Prepared for Acute Health Services,
Department of Human Services, Victoria
June 1997

Contents

Executive Summary

1. Introduction

1.1 Overview

1.2 Timing issues

2. The 1996/97 study process

2.1 The 1996/97 study hospitals

2.2Patient costing methodology

2.2.1 General outline
2.2.2 Direct department allocations
2.2.3 Allocation of indirect departments

2.3 Cost and activity reconciliations

2.4 Audit and verification procedures

2.4.1 Background
2.4.2 Data testing

2.5 Hospital patient costing methodologies

2.5.1 Accounting treatment of various items
2.5.2 Departmental feeder systems

2.6 Best observed methodologies

2.6.1 Analysis method
2.6.2 Discussion

3. Clinical consultation process

4. Technical report

4.1 Admitted patients

4.1.1 Introduction
4.1.2 Data trimming and exclusion criteria
4.1.3 Data reliability
4.1.4 Cumulative data qualification
4.1.5 Trimming criteria
4.1.6 Prostheses costs
4.1.7 Conclusion

4.2 Non admitted patients

4.2.1 Introduction
4.2.2 Data trimming and exclusion criteria
4.2.3 Data reliability
4.2.4 Comparison of 1996 study and 1997 study weights
4.2.5 Conclusion 1

Appendices
* - The following appendices 1 - 5 can be downloaded as a single MS Excel 5.0 file by clicking on this link (370KB)

  1. 1996 trimmed average costs by ANDRG (version 3.1)*
  2. Data quality indicators by ANDRG*
  3. 1997 VACS Relative Resource Weights and Average Component Costs Eight Hospital Database*
  4. Comparative Average Costs and Relative Resource Weights Eight Hospitals*
  5. Comparative Average Costs and Relative Resource Weights Six Hospitals*
  6. DRGS Identified by Clinicians as Exceptional

 

By clicking on this link you can download the entire document as a single Word 6.0 file(585KB)


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