Non-admitted care
Non-admitted care encompasses services provided to patients who do not undergo a formal admission process and do not occupy a hospital bed.
For example, non-admitted services may be provided in:
- hospital outpatient clinics
- community based clinics
- patients’ homes.
The current classification system for non-admitted care is the Tier 2 Non-Admitted Services Classification (Tier 2). Tier 2 categorises a hospital’s non-admitted services into classes based on the nature of the service provided and the type of clinician providing the service. Read more about Tier 2.
A new non-admitted care classification
In 2018, IHACPA commenced a national costing study to inform the development of a new non-admitted care classification. The costing study was suspended in 2020 due to the impact of COVID-19.
IHACPA is currently working to develop a new classification for non-admitted care services, through the Australian Non-Admitted Classification Project (ANAPP).
ANAPP aims to leverage existing clinical and cost data from hospital electronic medical records using advanced natural language processing tools to extract meaningful insights from free-text clinical notes. When combined with operational and cost data, the structured clinical data will help create a costed dataset for classification development. This approach will support the collection of high-volume data points to inform a costing study, reducing the level of manual data extraction and coding effort typically required from clinical and coding workforces. The pilot data collection involves data collection from hospitals in Victoria and Queensland including tertiary, specialist, and regional facilities.
The Australian Non-Admitted Classification Project (ANAPP) will involve the collection of de-identified information for the development of a new non-admitted care classification.
Clinical notes and appointment information will be de-identified and then coded on state health service premises before medical codes only are submitted to IHACPA.
A privacy impact assessment (PIA) for the project has been completed and is listed on the PIA register. IHACPA will not collect, handle or store personal information as part of ANAPP.
For a general outline of privacy, data collection and information security please refer to our Privacy page.