 Other function – Aged care This item is not currently required to be reported by state and territory health authorities. Includes residential care aged care programs, aged care assessment programs and other non-health aged care programs, such as respite care and day care activities. Excludes services provided under the HACC program. CODE 603 Other function – Other welfare This item is not currently required to be reported by state and territory health authorities. Includes services delivered to clients, or groups of clients with special needs such as the young or the disabled. Excludes aged care services reported under Code 602. CODE 688 Other function – Other This item is not currently required to be reported by state and territory health authorities. Includes for example, car parking, accommodation for staff or for patients' relatives, or non-health-related research. CODE 699 Other function – Not further defined This item is not currently required to be reported by state and territory health authorities. Comprises other functions that could be a combination of Codes 601 to 603 but which could not be further disaggregated. Source and reference attributes Submitting organisation:Health Expenditure Advisory CommitteeReference documents: Pink, B. & Geoff, B. 2008. Australian and New Zealand standard research classification (ANZSRC). ABS Cat. no. 1297.0. Canberra: ABS. Australian Government Department of Health and Ageing. Medicare Benefits Schedule Book. Viewed 1 November 2006, http://www.health.gov.au/mbsonline Australian Institute of Health and Welfare 2003. National classifications of community services. Version 2.0. AIHW cat. no. HWI 40. Canberra: AIHW. Australian Institute of Health and Welfare 2007. National public health expenditure report 2004–05. Health and welfare series expenditure series no. 29. cat. no. HWE 36. Canberra: AIHW. Data element attributes Source and reference attributes Submitting organisation:Health Expenditure Advisory Committee Relational attributes Related metadata references: Supersedes Organisation—type of health or health related function, code NNN Health, Superseded 04/12/2013Implementation in Data Set Specifications: Government health expenditure function revenue data element cluster Health, Standard 04/12/2013 Government health expenditure organisation expenditure capital consumption data element cluster Health, Standard 04/04/2013 Government health expenditure organisation expenditure data element cluster Health, Standard 04/12/2013 Government health expenditure organisation expenditure employee related data element cluster Health, Standard 04/12/2013 Government health expenditure organisation expenditure purchase of goods and services data element cluster Health, Standard 04/12/2013
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Government health expenditure function revenue data element cluster
Health industry relevant organisation—source of revenue, public and private code NNN Identifying and definitional attributes Short name: Source of public and private revenue METeOR identifier: 352427 Registration status: Health, Standard 05/12/2007 Definition: The source of revenue received by a health industry relevant organisation, as represented by a code. Data Element Concept: Health industry relevant organisation—source of revenue Value domain attributes Representational attributes Representation class: Code Data type: Number Format: NNN Maximum character length: 3 Permissible values: Value Meaning Public sector 101 Australian Health Care Agreements 102 Other Special Purpose Payments 103 Medicare 104 Pharmaceutical Benefits Scheme and Repatriation Pharmaceutical Benefits Scheme 105 National Health and Medical Research Council 106 Department of Veterans' Affairs 107 Other Australian government departments 108 State/Territory non-health departments 188 Other public sector revenue Private sector 201 Private health insurance 202 Workers compensation insurance 203 Motor vehicle third party insurance 204 Other compensation (e.g. Public liability, common law, medical negligence) 205 Private households (self-funded and out-of-pocket expenditure) 206 Non-profit institutions serving households 207 Corporations (other than health insurance) 288 Other private sector revenue 301 Overseas 999 Not further defined Collection and usage attributes Guide for use: Public sector CODE 101 Australian Health Care Agreements This item is not currently required to be reported by state or territory health authorities. Revenue received from the Australian Government Department of Health and Ageing under the Australian Health Care Agreements to assist in the cost of providing public patients with free access to public hospital services within a clinically appropriate time irrespective of where patients live. CODE 102 Other Special Purpose Payments This item is not currently required to be reported by state or territory health authorities. Includes Specific Purpose Payments provided by the Australian Government to the states and territories such as: • Public Health Outcomes Funding Agreement grants • Highly Specialised Drugs grants • National Radiotherapy grants • National Mental Health Information Development grant • Magnetic Resonance Imaging grants • Postgraduate Medical Training grants • Hepatitis C Education and Prevention grant • Royal Flying Doctor Service grants Excludes AHCA grants, Medicare or PBS/RPBS payments. CODE 103 Medicare This item is not currently required to be reported by state or territory health authorities. Includes revenue received for services listed in the Medical Benefits Schedule that are provided by registered medical practitioners. Many medical services in Australia are provided on a fee-for-service basis and attract benefits or revenue from the Australian Government under Medicare. Includes revenue received for medical services provided to private admitted patients in hospitals as well as some revenue that is not based on fee-for-service (i.e. alternative funding arrangements). CODE 104 Pharmaceutical Benefits Scheme (PBS) and Repatriation Pharmaceuticals Benefits Scheme (RPBS) Includes pharmaceuticals in the PBS and RPBS for which the Australian Government paid a benefit. Excludes: • revenue received for pharmaceuticals for which no PBS or RPBS benefit was paid; • revenue received for other non-pharmaceutical medications; • pharmaceuticals listed in the PBS or RPBS, the total costs of which are equal to, or less than, the statutory patient contribution for the class of patient concerned; • medicines dispensed through private prescriptions that do not fulfil the criteria for payment under the PBS or RPBS; and • over-the-counter medicines such as pharmacy-only medicines, aspirin, cough and cold medicines, vitamins and minerals, herbal and other complementary medicines, and a range of medical non-durables, such as bandages, band aids and condoms. CODE 105 National Health and Medical Research Council Includes health research funded by the National Health and Medical Research Council that is not reported elsewhere. CODE 106 Department of Veterans’ Affairs Includes revenues received for health services provided to veterans, war widows and widowers with gold or white DVA cards. Types of services include public and private hospitals, local medical officers and specialists, residential aged care subsidy, allied health, rehabilitation appliances, dental services, community nursing, Veterans’ Home Care and travel for treatment. Excludes revenues received for pharmaceuticals provided to veterans, war widows and widowers with gold, white or orange DVA cards which are reported under code 104. CODE 107 Other Australian Government Departments Includes other revenues received for health services from, for example, the Department of Immigration and Citizenship and Department of Defence. Excludes Medicare payments from Medicare Australia (part of Department of Human Services) reported under code 103. CODE 108 State/Territory non-health Departments Includes correctional facilities, and departments that have contributed funding for the provision of a health service e.g. public health, emergency services, NSW Food Authority, NSW Health Care Complaints Commission, South Australia Ambulance Service, National Blood Authority, Red Cross, and prison health services such as WA Health services directorate and St Vincent's Correctional Health Service Victoria. CODE 188 Other public sector revenue Includes all public sector revenue other than those reported under codes 101 to 108. May include revenue from Local governments. Private sector CODE 201 Private health insurance Includes revenue from businesses mainly engaged in providing insurance cover for hospital, medical, dental or pharmaceutical expenses or costs. Excludes: 1. accident and sickness insurance 2. liability insurance 3. life insurance 4. general insurance 5. other insurance business excluded by the Private Health Insurance (Health Insurance Business) Rules 6. overseas visitors for whom travel insurance is the major funding source. State and territory health authorities may report revenues for admitted patients, from private health insurance funds and private households, as a combined total if these revenues are not able to be reported separately. CODE 202 Workers compensation insurance Includes benefits paid under workers compensation insurance to the health industry relevant organisation for health care provided to workers, including trainees and apprentices, who have experienced a work-related injury. Type of benefits includes fees for medical or related treatment. Excludes benefits paid under public liability, common law or medical negligence. CODE 203 Motor vehicle third party insurance Includes personal injury claims arising from motor accidents and compensation for accident victims and their families for injuries or death. Excludes benefits paid under workers compensation insurance, public liability, common law or medical negligence. CODE 204 Other compensation (e.g. Public liability, common law, medical negligence). This item is not currently required to be reported by state or territory health authorities. Includes revenues received from: • public liability insurance for injury arising from an incident related to the organisation’s normal activities; • a court-ordered settlement for damages because of negligence under specific conditions a duty of care exists and was breached and material damage resulted as a consequence; • health professionals employed by health authorities or otherwise covered by health authority professional indemnity arrangements; and • a common law settlement cancels all other entitlements to workers compensation benefits. If a common law claim is not successful, the worker will continue to receive workers compensation under the statutory scheme. Excludes benefits paid under motor vehicle third party insurance. CODE 205 Private households (self-funded and out-of-pocket expenditure) Includes payments received from the patient, the patient's family or friends, or other benefactors (i.e. patient revenue). Includes cost-sharing and informal payments to health care providers. Cost-sharing is a provision of health insurance or third-party payment that requires the individual who is covered to pay part of the cost of health care received. This is distinct from the payment of a health insurance premium, contribution or tax which is paid whether health care is received or not. Cost-sharing can be in the form of co-payments, co-insurance or deductibles: • co-payment: cost-sharing in the form of a fixed amount to be paid for a service; • co-insurance: cost-sharing in the form of a set proportion of the cost of a service; and • deductibles: cost-sharing in the form of a fixed amount which must be paid for a service before any payment of benefits can take place. CODE 206 Non-profit institutions serving households Non-profit institutions serving households (NPISHs) (i.e. non-profit NGOs) consist of non-profit institutions which provide goods or services to households free or at prices that are not economically significant. Such NPISHs may provide health care goods or services on a non-market basis to households in need, including households affected by natural disasters or war. The revenues received from such NPISHs are provided mainly by donations in cash or in kind from the general public, corporations or governments. These include organisations such as the National Heart Foundation, Diabetes Australia or the Cancer Council etc. Excludes non-profit institutions that are market producers of goods and services. NOTE: This item is to be used for the reporting of revenues received from trusts or charities. CODE 207 Corporations (other than health insurance) This item is not currently required to be reported by state or territory health authorities. Include revenues received from all corporations or quasi-corporations, whose principal activity is the production of market goods or services (other than health insurance). Included are all resident non-profit institutions that are market producers of goods or non-financial services. These include health or health-related organisations such as hospitals, pharmacies, medical and diagnostic laboratories, residential aged care facilities and providers of medical specialist services, and non-health organisations such as research organisations. CODE 288 Other private sector revenue Includes all private sector revenue other than those reported under codes 201 to 207. CODE 301 Overseas This item is not currently required to be reported by state or territory health authorities. Includes funds provided from overseas countries for areas of health care such as research. Funds may be channelled through government or non-government organisations or private institutions. Also includes overseas visitors receiving health care for whom travel insurance is the major funding source. CODE 999 Not further defined Includes all revenue that could be a combination of categories 101 to 108, 188, 201 to 207 and 288 but which could not be further disaggregated. Source and reference attributes Submitting organisation: Health Expenditure Advisory Committee Reference documents: Australian Institute of Health and Welfare 2007. Episode of care—principal source of funding, hospital code NN. Viewed 26 July 2007. <http://meteor.aihw.gov.au/content/index.phtml/itemId/339080> Organisation for Economic Co-operation and Development A system of health accounts, Version 1. OECD 2000. Australian Bureau of Statistics 2006, Australian and New Zealand Standard Industrial Classification (ANZSIC), 2006, cat. no. 1292.0, ABS, Canberra Standard Economic Sector Classifications of Australia (SESCA), 2002, cat. no. 1218.0, ABS, Canberra Private Health Insurance Act 2007 No. 31, 2007 Chapter 4, Part 4–3 at http://www.comlaw.gov.au/ Data element attributes Collection and usage attributes Guide for use: If there is an expected source of revenue followed by a finalised actual source of revenue (for example, in relation to compensation claims), then the actual revenue source known at the end of the reporting period should be recorded. The expected revenue source should be reported if the fee has not been paid but is not to be waived. Source and reference attributes Submitting organisation: Health Expenditure Advisory Committee Relational attributes Implementation in Data Set Specifications: Government health expenditure function revenue data element cluster Health, Standard 04/12/2013 Government health expenditure organisation revenue data element cluster Health, Standard 01/04/2009
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Organisation—revenue, total Australian currency NNNNN.N Maximum occurences: Unlimited Identifying and definitional attributes Short name: Organisation revenues METeOR identifier: 357510 Registration status: Health, Standard 05/12/2007 Definition: Revenues of an organisation relating to patient fees, recoveries, and other revenue in Australian currency. Data Element Concept: Organisation—revenue Value domain attributes Representational attributes Representation class: Total Data type: Currency Format: NNNNN.N Maximum character length: 6 Unit of measure: Australian currency (AU$) Source and reference attributes Submitting organisation: Health Expenditure Advisory Committee Data element attributes Collection and usage attributes Guide for use: Revenues are to be reported in millions to the nearest 100,000 e.g. $4,064,000 should be reported as $4.1 million. Revenue arises from: • the sale of goods, • the rendering of services, and • the use by others of entity assets yielding interest, royalties and dividends. Goods includes goods produced by the entity for the purpose of sale and goods purchased for resale, such as merchandise purchased by a retailer or land and other property held for resale. The rendering of services typically involves the performance by the entity of a contractually agreed task over an agreed period of time. The services may be rendered within a single period or over more than one period. Some contracts for the rendering of services are directly related to construction contracts, for example, those for the services of project managers and architects. Revenue arising from these contracts is not dealt with in this Standard but is dealt with in accordance with the requirements for construction contracts as specified in AASB 111 Construction Contracts. The use by others of entity assets gives rise to revenue in the form of: (a) interest – charges for the use of cash or cash equivalents or amounts due to the entity; (b) royalties – charges for the use of long-term assets of the entity, for example, patents, trademarks, copyrights and computer software; and (c) dividends – distributions of profits to holders of equity investments in proportion to their holdings of a particular class of capital. Revenue is the gross inflow of economic benefits during the period arising in the course of the ordinary activities of an entity when those inflows result in increases in equity, other than increases relating to contributions from equity participants. Revenue includes only the gross inflows of economic benefits received and receivable by the entity on its own account. Amounts collected on behalf of third parties such as sales taxes, goods and services taxes and value added taxes are not economic benefits which flow to the entity and do not result in increases in equity. Therefore, they are excluded from revenue. Similarly, in an agency relationship, the gross inflows of economic benefits include amounts collected on behalf of the principal and which do not result in increases in equity for the entity. The amounts collected on behalf of the principal are not revenue. Instead, revenue is the amount of commission. Collection methods: Revenues are to be reported for the Source of public and private revenue and Health industry relevant organisation type data elements. Source of public and private revenue State and territory health authorities are NOT to report the following codes: Codes 101–103; 204; 207; 301 Health industry relevant organisation type State and territory health authorities are NOT to report the following codes: Codes 106–109; 111; 115–119; 123; 201 and 203 Source and reference attributes Submitting organisation: Health Expenditure Advisory Committee Reference documents: ABS 2003. Australian System of Government Finance Statistics: Concepts, Sources and Methods (Cat. no. 5514.0.55.001) 10/10/2003. Australian Accounting Standards Board 118, July 2007, <www.aasb.com.au>. Relational attributes Implementation in Data Set Specifications: Government health expenditure function revenue data element cluster Health, Standard 04/12/2013 Government health expenditure organisation revenue data element cluster Health, Standard 01/04/2009
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Organisation—type of health or health-related function, code NNN Identifying and definitional attributes Short name: Type of health or health-related function METeOR identifier: 533041 Registration status: Health, Standard 04/12/2013 Definition: A description of the type of activities or programs with a health or health-related function provided by an organisation, as represented by a code. Data Element Concept: Organisation—type of health or health-related function Value domain attributes Representational attributes Representation class: Code Data type: Number Format: NNN Maximum character length: 3 Permissible values: Value Meaning 101 Admitted patient care – Mental health program 102 Admitted patient care – Non-mental health program 199 Admitted patient care – Not further defined 201 Residential care – Mental health program 202 Residential care – Non-mental health program 299 Residential care – Not further defined 301 Ambulatory care – Mental health program 302 Ambulatory care – Emergency department 303 Ambulatory care – General practitioner 304 Ambulatory care – Medical specialist 305 Ambulatory care – Imaging/pathology 306 Ambulatory care – Dental service 307 Ambulatory care – Optometry service 308 Ambulatory care – Allied health service 309 Ambulatory care – Community health service 388 Ambulatory care – Other 399 Ambulatory care – Not further defined 401 Public health – Communicable disease control 402 Public health – Selected health promotion 403 Public health – Organised immunisation 404 Public health – Environmental health 405 Public health – Food standards and hygiene 406 Public health – Breast cancer screening 407 Public health – Cervical screening 408 Public health – Bowel cancer screening 409 Public health – Prevention of hazardous and harmful drug use 410 Public health – Public health research 488 Public health – Other public health 499 Public health – Not further defined 501 Health-related care – Patient transport 502 Health-related care – Patient transport subsidies 503 Health-related care – Medications 504 Health-related care – Aids and appliances 505 Health-related care – Health administration 506 Health-related care – Health research 588 Health-related care – Other 599 Health-related care – Not further defined 601 Other function – Home and community care 602 Other function – Aged care 603 Other function – Other welfare 688 Other function – Other 699 Other function – Not further defined Collection and usage attributes Guide for use: CODE 101 Admitted patient care – Mental health program An admission to a mental health program includes: The component of the mental health program that provides admitted patient care. These services are delivered through specialised psychiatric hospitals and designated psychiatric units located within hospitals that are not specialised psychiatric hospitals. NOTE: This is the admitted patient component of the mental health care program reported to the Mental health establishments NMDS. Excludes residential care mental health programs, ambulatory care mental health programs which are provided as outpatient and emergency department care to non-admitted patients, and community-based (non-hospital) mental health programs. CODE 102 Admitted patient care – Non-mental health program An admitted patient non-mental health program includes: All services, excluding mental health services, provided to admitted patients, including acute care, rehabilitative care, palliative care, geriatric evaluation and management, psychogeriatric care, maintenance care, newborn care and any other admitted patient care, e.g. organ procurement – posthumous. Also includes admitted patient services where service delivery is contracted to private hospitals or treatment facilities and hospital-in-the-home services. Excludes emergency department and outpatient care provided to non-admitted patients, and community-based (non-hospital) care. CODE 199 Admitted patient care – Not further defined Comprises admitted patient care services that could be a combination of Codes 101 and 102 but which could not be further disaggregated. State and territory health authorities are only to report admitted patient care under Codes 101 or 102. CODE 201 Residential care – Mental health program A residential mental health care program includes: The component of the specialised mental health program that provides residential care. A resident in one residential mental health service cannot be concurrently a resident in another residential mental health service. A resident in a residential mental health service can be concurrently a patient admitted to a hospital. Comprises the residential component of the mental health care program reported to the Mental health establishments NMDS. Excludes residential aged care services, residential disability, alcohol and other drug treatment health care services and residential type care provided to admitted patients in hospitals. Also excludes mental health programs provided to admitted patients, emergency and outpatient care patients, and community health (non-hospital) and other ambulatory care patients. CODE 202 Residential care – Non-mental health program A residential non-mental health care program includes alcohol and other drug treatment health care services. Excludes residential mental health care program services, residential aged care services, residential disability services and residential type care provided to admitted patients in hospitals. Also excludes services provided to admitted patients and patients receiving ambulatory care. CODE 299 Residential care – Not further defined Comprises residential care services that could be a combination of Codes 201 and 202 but which could not be further disaggregated. State and territory health authorities are only to report residential care under Codes 201 or 202. CODE 301 Ambulatory care – Mental health program The component of a specialised mental health program supplied by a specialised mental health service that provides ambulatory health care. Comprises the ambulatory component of the mental health care program reported to the Mental health establishments NMDS, i.e. specialised mental health program services provided by emergency departments, outpatient clinics and community-based (non-hospital) services. Excludes specialised mental health care provided to admitted and residential patients. CODE 302 Ambulatory care – Emergency department Comprises emergency department services provided in an emergency department. Excludes specialised mental health services provided by emergency departments, outpatient clinics and community-based (non-hospital) services. Also excludes residential and admitted patient services. CODE 303 Ambulatory care – General practitioner This item is not currently required to be reported by state and territory health authorities. The definition relates to the broad type of non-referred general practitioner services as specified on the Medicare Benefits Schedule website. These services comprise general practitioner attendances, including General Practitioner, Vocationally Registered General Practitioner (GP/VRGP) and other non-referred attendances, to non-admitted patients, and services provided by a practice nurse or registered Aboriginal Health Worker on behalf of a general practitioner. This category is not limited to services funded by Medicare Australia. It also includes services funded from other sources such as Motor Vehicle Third Party Insurance and Workers Compensation Insurance, among others. Therefore, general or nurse practitioner services such as vaccinations for overseas travel are included regardless of their funding source. These non-referred general practitioner services are provided in private or group practices in medical clinics, community health care centres or hospital outpatient clinics. Excludes mental health care services reported under Code 301 and services provided to non-admitted patients in an emergency department. CODE 304 Ambulatory care – Medical specialist This item is not currently required to be reported by state and territory health authorities. Specialist attendances, obstetrics, anaesthetics, radiotherapy, operations and assistance at operations care. These services are defined in the current Medicare Benefits Schedule. Includes services funded by Medicare Benefits Scheme, Motor Vehicle Third Party Insurance, Workers Compensation Insurance and from patient out-of-pocket payments. These services are provided in private or group practices in medical clinics, community health care centres or hospital outpatient clinics. Includes salaried medical officers. Excludes mental health care services reported under Code 301 and services provided to non-admitted patients in an emergency department. CODE 305 Ambulatory care – Imaging/pathology service This item is not currently required to be reported by state and territory health authorities. Pathology and diagnostic imaging services as defined in the current Medicare Benefits Schedule. Includes services funded by Medicare Benefits Scheme, Motor Vehicle Third Party Insurance, Workers Compensation Insurance and from patient out-of-pocket payments. These services are provided in private or group practices in medical clinics, community health care centres or hospital outpatient clinics. Excludes services provided to admitted or residential care patients and non-admitted patients in an emergency department. CODE 306 Ambulatory care – Dental service Includes any non-admitted patient and community dental services, including dental assessments, preventative services and treatments, regardless of funding source. Oral and maxillofacial services and cleft lip and palate services, as defined in the current Medicare Benefits Schedule, are also included in this category. Includes dental services funded from a range of sources such as Medicare Benefits Scheme, Motor Vehicle Third Party Insurance and dental services funded by vouchers for dental care. These dental services are provided in private or group practices in dental clinics, community health care centres or hospital outpatient clinics. Excludes dental care provided to admitted patients in hospitals (same day or overnight) or to non-admitted patients in an emergency department. CODE 307 Ambulatory care – Optometry service This item is not currently required to be reported by state and territory health authorities. Optometry services as defined in the current Medicare Benefits Schedule. Includes services funded by Medicare Benefits Scheme, Motor Vehicle Third Party Insurance, Workers Compensation Insurance and from patient out-of-pocket payments. These services are mainly provided in private or group practices, but may be provided in hospital outpatient centres. Excludes optometry services provided to admitted or residential care patients or to non-admitted patients in an emergency department. CODE 308 Ambulatory care – Allied health service Includes services provided by the following allied health items. Aboriginal health worker, diabetes educator, audiologists, exercise physiologist, dietician, mental health worker, occupational therapist, physiotherapist, podiatrist or chiropodist, chiropractor, osteopath, psychologist and speech pathologist. These services are defined in the current Medicare Benefits Schedule. Includes services funded by Medicare Benefits Scheme, Motor Vehicle Third Party Insurance, Workers Compensation Insurance and from patient out-of-pocket payments. Excludes allied health services provided to admitted or residential care patients or to non-admitted patients in an emergency department. CODE 309 Ambulatory care – Community health services Includes community health services such as family, maternal, child and youth health (including well baby clinics) as well as Aboriginal and Torres Strait Islander and migrant health services. Also includes health care for people with acute, post-acute, chronic and end of life illnesses, alcohol and drug treatment services, child psychology services, community midwifery, community nursing, school and district nursing, community rehabilitation, continence services, telehealth, dietetics, family planning and correctional health services. Excludes mental health services reported under Code 301 and services provided to admitted and residential care patients and non-admitted patients in an emergency department. Also excludes services already reported under Codes 303 to 308. CODE 388 Ambulatory care – Other Comprises ambulatory care services other than those reported under Codes 301 to 309. CODE 399 Ambulatory care – Not further defined Comprises ambulatory care services that could be a combination of Codes 301 to 309 and 388, but which could not be further disaggregated, such as public outpatient services. CODE 401 Public health – Communicable disease control This category includes all activities associated with the development and implementation of programs to prevent the spread of communicable diseases. Expenditure on Communicable disease control is recorded using three sub-categories: • HIV/AIDS, hepatitis C and sexually transmitted infections • Needle and syringe programs • Other communicable disease control. The public health component of the HIV/AIDS, hepatitis C and sexually transmitted infections strategies includes all activities associated with the development and implementation of prevention and education programs to prevent the spread of HIV/AIDS, hepatitis C and sexually transmitted infections. Expenditure on treatment or diagnostic services is not included. HIV/AIDS, hepatitis C and sexually transmitted infections Inclusions • Implementation of health promotion strategies aimed at increasing safe behaviour among at-risk populations including people living with HIV/AIDS (including through community sector agencies) • provision of sexual health services to at-risk populations to reduce prevalence of sexually transmitted infections, including testing for sexually transmitted infections (including HIV and hepatitis C), pre-test counselling for all sexually transmitted infections (including HIV), broad-based screening programs and contact tracing • programs toward prevention of sexually transmitted infections (STIs) and blood borne viruses (BBVs), including genital herpes, hepatitis B and C, human papilloma virus, chlamydia, gonorrhoea and syphilis • Indigenous health programs targeting STIs and BBVs • consultation with community sector agencies regarding program priorities and delivery • promotion of access to culturally appropriate services • minimisation of the risk of transmission through occupational and non-occupational exposure through prophylaxis • support of targeted training to ensure provision of best practice sexual health services for at-risk populations • surveillance • development of and participation in relevant committees • diagnostic services • peer support programs immediately following diagnosis which promote safe sex practices and inform patients and carers about how to live with HIV/AIDS, blood borne viruses, hepatitis C and sexually transsmitted infections • provision of high-quality data to health professionals to improve service delivery • participation in or initiation of research to establish data to inform service provision • funding to NGOs (for example, hepatitis councils, HIV/AIDS councils) • support of volunteer programs through access to training • management of people with HIV who place others at risk Exclusions • treatment for sexually transmitted infections • pharmaceuticals • HIV testing following diagnosis • specialist GPs for primary management of HIV/AIDS • access to HIV treatments and viral load testing • outpatient and ambulatory services • dental health services • welfare and housing referral services • admitted patient services • mental health services • community and home-based care services • palliative and respite care services • maternity services • hepatitis B and HPV immunisation (included in Other organised immunisation) • Safe sexual health messages (included in Selected health promotion). Needle and syringe programs Needle and syringe programs aim to reduce and prevent the transmission and spread of infectious diseases to individuals and the broader community through the provision of sterile injecting and disposal equipment, education, consultation and referral processes. Inclusions • education and training of the labour force • provision of safe injecting equipment, including the cost of equipment, transport and staff to deliver the service • administration of the program, including identifying new sites, negotiating services • costs, addressing public concerns and policy development • negotiation with pharmacies to support initiatives • consultation with community agencies operating needle and syringe program sites. Other communicable disease control This sub-category includes all other communicable disease control activities not assigned to the HIV/AIDS, hepatitis C and sexually transmitted infections or Needle and syringe program sub-categories as defined above. Inclusions • surveillance systems, screenings, recording, notification and reporting systems • case response, contact tracing, investigation and disease outbreak planning and management • policy and support services specifically related to communicable disease control programs • provision and administration of vaccines for the management of disease outbreaks • provision of advice and education on all other communicable diseases • initial counselling for people tested • funding to NGOs for the provision of operating prevention programs • human quarantine-related services • OzFoodNet programs. Exclusions • clinical and treatment services for communicable disease infections including sexually transmitted infections • provision and administration of vaccines for immunisation programs as defined in the Organised immunisation category • referral, treatment and associated counselling for communicable disease infections • staff screening programs, staff immunisation and staff education • infection control activities in hospitals • funding to NGOs for the provision of treatment-based programs. CODE 402 Public health – Selected health promotion This category includes those activities fostering healthy lifestyle and a healthy social environment overall, and health promotion activities targeted at health risk factors which lead to injuries, skin cancer and cardiovascular disease (for example, diet or inactivity) that are delivered on a population-wide basis. The underlying criterion for the inclusion of health promotion programs within this category was that they are population health programs promoting health and wellbeing. Inclusions • State government funding for health promotion councils or NGOs • organised population programs, or programs with a population focus (for example, programs on lifestyle risk factors, population level interventions targeting eating and physical activity, and Healthy communities, children and workers Cities and Healthy Schools programs) • development, administration, implementation and evaluation of policy, programs, guidelines and legislation • development and maintenance of health promotion databases (including data collection), where they can be separated from ‘non-public health’ databases • health sector input to cross-sector health education • organised population health screening of risk factors for preventable chronic disease • communication information and advice to the public • supportive environments for healthy living • Innovative Health Services for homeless youth. Exclusions • opportunistic health checks of individuals, activities for heart disease risk factors (stress, blood pressure, cholesterol) • information programs on management of specific diseases post-diagnosis • community nurse activity (for example, ad-hoc talking to schools about nutrition) • individual counselling including health education on an ad-hoc basis • compliance with safety codes and maintenance of healthy environments • treatment for stress or other mental health disorders (for example, anxiety) • school education ad-hoc, school health nurses and school dental services • well baby clinics, domiciliary care and home nursing services • neighbourhood watch programs • occupational health and safety education (included under ‘Public health-related activities’) • population health programs directed at domestic, family and general violence • population health programs providing a safe sexual health message—these are included in the Communicable disease controlcategory • public health education campaigns and school health education programs funded outside the health sector • health promotion activities that are associated with core public health categories—these are classified in the relevant categories (for example, safe drinking programs should be classified in the Prevention of hazardous and harmful drug use category). CODE 403 Public health – Organised immunisation This category includes immunisation clinics, school immunisation programs, immunisation education, public awareness, immunisation databases and information systems. Expenditure on organised immunisation is recorded using three sub-categories: • Organised childhood immunisation (as defined by the NHMRC National Immunisation Schedule) • Organised pneumococcal and influenza immunisation • All other organised immunisation (for example, tetanus)—as opposed to ad-hoc or opportunistic immunisation. Inclusions • promotion, distribution, provision and administration of vaccines as listed • immunisation clinics and school immunisation programs • immunisation education and public awareness • immunisation databases and information systems • staff vaccination programs where part of Organised immunisation and NHMRC schedule for all tetanus immunisation. Exclusions • immunisation after possible infection or on detection of illness (for example, rabies vaccine)—this expenditure should be included in the Communicable disease control expenditure category. CODE 404 Public health – Environmental health This category relates to health protection education (for example, safe chemical storage, water pollutants), expert advice on specific issues, development of standards, risk management and public health aspects of environmental health protection. The costs of monitoring and regulating are to be included where costs are borne by a regulatory agency and principally have a public health focus (for example, radiation safety, and pharmaceutical regulation and safety). Environmental health includes the following characteristics: • vector control • chemical regulation and safety • radiation safety and control • public health aspects of water quality control and fluoridation • Legionella control • public health input to contaminated sites and unhealthy land • public health aspects of water environment control • public health input to hazardous materials management • public health aspects of waste water and solid waste • public health input to disaster management • public health contribution to environmental sampling, health impact statements and risk assessment • radiation regulation, water quality regulation, lead and asbestos regulation • environmental health monitoring. Inclusions • development, review and administration of legislation, policy and/or regulations health protection education (for example, safe chemical storage, water pollutants) and expert advice on specific issues • response to health complaints and investigation of breaches of legislation and disease outbreaks • surveillance, inspections and investigations to maintain standards (for example, water quality testing, sampling) • expert advice and provision of professional and technical support services on specific issues • administration of relevant legislation, such as the licensing of operators or conducting pest control examinations • maintenance of related databases (for example, issuing radiation licenses, and national notification of agricultural, veterinary and industrial chemicals and pesticides) • regulation and management of water fluoridation (includes addition of fluoride to water supplies) • public health component of assessment, remediation and management of contaminated land • public health input to land development applications • public health input to emergency management and disaster response management, including planning and emergency response teams • public health contribution to environmental sampling, health impact statements and risk assessment • public health input to control activities for vectors (for example, landfill, spraying, baiting, eradication)—to be included only if undertaken by regulatory agency • poisons regulation • pharmaceutical and therapeutic goods regulation • public health input to air and noise pollution control • training of environmental health workers • public health aspects of manufacture and distribution of medicines. Exclusions • costs borne by private or government industry in complying with regulations and legislation such as public health and environmental health acts • hospital infection control • treatment for infections (for example, Ross River fever or encephalitis treatment) • workplace testing or monitoring • installation and maintenance of systems (for example, waste disposal, storm water pollution, air-conditioning units) • management of land development applications • compliance with regulation which protects water courses and national parks • recycling programs • infectious waste control (for example, medical wastes and sharps) and disposal • environmental health protection research (to be included under Code 410, Public health research). CODE 405 Public health – Food standards and hygiene This category includes the development, review and implementation of food standards, regulations and legislation as well as the testing of food by the regulatory agency. Inclusions • development, review and implementation of food standards, regulations, legislation, policy and standards • surveillance (including inspections/audits), monitoring and enforcement of food legislation, policy and standards (including food premises registers, food safety programs, food safety supervisors and food safety auditing) • testing of prescribed contaminants in food by regulatory agency • education such as food safety awareness campaigns for suppliers and/or consumers • training and education for food handlers (including LGAs) • education and advice on food standards/requirements (for example, for food premises) Exclusions • compliance costs of industry associated with food regulations (for example, labelling and safe food handling practices) • testing of food by industry. CODE 406 Public health – Breast cancer screening This category relates to Breast cancer screening and includes expenditure for the complete breast cancer screening pathway through organised programs. The breast cancer screening pathway includes such activities as recruitment, screen taking, screen reading, assessment (this includes fine needle biopsy), core biopsy, open biopsy, service management and program management. Inclusions • State-wide coordination and planning • Strategic policy development and implementation • Service development and support • Management of state registers • Capital procurement and capacity planning • Quality management and monitoring (management of registries, communication and education, including social marketing, workforce development, training and monitoring, evaluation and research). Exclusions • Treatment and surveillance for five years after diagnosis • Post diagnosis follow up counselling and support • Pathology services associated with treatment • Breast cancer research collaboratives (to be included under Code 410, Public health research) CODE 407 Public health – Cervical screening This category relates to organised cervical screening programs such as the state cervical screening programs and rural access programs, including coordination, provision of screens and assessment services. Cervical screening, funded through Medicare, for both screening and diagnostic services is also included. Inclusions • State-wide coordination and planning • Strategic policy development and implementation • Service development and support • Management of state Pap smear registers • Quality management and monitoring • Communication and education, including social marketing • Monitoring, evaluation and research Exclusions • colposcopy services and related histopathology • counselling and/or treatment for patients diagnosed with cervical cancer (the differences between abnormalities and malignant carcinomas are described in Screening to Prevent Cervical Cancer: Guidelines for the Management of Women with Screen Detected Abnormalities. NHMRC 2005) • In some jurisdictions, some aspects of cervical screening are provided by third parties. In reporting expenditure for this category, jurisdictions should note if this is the case and whether or not this expenditure is included in the estimates they provide. CODE 408 Public health – Bowel cancer screening This category relates to the organised National Bowel Cancer Screening Program (NBCSP). The screening pathways include: • Self-administered Faecal occult blood test (FOBT) • the National Register functions including letters of invitation and reminders (Commonwealth to provide costs) • follow up assessment colonoscopy services (public and private) • follow up officers (state-based/Commonwealth funded) tests for analysis • program coordination and management CODE 409 Public health – Prevention of hazardous and harmful drug use This category includes activities targeted at the general population with the aim of preventing or reducing harmful use of alcohol, tobacco, illicit and other drugs of dependence, and mixed drugs. The Australian Standard Classification of Drugs of Concern includes analgesics, sedatives and hypnotics, stimulants and hallucinogens, anabolic agents and selected hormones, antidepressants and anti-psychotics, and also miscellaneous drugs of concern. Report for each sub-category as below, the aggregate of which will be total expenditure on Prevention of hazardous and harmful drug use: • Alcohol • Tobacco • Illicit and other drugs of dependence • Mixed. Alcohol Inclusions • alcohol regulation, labelling, control and licensing • prevention strategies to encourage low risk alcohol use (as described in NHMRC guidelines) and discourage harmful use • formulating alcohol policy • social marketing • alcohol harm reduction strategies Exclusions • any alcohol interventions programs with treatment of individuals as the major focus • activities designated as treatment services • services considered primarily of a welfare services nature (for example, night shelterrs) • services considered to be almost entirely providing accommodation and food services (for example, halfway houses). Tobacco Inclusions • formulating tobacco policy • social marketing • smoke free policies in the workplace • policies relating to smoke-free eating places and other public facilities • tobacco control legislation and enforcement • quit smoking programs such as Quitline • smoking prevention strategies for children and youth Exclusions • activities designated as treatment services. Illicit and other drugs of dependence Inclusions • policy and health promotion strategies to discourage illicit drug use • social marketing • control activity to limit supply and availability for misuse Exclusions • any illicit drug interventions with treatment of individuals as the major focus • activities designated as treatment services • services considered primarily of a welfare services nature (for example, night shelters) • services considered to be almost entirely providing accommodation and food services (for example, halfway houses). Mixed Inclusions • social marketing • policy and health promotion strategies to improve behaviour • public health activities with regard to poly drug use. Exclusions • any anti-drug and alcohol programs with treatment of individuals as the major focus • activities designated as treatment services • services considered primarily of a welfare services nature (for example, night shelters) • services considered to be almost entirely providing accommodation and food services (for example, halfway houses) CODE 410 Public health – Public health research Research and development (R and D) is defined according to the OECD standard as comprising creative work undertaken on a systematic basis in order to increase the stock of knowledge, including knowledge of man, culture and society, and the use of this stock of knowledge to devise new applications. An R and D activity is characterised by originality. It has investigation as a primary objective, the outcome of which is new knowledge, with or without a specific application, or new or improved materials, product, devices, processes or services. R and D ends when work is no longer primarily investigative. (Pink & Geoff 2008). Inclusions • Communicable disease control research • Selected health promotion research • Organised immunisation research • Environmental health research • Food standards and hygiene research • Breast cancer screening research • Cervical screening research • Prevention of hazardous and harmful drug use research • Population health surveys • health status research • Major public health research which cannot be allocated to one of the above categories. Exclusions • public health evaluations CODE 488 Public health – Other public health Comprises public health functions not reported to the National Public Health Expenditure Project. CODE 499 Public health – Not further defined Comprises public health services that could be a combination of Codes 401 to 410 but which could not be further disaggregated. CODE 501 Health-related care – Patient transport This item comprises transportation in a specially-equipped surface vehicle or in a designated air ambulance to and from facilities for the purposes of receiving medical and surgical care. Includes all government ambulance services and transport provided by the Royal Flying Doctor Service, CareFlight and similar services, emergency transport services of public fire rescue departments or defence that operate on a regular basis for civilian emergency services (not only for catastrophe medicine). Includes transport between hospitals or other medical facilities and transport to or from a hospital or other medical facility and a private residence or other non-hospital/medical services location. The provider of this service could be a public or private hospital or an ambulance service. CODE 502 Health-related care – Patient transport subsidies Government subsidies to private ambulance services, for example, patient transport vouchers, support programs to assist isolated patients with travel to obtain specialised health care. It also includes transportation in conventional vehicles, such as taxis, when the latter is authorised and the costs are reimbursed to the patient (for example, for patients undergoing renal dialysis or chemotherapy). CODE 503 Health-related care – Medications This item is not currently required to be reported by state and territory health authorities. Includes pharmaceuticals and other medical non-durables, prescribed medicines and over-the-counter pharmaceuticals. Included within these categories are: medicinal preparations, branded and generic medicines, drugs, patent medicines, serums and vaccines, vitamins and minerals and oral contraceptives, prescribed medicines exclusively sold to customers with a medical voucher, irrespective of whether it is covered by public or private funding. Includes branded and generic products, private households’ non-prescription medicines and a wide range of medical non-durables such as bandages, condoms and other mechanical contraceptive devices, elastic stockings, incontinence articles and toothbrushes, toothpastes and therapeutic mouth washes. CODE 504 Health-related care – Aids and appliances This item is not currently required to be reported by state and territory health authorities. This item comprises glasses and other vision products, orthopaedic appliances and other prosthetics, hearing aids, medico-technical devices including wheelchairs and all other miscellaneous medical durables not elsewhere classified such as blood pressure instruments. CODE 505 Health-related care – Health administration Administrative services which cannot be allocated to a specific health good and service. Those unallocatable services might include, for example, maintaining an office of the Chief Medical Officer; a Departmental liaison officer in the office of the Minister; or a number of other agency-wide items for which it is not possible to derive appropriate or meaningful allocations to particular health programs. CODE 506 Health-related care – Health research Includes all research on health topics that is not included in Public health research (Code 410). That is, it includes all research classified under ABS Australian Standard Research Classification code 320000, excluding code 321200. Excludes public health research and non-health related research. CODE 588 Health-related care – Other Includes, for example, services provided by health and health-related call centres and e-health information services. Excludes health-related care reported under Codes 501 to 506 and health assessments provided under the Aged Care Assessment Program which are reported under Code 602. CODE 599 Health-related care – Not further defined Comprises health-related care that could be a combination of Codes 501 to 506 but which could not be further disaggregated. State and territory health authorities are only to report health-related care under Codes 501 to 506. CODE 601 Other function – Home and community care This item is not currently required to be reported by state and territory health authorities. Comprises Home and Community Care services reported under the Home and Community Care (HACC) NMDS. Information on these service categories is available in the following report: National classifications of community services. Version 2.0. AIHW Cat. No. HWI 40. Canberra: Australian Institute of Health and Welfare, 2003. Excludes services reported under Codes 602 to 603. CODE 602 Other function – Aged care This item is not currently required to be reported by state and territory health authorities. Includes residential care aged care programs, aged care assessment programs and other non-health aged care programs, such as respite care and day care activities. Excludes services provided under the HACC program. CODE 603 Other function – Other welfare This item is not currently required to be reported by state and territory health authorities. Includes services delivered to clients, or groups of clients with special needs such as the young or the disabled. Excludes aged care services reported under Code 602. CODE 688 Other function – Other This item is not currently required to be reported by state and territory health authorities. Includes for example, car parking, accommodation for staff or for patients' relatives, or non-health-related research. CODE 699 Other function – Not further defined This item is not currently required to be reported by state and territory health authorities. Comprises other functions that could be a combination of Codes 601 to 603 but which could not be further disaggregated. Source and reference attributes Submitting organisation:Health Expenditure Advisory CommitteeReference documents: Pink, B. & Geoff, B. 2008. Australian and New Zealand standard research classification (ANZSRC). ABS Cat. no. 1297.0. Canberra: ABS. Australian Government Department of Health and Ageing. Medicare Benefits Schedule Book. Viewed 1 November 2006, http://www.health.gov.au/mbsonline Australian Institute of Health and Welfare 2003. National classifications of community services. Version 2.0. AIHW cat. no. HWI 40. Canberra: AIHW. Australian Institute of Health and Welfare 2007. National public health expenditure report 2004–05. Health and welfare series expenditure series no. 29. cat. no. HWE 36. Canberra: AIHW. Data element attributes Source and reference attributes Submitting organisation:Health Expenditure Advisory Committee Relational attributes Related metadata references: Supersedes Organisation—type of health or health related function, code NNN Health, Superseded 04/12/2013Implementation in Data Set Specifications: Government health expenditure function revenue data element cluster Health, Standard 04/12/2013 Government health expenditure organisation expenditure capital consumption data element cluster Health, Standard 04/04/2013 Government health expenditure organisation expenditure data element cluster Health, Standard 04/12/2013 Government health expenditure organisation expenditure employee related data element cluster Health, Standard 04/12/2013 Government health expenditure organisation expenditure purchase of goods and services data element cluster Health, Standard 04/12/2013
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Jurisdiction
Jurisdiction—Australian state/territory identifier, code N Identifying and definitional attributes Short name: Australian State/Territory identifier (jurisdiction) METeOR identifier: 352480 Registration status: Health, Standard 05/12/2007 Definition: An identifier of the Australian state or territory of a jurisdiction, as represented by a code. Data Element Concept: Jurisdiction—Australian state/territory identifier Value domain attributes Representational attributes Representation class: Code Data type: Number Format: N Maximum character length: 1 Permissible values: Value Meaning 1 New South Wales 2 Victoria 3 Queensland 4 South Australia 5 Western Australia 6 Tasmania 7 Northern Territory 8 Australian Capital Territory 9 Other territories (Cocos (Keeling) Islands, Christmas Island and Jervis Bay Territory) Collection and usage attributes Guide for use: The order presented here is the standard for the Australian Bureau of Statistics (ABS). Other organisations (including the Australian Institute of Health and Welfare) publish data in state order based on population (that is, Western Australia before South Australia and Australian Capital Territory before Northern Territory). Source and reference attributes Reference documents: Australian Bureau of Statistics. Australian Standard Geographical Classification (ASGC). Cat No. 1216.0. Canberra: ABS. Data element attributes Source and reference attributes Submitting organisation: Health expenditure advisory committee Relational attributes Implementation in Data Set Specifications: Government health expenditure NMDS 2014- Health, Standard 04/12/2013
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