Download Bed Types Categories for Inpatient Units from 1 March 2008

Policy Directive
Ministry of Health, NSW
73 Miller Street North Sydney NSW 2060
Locked Mail Bag 961 North Sydney NSW 2059
Telephone (02) 9391 9000 Fax (02) 9391 9101
http://www.health.nsw.gov.au/policies/
space
space
Bed Types Categories for Inpatient Units from 1 March 2008
space
Document Number PD2008_034
Publication date 20-Jun-2008
Functional Sub group Corporate Administration - Information and data
Clinical/ Patient Services - Information and data
Summary This Policy Directive authorises reporting of an additional nine Bed Type
codes for inpatient units, for implementation on 1 March 2008.
Author Branch Health System Information & Performance Reporting
Branch contact HSIPR 9391 9856
Applies to Area Health Services/Chief Executive Governed Statutory Health
Corporation, Ministry of Health, Public Health Units, Public Hospitals
Audience PAS, Medical Records Staff
Distributed to Public Health System, NSW Ambulance Service, Ministry of Health,
Public Health Units, Public Hospitals
Review date 20-Jun-2013
Policy Manual Not applicable
File No.
Status Active
Director-General
space
This Policy Directive may be varied, withdrawn or replaced at any time. Compliance with this directive is mandatory
for NSW Health and is a condition of subsidy for public health organisations.
Policy Directive
NEW BED TYPE CATEGORIES FOR REPORTING PURPOSES
FROM MARCH 2008
1.
Introduction:
This Policy Directive should be read in conjunction with the Bed Type - NSW
Health State-wide Data Standards Version 5 of the Admitted Patient Data
Collection Dictionary.
The purpose of this policy is to direct those involved with the maintenance of
inpatient Patient Administration Services (PAS) to correctly allocate Bed Type
categories for reporting purposes.
This Policy Directive should be distributed to all staff involved in the
maintenance of inpatient Patient Administration Systems (PAS). This includes
those who manage and develop PAS statewide systems and those who
manage the PAS at the hospital level (eg. PAS managers and Medical Record
Staff).
The Area Health Service and Hospital executive, and the intensive care clinical
management staff, are to be advised and consulted on implementation of this
Policy Directive to ensure there is a correct Bed Type allocation.
2.
Purpose:
This change will assist in identifying bed types in health facilities that until March
2008 have not been stored in the HIE and only reported via the Sustainable
Access Program (SAP) reporting. The additional bed types have now been
implemented in the HIE as part of the Release 4.3.5.
In the instance of Bed Type 87 there is a requirement from Health Systems
Performance Improvement Branch to identify the patients of the newly
established Medical Assessment Units (MAU).
The additional bed types are as follows:
Code
79
80
81
82
83
86
87
99
Description
Gynaecology
Same Day Medical
Same Day Surgical
Extended Short Stay Surgical (<24hrs)
Residential Aged Care, Not Further Defined
Respite, Not Further Defined
Medical Assessment Unit
Lodger / Boarder
page 1 of 31
Policy Directive
Title: New Bed Type Categories for Reporting Purposes from March 2008
3.
Concepts:
3.1 Definition
The designation of each bed, in terms of type of care or group of patients, which
the patient is accommodated in during his/her stay in hospital. For detailed
description of each bed type category, refer to the attachment to this Policy
Directive.
3.2 Coverage
Each bed created on the patient administration system must be assigned a Bed
Type, even if it is not being used for admitted patient care.
4.
Further Information
4.1 Detailed information on the Bed Type, NSW Health State-wide Data
Standards Version 5 of the Admitted Patient Data Collection Dictionary is
available on the NSW Health Intranet. See the URL below:
http://internal.health.nsw.gov.au/im/ims/ap/ap-data-dictionary-current-public.html
4.2 For clarification of the instructions please contact:
Roman Leszczynski,
Admitted Patient Data Collection Coordinator
Data Collections & Quality Unit
Demand & Performance Evaluation Branch
Phone: (02) 9391 9995
E-Mail: [email protected]
Professor Debora Picone AM
Director-General
page 2 of 31
Policy Directive
Title: New Bed Type Categories for Reporting Purposes from March 2008
Bed Type
Defining Attributes
Definition:
The designation of each bed, in terms of type of care or group of patients,
which the patient is accommodated in during his/her stay in hospital.
Coverage:
Each bed created on the patient administration system must be assigned a
Bed Type, even if it is not being used for admitted patient care.
Guide for Use
Data Domain:
The table below shows the data domain for this element.
Admitted Patient Beds – Overnight
Code
08
53
33
61
07
59
15
01
79
34
46
87
48
18
37
16
49
43
03
02
69
47
Domain Description
Brain Injury Rehabilitation
Brain Injury Transitional Living
Coronary Care
Detoxification
Drug and Alcohol
Emergency Medical
General Intensive Care
General – Mixed
Gynaecology
High Dependency Care
Medical
Medical Assessment Unit
Medical Oncology
Mother Craft
Neonatal Intensive Care
Neonate Special Care Nursery
Obstetrics
Paediatric
Palliative
Rehabilitation
Stroke
Surgical
Admitted Patient Beds - Same Day
Code
82
68
71
74
73
75
39
72
80
81
Domain Description
Extended Short Stay Surgical (< 24 hrs)
Mobile Service
Same Day Chemotherapy
Same Day Drug and Alcohol
Same Day Mental Health
Same Day Not Elsewhere Classified
Same Day Renal Dialysis
Sleep Disorder (< 24 hour care)
Same Day Medical
Same Day Surgical
page 3 of 31
Policy Directive
Title: New Bed Type Categories for Reporting Purposes from March 2008
Other Hospital Beds
Code
60
66
67
76
Domain Description
Bassinet
Delivery Suite
Operating Theatre / Recovery
Transit Lounge
Admitted Patient Beds – State-wide Specialist Units
Code
42
40
41
38
Domain Description
Dental Service
Specialist Spinal Injury
Severe Burns
Transplant
Admitted Patient Beds – Designated Psychiatric
Code
62
63
64
65
24
22
21
13
04
85
20
12
50
05
06
Domain Description
CAMHSNET Supported Paediatric
CAMHSNET Supported Psychiatric
CAMHSNET Acute
CAMHSNET Non-Acute
Confused and Disturbed Elderly (CADE) – Psychiatric
*** THIS BED TYPE HAS BEEN EXPIRED AS FROM 1 JULY
- REFER TO POLICY DIRECTIVE PD2007_064 ***
Dual Diagnosis
Neuro-Psychiatry
Post Natal Depression
Psychiatric Acute Care
Psychiatric Emergency
Psychiatric Extended Care
Psychiatric Intensive Care
Psychiatric Medium Secure
Psychiatric Rehabilitation
Psychiatric Secure
Admitted Patient Beds – Virtual
Code
17
58
29
30
32
25
26
28
Domain Description
Emergency Department – Level 3 and Above
Emergency Department – Level 1 and 2
Collaborative Care Service Provider – General
Collaborative Care Service Provider – Drug and Alcohol
Collaborative Care Service Provider – Mental Health
Hospital in the Home – General
Hospital in the Home – Drug and Alcohol
Hospital in the Home – Mental Health
page 4 of 31
Policy Directive
Title: New Bed Type Categories for Reporting Purposes from March 2008
Non-Admitted Patient Beds – Community Residential
Code
09
70
54
55
Domain Description
Confused and Disturbed Elderly – Non-Psychiatric
*** THIS BED TYPE HAS BEEN EXPIRED AS FROM 1 JULY
- REFER TO POLICY DIRECTIVE PD2007_064 ***
Drug and Alcohol Community Residential
Mental Health Community Residential (24 hour staff)
Mental Health Community Residential (< 24 hour staff)
Non-Admitted Patient Beds – Residential Aged Care
Code
14
23
51
52
77
78
83
86
Domain Description
Residential Aged Care – High (Nursing Home)
Residential Aged Care – Low (Hostel)
Respite – High: Federal Govt. Block Funded
Respite – Low: Federal Govt. Block Funded
Intermittent Transitional Care – In Hospital – Federal & State
Mix Funding
Intermittent Transitional Care – In the Community – Federal
& State Mix Funding
Residential Aged Care - Not Further Defined
Respite – Not Further Defined
Non-Admitted Patient Beds – Virtual
Code
56
57
84
Domain Description
Mental Health Social Day Program
Aged & Disability Social Day Program
ComPacks – Approved Patient Packages
*** THIS BED TYPE IS NOT CURRENTLY IN USE ***
Other
Code
99
Domain Description
Lodger/Boarder Beds
page 5 of 31
Policy Directive
Title: New Bed Type Categories for Reporting Purposes from March 2008
Domain Definitions:
The table below shows the domain definitions for this element.
Code
01
Domain Definition
Mixed Purpose:
A bed staffed 24 hours a day and designated by the facility
for the accommodation of medical, surgical and/or obstetric
patients of a non-specific age.
Beds in this category are typically located in small and rural
hospitals (such as Multi Purpose Services) where medical,
surgical, and obstetric patients are accommodated in the
same ward as standard practice.
02
Note: Beds in this category may be used for a mix of both
day stay and overnight patients, but must be staffed for
overnight patient care. Beds in this category may be used
for ‘overflow patients’ (that is, patients who would usually be
accommodated in another Bed Type if those beds were
available).
Rehabilitation:
A bed staffed 24 hours a day and designated by the facility
for the accommodation of patients primarily requiring
rehabilitation care.
03
Note: Beds in this category may be used for a mix of both
day stay and overnight patients, but must be staffed for
overnight patient care. Beds in this category may be used
for ‘overflow patients’ (that is, patients who would usually be
accommodated in another Bed Type if those beds were
available).
Palliative:
A bed staffed 24 hours a day and designated by the facility
for the accommodation of patients primarily requiring
palliative care.
04
Note: Beds in this category may be used for a mix of both
day stay and overnight patients, but must be staffed for
overnight patient care. Beds in this category may be used
for ‘overflow patients’ (that is patients who would usually be
accommodated in another Bed Type if those beds were
available).
Psychiatric Acute:
A bed staffed 24 hours a day that is designated by the NSW
Health Centre for Mental Health to accommodate patients
who present with acute episodes of mental illness.
Note: Beds in this category may be used for a mix of both
day stay and overnight patients, but must be staffed for
overnight patient care. Beds in this category may not be
used for ‘overflow patients’. Days spent in this type of bed
are counted as “Days in a Designated Psychiatric Unit”.
page 6 of 31
Policy Directive
Title: New Bed Type Categories for Reporting Purposes from March 2008
Code
05
Domain Definition
Psychiatric Rehabilitation:
A bed staffed 24 hours a day that is designated by the NSW
Health Centre for Mental Health to accommodate patients
requiring care which has a primary focus on intervention to
reduce functional impairments resulting from psychiatric
disorders that limit the independence of patients.
06
Note: Beds in this category may be used for a mix of both
day stay and overnight patients, but must be staffed for
overnight patient care. Beds in this category may not be
used for ‘overflow patients’. Days spent in this type of bed
are counted as “Days in a Designated Psychiatric Unit”.
Psychiatric Secure:
A bed staffed 24 hours a day that is designated by the NSW
Health Centre for Mental Health to accommodate of forensic
patients (or other patients) requiring a higher level of care
and containment than other mental health patients.
Forensic patients are people with a mental disorder that has
led them to commit criminal offences, or makes it likely that
they will offend in the future if not adequately treated or
contained.
07
Note: Beds in this category may be used for a mix of both
day stay and overnight patients, but must be staffed for
overnight patient care. Beds in this category may not be
used for ‘overflow patients’. Days spent in this type of bed
are counted as “Days in a Designated Psychiatric Unit”.
Drug and Alcohol:
A bed staffed 24 hours a day that is officially recognised by
NSW Health for the accommodation of patients requiring
treatment for substance use/abuse on an admitted patient
basis; excluding detoxification.
08
Note: Beds in this category may be used for a mix of both
day stay and overnight patients, but must be staffed for
overnight patient care. Beds in this category may not be
used for ‘overflow patients’. Days spent in this type of bed
are NOT counted as “Days in a Designated Psychiatric
Unit”, despite the fact they can be co-located with
designated psychiatric beds.
Brain Injury Rehabilitation Program Rehabilitation:
A bed staffed 24 hours a day and officially designated by
NSW Health Department circular for the accommodation of
admitted patients receiving care in a rehabilitation unit for a
brain injury under the Brain Injury Rehabilitation Program.
Note: Beds in this category may be used for a mix of both
day stay and overnight patients, but must be staffed for
overnight patient care. Beds in this category may not be
used for ‘overflow patients’.
page 7 of 31
Policy Directive
Title: New Bed Type Categories for Reporting Purposes from March 2008
Code
09
12
Domain Definition
Confused and Disturbed Elderly (CADE) – NonPsychiatric
THIS BED TYPE HAS BEEN EXPIRED AS FROM 1 JULY
2007 – REFER TO POLICY DIRECTIVE PD2007_064
Psychiatric Intensive Care:
A bed staffed 24 hours a day that is designated by the NSW
Health Centre for Mental Health to accommodate patients
requiring a higher intensity of management than can be
readily provided in a general acute psychiatric bed.
These beds are staffed and designed for the
accommodation of patients who:
13
•
are severely disturbed and represent a high risk of
being a danger to themselves, others or the
environment
•
present with threatening or violent behaviours and
cannot be safely managed in a less restrictive
environment
•
require higher levels of nursing observation.
Note: Beds in this category may be used for a mix of both
day stay and overnight patients, but must be staffed for
overnight patient care. Beds in this category may not be
used for ‘overflow patients’. Days spent in this type of bed
are counted as “Days in a Designated Psychiatric Unit”, but
NOT as “Hours in Intensive Care”.
Post Natal Depression:
A bed staffed 24 hours a day that is designated by the NSW
Health Centre for Mental Health to accommodate patients
with post natal depression.
Note: Beds in this category may be used for a mix of both
day stay and overnight patients, but must be staffed for
overnight patient care. Beds in this category may not be
used for ‘overflow patients’. Days spent in this type of bed
are counted as “Days in a Designated Psychiatric Unit”.
page 8 of 31
Policy Directive
Title: New Bed Type Categories for Reporting Purposes from March 2008
Code
14
Domain Definition
Residential Aged Care – High (Nursing Home):
A residential aged care place operated in a residential aged
care facility to frail older people with high levels of functional
dependence, 24 hours per day, 7 days per week for the long
term, either by registered nurses or under the supervision of
registered nurses.
Residential aged care places are operated under the terms
of the Aged Care Act 1997 and funded and regulated under
the Act by the Australian Government.
15
In order to access high-level residential aged care, people
must have been assessed by an Aged Care Assessment
Team as requiring care within levels 1-4 of the Resident
Classification Scale, 1 level 1 being the highest care level.
General Intensive Care:
A bed staffed 24 hours a day that meets the Intensive Care
role delineation of level 4 or higher, and used to
accommodated patients requiring intensive care. Beds
classified as Intensive Care beds must be specially staffed
and equipped to provide observation, care and treatment to
patients with actual or potential life-threatening illnesses,
injuries or complications, from which recovery is possible.
The bed is serviced by special expertise and facilities for the
support of vital functions and utilises the skills of medical,
nursing and other staff trained and experienced in the
management of these problems.
16
Note: Beds in this category may be used for a mix of both
day stay and overnight patients, but must be staffed for
overnight patient care. Beds in this category may not be
used for ‘overflow patients’. Time in this Bed Type count
towards “Hours in Intensive Care”. This category excludes
“Neonatal Intensive Care Units” and “Psychiatric Intensive
Care Units”.
Neonate Special Care Nursery:
A bed staffed 24 hours a day that is approved by the federal
Government for the purpose of the provision of neonatal
special care.
Note: Beds in this category may be used for a mix of both
day stay and overnight patients, but must be staffed for
overnight patient care. Beds in this category may not be
used for ‘overflow patients’. Time in this type of unit does
not qualify for “Hours in Intensive Care”. Newborns
admitted to this Bed Type are considered to be “Qualified
Newborns”. Special Care Nurseries that do not have federal
Government approval are excluded from this Bed Type.
page 9 of 31
Policy Directive
Title: New Bed Type Categories for Reporting Purposes from March 2008
Code
17
Domain Definition
Emergency Department – Level 3 and Above:
A bed, stretcher, trolley or chair in an area within the
hospital staffed 24 hours a day and designated as an
Emergency Department of Level 3 or above.
18
Note: Beds in this category may not be used for ‘overflow
patients’. Beds classified as ‘Emergency Medical Units’ are
excluded from this category.
Mother Craft:
A bed staffed 24 hours a day that is designated by the
Department for accommodating patients who require
mothercraft services only.
20
Note: Beds in this category may be used for a mix of both
day stay and overnight patients, but must be staffed for
overnight patient care. Beds in this category may not be
used for ‘overflow patients’.
Psychiatric Extended Care:
A bed staffed 24 hours a day that is designated by the NSW
Health Centre for Mental Health to accommodate patients
who require care over an indefinite period because they
have a stable but severe level of functional impairment and
an inability to function independently and thus require
extensive care and support.
21
Note: Beds in this category may be used for a mix of both
day stay and overnight patients, but must be staffed for
overnight patient care. Beds in this category may not be
used for ‘overflow patients’. Days spent in this type of bed
are counted as “Days in a Designated Psychiatric Unit”.
Neuro-Psychiatry:
A bed staffed 24 hours a day that is designated by the NSW
Health Centre for Mental Health to accommodate patients
who require neuro-psychiatric care. These beds are
attended by specialists in Neurology or Neuropsychiatry.
22
Note: Beds in this category may be used for a mix of both
day stay and overnight patients, but must be staffed for
overnight patient care. Beds in this category may not be
used for ‘overflow patients’. Days spent in this type of bed
are counted as “Days in a Designated Psychiatric Unit”.
Dual Diagnosis:
A bed staffed 24 hours a day that is designated by the NSW
Health Centre for Mental Health to accommodate patients
who require specialist care for co-existing mental health and
substance use disorders.
Note: Beds in this category may be used for a mix of both
day stay and overnight patients, but must be staffed for
overnight patient care. Beds in this category may not be
used for ‘overflow patients’. Days spent in this type of bed
are counted as “Days in a Designated Psychiatric Unit”.
page 10 of 31
Policy Directive
Title: New Bed Type Categories for Reporting Purposes from March 2008
Code
23
Domain Definition
Residential Aged Care – Low (Hostel):
A residential aged care place operated in a low-care
residential aged care facility to people with low levels of
functional dependence, 24 hours per day, 7 days per week
for the long term.
Residential aged care places are operated under the terms
of the Aged Care Act 1997 and funded and regulated under
the Act by the Australian Government.
24
In order to access high-level residential aged care, people
must have been assessed by an Aged Care Assessment
Team as requiring care within levels 8-5 of the Resident
Classification Scale, 1 level 8 being the lowest care level.
Confused and Disturbed Elderly (CADE) - Psychiatric:
25
THIS BED TYPE HAS BEEN EXPIRED AS FROM 1 JULY
2007 – REFER TO POLICY DIRECTIVE PD2007_064
Hospital in the Home – General:
26
A “virtual” bed established on the patient administration
system to record general admitted patient activity provided
under a recognised “Hospital in the Home” program to
patients in their private place of residence.
Hospital in the Home – Drug and Alcohol:
28
A “virtual” bed established on the patient administration
system to record drug and alcohol admitted patient activity
provided under a recognised “Hospital in the Home”
program to patients in their private place of residence.
Hospital in the Home – Mental Health:
29
A “virtual” bed established on the patient administration
system to record mental health admitted patient activity
provided under a recognised “Hospital in the Home”
program to patients in their private place of residence.
Collaborative Care Service Provider – General:
A “virtual” bed established on the patient administration
system to record general admitted patient activity provided
by another public or private hospital under a collaborative
(or contract) care arrangement.
Note: The days the patient is accommodated in these beds
counts towards the patient days for both the purchasing
facility and the facility providing the collaborative care
service.
page 11 of 31
Policy Directive
Title: New Bed Type Categories for Reporting Purposes from March 2008
Code
30
Domain Definition
Collaborative Care Service Provider – Drug and Alcohol:
A “virtual” bed established on the patient administration
system to record drug and alcohol admitted patient activity
provided by another public or private hospital under a
collaborative (or contract) care arrangement.
32
Note: The days the patient is accommodated in these beds
counts towards the patient days for both the purchasing
facility and the facility providing the collaborative care
service.
Collaborative Care Service Provider – Mental Health:
A “virtual” bed established on the patient administration
system to record mental health admitted patient activity
provided by another public or private hospital under a
collaborative (or contract) care arrangement.
33
Note: The days the patient is accommodated in these beds
counts towards the patient days for both the purchasing
facility and the facility providing the collaborative care
service.
Coronary Care:
A bed staffed 24 hours a day that is designated by the
facility to accommodate patients who require cardiac
monitoring (both bedside and central), but which otherwise
does not meet the criteria of ’15 - Intensive Care’.
34
Note: Beds in this category may be used for a mix of both
day stay and overnight patients, but must be staffed for
overnight patient care. Beds in this category may not be
used for ‘overflow patients’. Time in beds with this Bed
Type do NOT count towards “Hours in Intensive Care”.
High Dependency Care:
A bed staffed 24 hours a day that is designated by the
facility to accommodate patients who require critical care
expertise that is less resources intensive than would be
allocated if accommodated in an Intensive Care Bed but
more resource intensive than the care provided in a general
bed.
Note: Beds in this category may be used for a mix of both
day stay and overnight patients, but must be staffed for
overnight patient care. Beds in this category may not be
used for ‘overflow patients’. Time in beds with this Bed
Type do NOT count towards “Hours in Intensive Care”.
page 12 of 31
Policy Directive
Title: New Bed Type Categories for Reporting Purposes from March 2008
Code
37
Domain Definition
Neonatal Intensive Care:
A bed staffed 24 hours a day that meets the Intensive Care
role delineation of level 3 or higher, and used to
accommodated neonates requiring intensive care. These
beds must be capable of providing complex, multi-system
life support for neonates for an indefinite period. They must
be located in an area capable of providing mechanical
ventilation and invasive cardiovascular monitoring; or care of
a similar nature.
38
Note: Beds in this category may be used for a mix of both
day stay and overnight patients, but must be staffed for
overnight patient care. Beds in this category may not be
used for ‘overflow patients’. Time in this Bed Type count
towards “Hours in Intensive Care”. This category excludes
“General Intensive Care Units” and “Psychiatric Intensive
Care Units”. Newborns admitted to this Bed Type are
considered to be “Qualified Newborns”.
Transplant:
A bed staffed 24 hours a day that is designated as a special
unit dedicated to care of transplant recipients. This category
includes beds in units dedicated for bone marrow
(haemopoietic stem cell), renal, heart, heart-lung, liver, and
pancreas transplants.
39
Note: Beds in this category may be used for a mix of both
day stay and overnight patients, but must be staffed for
overnight patient care. Beds in this category may not be
used for ‘overflow patients’.
Same Day Renal Dialysis:
A chair/bed in a designated specialised day stay unit that is
dedicated to the provision of renal dialysis services.
40
Note: Renal Dialysis units generally have regular business
hours and open and close each day at set times, however in
some facilities these units may be open at midnight. Beds in
this category may not be used for ‘overflow patients’.
Specialist Spinal Injury:
A bed staffed 24 hours a day that is designated as a special
State unit dedicated to the initial treatment and subsequent
ongoing management and rehabilitation of patients with
acute spinal cord injury.
Note: Beds in this category may be used for a mix of both
day stay and overnight patients, but must be staffed for
overnight patient care. Beds in this category may not be
used for ‘overflow patients’. Time in this Bed Type do NOT
count towards “Hours in Intensive Care”.
page 13 of 31
Policy Directive
Title: New Bed Type Categories for Reporting Purposes from March 2008
Code
41
Domain Definition
Severe Burns:
A bed staffed 24 hours a day that is designated as a special
State unit dedicated to the initial treatment and subsequent
rehabilitation of severely injured burns patients. Patients
accommodated in these beds usually have greater than 10
per cent of body surface affected for adults, and greater
than 5 per cent of body surface affected for children.
42
Note: Beds in this category may be used for a mix of both
day stay and overnight patients, but must be staffed for
overnight patient care. Beds in this category may not be
used for ‘overflow patients’. Time in this Bed Type do NOT
count towards “Hours in Intensive Care”.
Dental Service:
A bed in a specialised unit designated for the treatment of
the patients receiving dental services.
43
Note: Dental Service units generally have regular business
hours and open and close each day at set times, however in
some facilities these units may be open at midnight. Beds in
this category may not be used for ‘overflow patients’.
Paediatric:
A bed staffed 24 hours a day that is designated by the
facility for accommodation and treatment of patient’s aged
older than 29 days and less than 16 years.
46
Note: Beds in this category may be used for a mix of both
day stay and overnight patients, but must be staffed for
overnight patient care. Beds in this category may be used
for ‘overflow patients’ (that is, patients who would usually be
accommodated in another Bed Type if those beds were
available). This category may only be used by general
hospitals and is NOT to be used by the specialist children’s
hospitals – “The Children’s Hospital at Westmead”, or
“Sydney Children’s Hospital”.
Medical:
A bed staffed 24 hours a day and designated by the facility
to primarily accommodate medical patients of a non-specific
age.
Note: Beds in this category may be used for a mix of both
day stay and overnight patients, but must be staffed for
overnight patient care. Beds in this category may be used
for ‘overflow patients’ (that is, patients who would usually be
accommodated in another Bed Type if those beds were
available).
page 14 of 31
Policy Directive
Title: New Bed Type Categories for Reporting Purposes from March 2008
Code
47
Domain Definition
Surgical:
A bed staffed 24 hours a day and designated by the facility
to primarily accommodate surgical patients of a non-specific
age.
48
Note: Beds in this category may be used for a mix of both
day stay and overnight patients, but must be staffed for
overnight patient care. Beds in this category may be used
for ‘overflow patients’ (that is, patients who would usually be
accommodated in another Bed Type if those beds were
available).
Medical Oncology:
A bed staffed 24 hours a day in a unit designated by the
facility to accommodate overnight patients who require
medical oncology services.
49
Note: Beds in this category may be used for a mix of both
day stay and overnight patients, but must be staffed for
overnight patient care. Beds in this category may be used
for ‘overflow patients’ (that is, patients who would usually be
accommodated in another Bed Type if those beds were
available).
Obstetrics:
A bed staffed 24 hours a day and designated by the facility
to primarily accommodate obstetric/maternity patients of a
non-specific age.
50
Note: Beds in this category may be used for a mix of both
day stay and overnight patients, but must be staffed for
overnight patient care. Beds in this category may be used
for ‘overflow patients’ (that is, patients who would usually be
accommodated in another Bed Type if those beds were
available).
Psychiatric Medium Secure:
A bed staffed 24 hours a day that is designated by the NSW
Health Centre for Mental Health to accommodate patients
who mental health care in a unit with a medium security
level.
Note: Beds in this category may be used for a mix of both
day stay and overnight patients, but must be staffed for
overnight patient care. Beds in this category may NOT be
used for ‘overflow patients’. Days spent in this type of bed
are counted as “Days in a Designated Psychiatric Unit”.
page 15 of 31
Policy Directive
Title: New Bed Type Categories for Reporting Purposes from March 2008
Code
51
Domain Definition
Respite – High: Federal Govt. Block Funded:
A residential aged care place operated in a high care
residential aged care facility (nursing home) that is
designated and funded by the Australian Government for the
provision of respite care to allow a carer or care recipient a
short term break from their usual care arrangement.
52
In order to access respite care in a residential aged care
facility, people must have been assessed by an Aged Care
Assessment Team. Residential respite care places must
not be used as a waiting facility for people seeking a
permanent bed. The maximum period for the provision of
respite care in a residential aged care facility is 63 days.
Extensions can be granted for further 21-day periods.
Respite – Low: Federal Govt. Block Funded:
A residential aged care place operated in a low care
residential aged care facility (hostel) that is designated and
funded by the Australian Government for the provision of
respite care to allow a carer or care recipient a short term
break from their usual care arrangement.
53
In order to access respite care in a residential aged care
facility, people must have been assessed by an Aged Care
Assessment Team. Residential respite care places must
not be used as a waiting facility for people seeking a
permanent bed. The maximum period for the provision of
respite care in a residential aged care facility is 63 days.
Extensions can be granted for further 21-day periods.
Transitional Living Unit Beds - Brain Injury
Rehabilitation Program:
A bed staffed 24 hours a day that is officially approved by
NSW Health Department Circular under the Brain Injury
Rehabilitation Program, for the accommodation of clients
requiring transitional living care services following a brain
injury.
Note: Beds in this category may be used for a mix of both
day stay and overnight patients, but must be staffed for
overnight patient care. Transitional Living Units may be
closed on certain days of the week, such as weekends.
Beds in this category may NOT be used for ‘overflow
patients’.
page 16 of 31
Policy Directive
Title: New Bed Type Categories for Reporting Purposes from March 2008
Code
54
Domain Definition
Mental Health Community Residential (24 Hour
Staffing):
A bed designated to accommodate mental health
community residential care clients in a unit staffed 24 hours
a day.
55
Note: It is not a requirement for community residential
activity to be recorded on a patient administration system,
however where it is the activity must be clearly identified by
a community residential care bed type so that it is not
counted as admitted patient activity. Beds in this category
may not be used for ‘overflow patients’. Ward transfers
transactions to this Bed Type are not permitted, rather a
formal discharge and formal admission transaction must be
performed. All activity reported under this Bed Type must
have a “Service Category” of either “6 – Other Care” or “0 Boarder”.
Mental Health Community Residential (< 24 hour
staffing):
A bed designated to accommodate mental health
community residential care clients in a unit that is not staffed
24 hours a day.
56
Note: It is not a requirement for community residential
activity to be recorded on a patient administration system,
however where it is the activity must be clearly identified by
a community residential care bed type so that it is not
counted as admitted patient activity. Beds in this category
may not be used for ‘overflow patients’. Ward transfers
transactions to this Bed Type are not permitted, rather a
formal discharge and formal admission transaction must be
performed. All activity reported under this Bed Type must
have a “Service Category” of either “6 – Other Care” or “0 Boarder”.
Mental Health Social Day Program
A ‘virtual’ bed established for the purpose of recording
mental health social day program activity on a patient
administration system.
Note: Beds in this category may not be used for ‘overflow
patients’. Generally, mental health social day program
activity should be classified as non-admitted patient care
and thus should not be recorded on a patient administration
system. However, in a few circumstances this activity is
performed on an admitted patient basis under a special
arrangement, for example for DVA clients at Concord.
page 17 of 31
Policy Directive
Title: New Bed Type Categories for Reporting Purposes from March 2008
Code
57
Domain Definition
Aged & Disability Social Day Program
A ‘virtual’ bed established for the purpose of recording nonadmitted aged and disability social day program activity on a
patient administration system.
58
Note: Aged and Disability social day program activity should
be classified as non-admitted patient care, and thus
recorded on an ambulatory care system, rather than a
patient administration system. However if a site chooses to
record this activity on a patient administration system, the
activity must be clearly identified using this bed type and a
“Service Category” of “0 - Boarder”. Beds in this category
may not be used for ‘overflow patients’. Ward transfers
transactions to and from this category are not permitted
between - rather a formal discharge and formal admission
transaction must be performed. An example of a service
that would fall into this category is an aged client community
program where elderly residents living in the community are
invited to attend social days at a Multi Purpose Services
where they meet with other elderly clients to play cards,
converse, have lunch, etc. This activity should be counted
as an ambulatory group activity and reported via WebDOHRS or ambulatory system unit record feed.
Emergency Department – Level 1 or 2
A bed, stretcher, trolley or chair in an area within the
hospital staffed 24 hours a day and designated as an
Emergency Department of Level 1 or Level 2.
59
Note: Beds in this category may NOT be used for ‘overflow
patients’. Beds in units classified as ‘Emergency Medical
Units’ are excluded from this category.
Emergency Medical Unit
A bed staffed 24 hours a day that is designated for the
accommodation of patients requiring emergency medical
care who would otherwise have remained in the Emergency
Department until a bed in an alternative ward was made
available.
Note: Beds in this category may be used for a mix of both
day stay and overnight patients, but must be staffed for
overnight patient care. Beds in this category may be used
for ‘overflow patients’ (that is, patients who would usually be
accommodated in another Bed Type if those beds were
available).
page 18 of 31
Policy Directive
Title: New Bed Type Categories for Reporting Purposes from March 2008
Code
60
Domain Definition
Bassinet:
A bed staffed 24 hours a day that is designated for the care
of newborns, other than a Federal Government approved
neonate special care nursery, or a designated neonate
intensive care unit.
Beds in this category may either be located next to the
mother’s bed, or in a separate nursery that does not meet
the criteria of a neonate special care nursery.
61
Note: Beds in this category may be used for a mix of both
day stay and overnight patients, but must be staffed for
overnight patient care. Beds in this category may NOT be
used for ‘overflow patients’.
Detoxification:
A bed staffed 24 hours a day that is designated by the
facility for the accommodation of patients requiring drug
detoxification care.
62
Note: Beds in this category may be used for a mix of both
day stay and overnight patients, but must be staffed for
overnight patient care. Beds in this category may not be
used for ‘overflow patients’. Days spent in this type of bed
are NOT counted as “Days in a Designated Psychiatric
Unit”, despite the fact they can be co-located with
designated psychiatric beds.
CAMHSNET Supported Paediatric:
A bed that is staffed 24 hours a day, designated by the
facility to be a paediatric bed, that is currently being used to
accommodate a child or adolescent mental health patient
under the Child and Adolescent Mental Health Network
(CAMHSNET) program. While admitted to this bed, care is
provided by a specially trained CAMHSNET nurse.
Note: Beds in this category may be used for a mix of both
day stay and overnight patients, but must be staffed for
overnight patient care. Beds in this category may NOT be
used for ‘overflow patients’. These beds are ‘swinging’ beds
with beds classified as ‘43 – Paediatric’. Days spent in this
type of bed are counted as “Days in a Designated
Psychiatric Unit”. Patients admitted to beds in this category
must be less than 18 years old at the time of formal
admission. As this activity is accounted for under Program 5
– Acute Admitted Patient Services, a sub-program is not
relevant.
page 19 of 31
Policy Directive
Title: New Bed Type Categories for Reporting Purposes from March 2008
Code
63
Domain Definition
CAMHSNET Supported Psychiatric:
A bed that is staffed 24 hours a day, designated by the
facility to be a designated adult psychiatric bed, that is
currently being used to accommodate a child or adolescent
mental health patient under the Child and Adolescent Mental
Health Network (CAMSNET) program.
64
Note: Beds in this category may be used for a mix of both
day stay and overnight patients, but must be staffed for
overnight patient care. Beds in this category may NOT be
used for ‘overflow patients’. Days spent in this type of bed
are counted as “Days in a Designated Psychiatric Unit”.
These beds are ‘swinging’ beds with beds classified
designated adult psychiatric beds (such as ’04 - Psychiatric
Acute Care’). Patients admitted to beds in this category
must be less than 18 years old at the time of formal
admission. The associated value for the ‘Mental Health
Financial Sub Program’ must be “B”.
CAMHSNET Acute:
A bed staffed 24 hours a day that is specifically designated
by the NSW Health Centre for Mental Health to
accommodate child or adolescent mental health patients
who require acute care. Theses beds are funded under the
Child and Adolescent Mental Health Network (CAMSHNET)
program.
65
Note: Beds in this category may be used for a mix of both
day stay and overnight patients, but must be staffed for
overnight patient care. Beds in this category may NOT be
used for ‘overflow patients’. Days spent in this type of bed
are counted as “Days in a Designated Psychiatric Unit”.
Patients admitted to beds in this category must be less than
18 years old at the time of formal admission. The associated
value for the ‘Mental Health Financial Sub Program’ must be
“B”.
CAMHSNET Non-Acute:
A bed staffed 24 hours a day that is specifically designated
by the NSW Health Centre for Mental Health to
accommodate child or adolescent mental health patients
who require non-acute care. Theses beds are funded under
the Child and Adolescent Mental Health Network
(CAMHSNET) program.
Note: Beds in this category may be used for a mix of both
day stay and overnight patients, but must be staffed for
overnight patient care. Beds in this category may NOT be
used for ‘overflow patients’. Days spent in this type of bed
are counted as “Days in a Designated Psychiatric Unit”.
Patients admitted to beds in this category must be less than
18 years old at the time of formal admission. The
associated value for the ‘Mental Health Financial Sub
Program’ must be “B”.
page 20 of 31
Policy Directive
Title: New Bed Type Categories for Reporting Purposes from March 2008
Code
66
Domain Definition
Delivery Suite:
A bed able to be staffed 24 hours a day, that is dedicated for
the delivery of newborns.
67
Note: It is not a NSW Health requirement to establish
delivery suite beds, however where these beds have been
established on the patient administration this Bed Type must
be used. Beds in this category may NOT be used for
‘overflow patients’.
Operating Theatre / Recovery:
A bed able to be staffed 24 hours a day, that is within a
dedicated operating theatre or theatre procedure recovery
area.
68
Note: It is not a NSW Health requirement to establish
operating theatre / recovery beds, however where these
beds have been established on the patient administration
this Bed Type must be used. Beds in this category may
NOT be used for ‘overflow patients’.
Mobile Service:
A mobile bed located within a vehicle which is used to
deliver admitted patient care, including routine procedures,
outside the hospital setting. These services are generally
run in remote rural areas, and generally intended for routine
admitted patient services that can be provided on a same
day basis.
69
Note: Beds in this category may NOT be used for ‘overflow
patients’.
Stroke:
A bed staffed 24 hours a day that is designated by the
facility to accommodate patients who are recovering from a
stroke.
Note: Beds in this category may be used for a mix of both
day stay and overnight patients, but must be staffed for
overnight patient care. Beds in this category may not be
used for ‘overflow patients’.
page 21 of 31
Policy Directive
Title: New Bed Type Categories for Reporting Purposes from March 2008
Code
70
Domain Definition
Drug and Alcohol Community Residential:
A bed staffed 24 hours a day, located in a community or
non-admitted patient setting, that is used to accommodate
patients who require treatment for substance use/abuse on
a non-admitted patient basis.
71
Note: It is not a requirement for community residential
activity to be recorded on a patient administration system,
however where it is the activity must be clearly identified by
a community residential care bed type so that it is not
counted as admitted patient activity. Beds in this category
may not be used for ‘overflow patients’. Ward transfers
transactions to this Bed Type are not permitted, rather a
formal discharge and formal admission transaction must be
performed. All activity reported under this Bed Type must
have a “Service Category” of either “6 – Other Care” or “0 Boarder”.
Same Day Chemotherapy:
A chair or bed staffed for a limited period each a day that is
designated by the facility for the provision of same day
chemotherapy and radiation oncology services only.
Note: Same Day Chemotherapy units generally have
regular business hours and open and close each day at set
times. Chairs and beds in this category may only be used
for patients receiving a chemotherapy service. This bed
type can be used to temporarily accommodate overnight
stay patients requiring chemotherapy as part of their overall
admitted patient service, however where this occurs the
patient must be transferred out to an overnight ward before
the end of the business day.
72
The purpose of this bed type is not to identify same day
patients, but instead to identify activity in beds that are not
staffed 24 hours a day.
Sleep Disorder (< 24 Hour Care):
A chair or bed staffed for a limited period each a day that is
designated by the facility for the provision of same day sleep
disorder patients only.
Note: Sleep Disorder units generally have regular business
hours and open and close each day at set times. Chairs
and beds in this category may only be used for patients
receiving a sleep disorder service. The purpose of this bed
type is not to identify same day patients, but instead to
identify activity in beds that are not staffed 24 hours a day.
page 22 of 31
Policy Directive
Title: New Bed Type Categories for Reporting Purposes from March 2008
Code
73
Domain Definition
Same Day Mental Health:
A chair or bed staffed for a limited period each a day that is
designated by the NSW Health Centre for Mental Health for
the provision of same day mental health services only.
Note: Same Day Mental Health units generally have regular
business hours and open and close each day at set times.
Beds in this category include those used to for same day
ECT services.
Chairs and beds in this category may only be used for
patients receiving a mental health service and days spent in
this type of bed are counted as “Days in a Designated
Psychiatric Unit”.
This bed type can be used to temporarily accommodate
overnight stay patients however where this occurs the
patient must be transferred out to an overnight ward before
the end of the business day.
74
The purpose of this bed type is not to identify same day
patients, but instead to identify activity in beds that are not
staffed 24 hours a day.
Same Day Drug and Alcohol:
A chair or bed staffed for a limited period each a day that is
designated by the facility for the accommodation of patients
requiring same day treatment for substance use/abuse;
and/or detoxification.
Note: Same Day Drug and Alcohol units generally have
regular business hours and open and close each day at set
times, however in some facilities these units may be open at
midnight.
Chairs and beds in this category may only be used for
patients receiving a drug and alcohol service. This bed type
can be used to temporarily accommodate overnight stay
patients however where this occurs the patient must be
transferred out to an overnight ward before the end of the
business day. The purpose of this bed type is not to identify
same day patients, but instead to identify activity in beds
that are not staffed 24 hours a day.
Days spent in this type of bed are NOT counted as “Days in
a Designated Psychiatric Unit”, despite the fact they can be
co-located with designated psychiatric beds.
page 23 of 31
Policy Directive
Title: New Bed Type Categories for Reporting Purposes from March 2008
Code
75
Domain Definition
Same Day, Not Elsewhere Classified:
A chair or bed staffed for a limited period each a day that is
designated by the facility for the provision of same day
services only, and not covered by any other same day Bed
Type category.
76
Note: Other Same Day units generally have regular
business hours and open and close each day at set times.
This bed type can be used to temporarily accommodate
overnight stay patients however where this occurs the
patient must be transferred out to an overnight ward before
the end of the business day. The purpose of this bed type is
not to identify same day patients, but instead to identify
activity in beds that are not staffed 24 hours a day.
Transit Lounge:
A chair or lounge used to temporarily accommodate patients
that no longer require care within a specific ward, are
medically ready to be discharged, and unable to be formally
discharged due to a requirement for further observation or
limited care by nursing staff, return of test results, fulfilment
of prescriptions, completion of administrative tasks, etc.
These chairs or lounges are generally used to address the
problem of access block to overnight wards.
Note: It is not a requirement for transit lounge beds to be
established on a patient administration system, however
where they are established the bed must be mapped to this
category and the patient movement should be reflected via a
bed/ward transfer on the patient administration system. The
time of formal discharge should be the time the patient
departs the lounge, and the movements and transfer times
should be recorded in the patient’s medical record. Beds in
this category may not be used for ‘overflow patients’. These
beds should not be counted as overnight available beds.
page 24 of 31
Policy Directive
Title: New Bed Type Categories for Reporting Purposes from March 2008
Code
77
Domain Definition
Transitional Care – In Hospital – Federal & State Mix
Funding:
A flexible care place located within a facility under the terms
of the Australian Government Transition Care Program
Guidelines and the Aged Care Act 1997. The facility must be
modified and designated for the provision of transitional
aged care.
Transitional Aged Care places must be used to provide a
mix of services for older people at the conclusion of a
hospital admission. Services will include low intensity
therapy such as physiotherapy, occupational therapy and
social work and nursing support and/or personal care for
clients to complete their restorative process and optimise
their functional capacity. Services are provided for a limited
time period of up to 12 weeks with a possible extension of
another 6 weeks.
The clients accomodated in these places must:
•
have completed their acute and sub-acute episodes
of care, be medically stable and discharged from
hospital upon entry to the Transitional Aged Care
Program,
•
have an ACAT approval to receive transitional aged
care,
•
be eligible to receive permanent residential aged
care at least at a low level of care
Note: These places are NOT admitted hospital in-patient
beds.
page 25 of 31
Policy Directive
Title: New Bed Type Categories for Reporting Purposes from March 2008
Code
78
Domain Definition
Transitional Care – Community Based – Federal & State
Mix Funding:
A flexible care place located in the community under the
terms of the Australian Government Transition Care
Program Guidelines and the Aged Care Act 1997.
Transitional Aged Care places must be used to provide a
mix of services for older people at the conclusion of a
hospital admission. Services will include low intensity
therapy such as physiotherapy, occupational therapy and
social work and nursing support and/or personal care for
clients to complete their restorative process and optimise
their functional capacity. Services are provided for a limited
time period of up to 12 weeks with a possible extension of
another 6 weeks.
The clients accommodated in these places must:
79
•
have completed their acute and sub-acute episodes
of care, be medically stable and discharged from
hospital upon entry to the Transitional Aged Care
Program,
•
have an ACAT approval to receive transitional aged
care,
•
be eligible to receive permanent residential aged
care at least at a low level of care.
Note: These places are NOT admitted hospital in-patient
beds.
Gynaecology:
A bed staffed 24 hours a day and designated by the facility
to primarily accommodate gynaecology patients of a nonspecific age.
Note: Beds in this category may be used for a mix of both
day stay and overnight patients, but must be staffed for
overnight patient care. Beds in this category may be used
for ‘overflow patients’ (that is, patients who would usually be
accommodated in another Bed Type if those beds were
available).
page 26 of 31
Policy Directive
Title: New Bed Type Categories for Reporting Purposes from March 2008
Code
80
Domain Definition
Same Day Medical:
A chair or bed staffed for a limited period each a day that is
designated by the facility for the provision of same day
medical services only.
81
Note: Other Same Day units generally have regular
business hours and open and close each day at set times.
This bed type can be used to temporarily accommodate
overnight stay patients however where this occurs the
patient must be transferred out to an overnight ward before
the end of the business day. The purpose of this bed type is
not to identify same day patients, but instead to identify
activity in beds that are not staffed 24 hours a day.
Same Day Surgical:
A chair or bed staffed for a limited period each a day that is
designated by the facility for the provision of same day
surgical services only.
Note: Other Same Day units generally have regular
business hours and open and close each day at set times.
This bed type can be used to temporarily accommodate
overnight stay patients however where this occurs the
patient must be transferred out to an overnight ward before
the end of the business day. The purpose of this bed type is
not to identify same day patients, but instead to identify
activity in beds that are not staffed 24 hours a day.
82
Extended Short Stay Surgical (< 24 hrs)
A chair or bed staffed for a time period within each 24 hours
that is designated by the facility for the provision of surgical
services only.
23 Hour Care Units are based on the premise that the
majority of surgical care can be administered within a
24-hour period in a non-ward environment. Patients can be
admitted, prepared for the surgical procedure, then
monitored and provided with appropriate pain relief postsurgery before protocol based discharge occurs within 24
hours.
Extended Day Only (EDO) can be for emergency or elective
procedures (surgery and occasionally non surgery e.g.
diagnostic procedures, medical procedures).
EDO beds may be staffed on a 24/7 basis depending on the
facility (hence emergency surgery of EDO type can be
accommodated).
Some units may choose to have Day Only & Extended Day
Only co-located.
page 27 of 31
Policy Directive
Title: New Bed Type Categories for Reporting Purposes from March 2008
Code
83
Domain Definition
Residential Aged Care, Not Further Defined:
A bed block funded by the federal Government, for the
provision of either high level (nursing home), low level
(hostel) or respite residential aged care. These beds are
NOT counted admitted patient beds.
These beds may be located in Public Nursing Homes, Multi
Purpose Services, and a small number specially approved
public hospitals (for example, rural hospitals that have
lodged an application to become a Multi Purpose Service).
Note: Beds in this category may not be used for ‘overflow
patients’. Ward transfers transactions to this Bed Type are
not permitted. For all other ward transfers to this Bed Type
a formal discharge and formal admission transaction must
be performed.
84
ComPacks – Approved Patient Packages:
85
THIS BED TYPE IS NOT CURRENTLY IN USE
Psychiatric Emergency:
A bed staffed 24 hours a day that is designated by the NSW
Health Centre for Mental Health to accommodate patients
who present to hospital Emergency Departments with acute
mental illness and require specialised mental health care
and observation prior to disposal (e.g. transportation,
transfer to another admitted patient bed, transfer to another
designated psychiatric bed or discharge). They may be
admitted as either voluntary or involuntary patients under
the Mental Health Act. These beds are co-located and
associated with the Emergency Department of a hospital.
Note: Beds in this category may be used for a mix of both
day stay and overnight patients, but must be staffed for
overnight patient care. Beds in this category may not be
used for ‘overflow patients’. Days spent in this type of bed
are counted as “Days in a Designated Psychiatric Unit”.
page 28 of 31
Policy Directive
Title: New Bed Type Categories for Reporting Purposes from March 2008
Code
86
Domain Definition
Respite - Not Further Defined:
A bed block funded by the federal Government, for the
provision of residential aged care to short stay respite
clients. These beds are NOT counted admitted patient
beds.
These beds may be located in Public Nursing Homes, Multi
Purpose Services, and a small number specially approved
public hospitals (for example, rural hospitals that have
lodged an application to become a Multi Purpose Service).
87
Note: Beds in this category may not be used for ‘overflow
patients’. Ward transfers transactions to this Bed Type are
not permitted, except between this Bed Type and Bed Type
“52 – Respite – Low: Federal Govt. Block Funded”. For all
other ward transfers to this Bed Type a formal discharge
and formal admission transaction must be performed. In
Multi Purpose Services “virtual” beds will need to be
established under this Bed Type for situations where high
level respite residential aged care is provided in a bed
usually designed for respite low care, long stay residential
aged care, or admitted patient activity.
Medical Assessment Unit (MAU):
A bed in a dedicated Medical Assessment Unit (MAU) which
is a physical ward that is close to the Emergency
Department although not co-located.
The MAU is an alternative pathway for adult non-critical
medical patients; in many cases these will be elderly
complex medical patients with co-morbidities.
Patients within the MAU can expect to stay for a period of up
to 48 hours, after this time most will be discharged home
(with community services where appropriate), while some
who require specialised care will be transferred to an
inpatient bed.
99
Lodger / Boarder Beds:
Beds used to accommodate boarders and lodgers who are
not in receipt of health care. People accommodated in
these beds are commonly relatives (e.g. parents or children)
of patients.
Most activity reported under this Bed Type would have a
Service Category of “0 – Hospital Boarder”, however where
clinical coding needs to be reported for a local requirement
non-admitted patient activity may also be reported as “6 –
Other Care”.
page 29 of 31
Policy Directive
Title: New Bed Type Categories for Reporting Purposes from March 2008
Clarifying Points:
Not Applicable
Collection Methods:
Bed Type is attached to a bed in patient administration systems. Staff
record bed / ward movements on the patient administration system and
the Bed Type is recorded or linked in the back end of the system.
Screen Prompts:
The screen prompts below are recommended where this information is
collected on a computer screen.
Bed Type
Question Module:
Not Applicable
Validation Rules:
= 01, 02, 03, 04, 05, 06, 07, 08, 09, 12, 13, 14, 15, 16, 17, 18, 20, 21, 22,
23, 24, 25, 26, 28, 29, 30, 32, 33, 34, 37, 38, 39, 40, 41, 42, 43, 46, 47, 48,
49, 50, 51, 52, 53, 54, 55, 56, 57, 58, 59, 60, 61, 62, 63, 64, 65, 66, 67, 68,
69, 70, 71, 72, 73, 74, 75, 76, 77, 78, 79, 80, 81, 82, 83, 84, 85, 86, 87, 99.
Justification:
This information is collected for the purpose of:
•
Identifying activity within special purpose inpatient units located in
hospitals. The clinical profile of patients admitted to such units, as
distinct from those admitted to a general ward, can be determined,
•
Monitoring the utilisation patterns of state-wide units. Many of
these units are psychiatric units that must be monitored
individually to satisfy National and State reporting requirements,
•
Measuring “Hospital in the Home” days
•
Accounting for “Contracted Care” activity
•
Accounting for “Transitional Care” activity
Representation
Data Element Type:
Data Element
Data Type:
Code
Form:
Alpha-numeric
Minimum Size:
2
Maximum Size:
2
Layout:
AA (Report 1 to 9 with Leading Zero)
Administrative Information
Version:
1
Effective date:
1 March 2008
Data Sets:
Admitted Patient Data Collection
page 30 of 31
Policy Directive
Title: New Bed Type Categories for Reporting Purposes from March 2008
Change Summary:
Version 5:
•
Added new categories:
o
o
o
o
o
o
o
o
o
79
80
81
82
83
85
86
87
99
Gynaecology
Same Day Medical
Same Day Surgical
Extended Short Stay Surgical (< 24 hrs)
Residential Aged Care, Not Further Defined
Psychiatric Emergency
Respite, Not Further Defined
Medical Assessment Unit
Lodger/Boarder
Related Information
Related Elements:
Financial Program, Admitted Patient Data Dictionary, NSW Health
References:
Not applicable
page 31 of 31