IES7 & Related Items Report—Line Item Definitions

1.1 Separations with Care Type (care) = '1'.

1.2 Separations with Care Type (care) = '2'.

1.3 Separations with Care Type (care) = '6'.

1.4 Separations with Care Type (care) = '7'.

1.5 Separations with Care Type (care) = '9'.

1.6 Separations with Care Type (care) = '5'.

1.7 Separations with Care Type (care) = '4'.

1.8 Separations with Care Type (care) = '8'.

1.9 Separations with Care Type (care) = '0'.

1.10 Separations with Care Type (care) = 'U'.

1.11 Total separations (= sum of items 1.1 to 1.10; no other Care Type allowed).

2.1 Bed days (LOS) of separations with Care Type (care) = '1'.

2.2 Bed days (LOS) of separations with Care Type (care) = '2'.

2.3 Bed days (LOS) of separations with Care Type (care) = '6'.

2.4 Bed days (LOS) of separations with Care Type (care) = '7'.

2.5 Bed days (LOS) of separations with Care Type (care) = '9'.

2.6 Bed days (LOS) of separations with Care Type (care) = '5'.

2.7 Bed days (LOS) of separations with Care Type (care) = '4'.

2.8 Bed days (LOS) of separations with Care Type (care) = '8'.

2.9 Bed days (LOS) of separations with Care Type (care) = '0'.

2.10 Bed days (LOS) of separations with Care Type (care) = 'U'.

2.11 Bed days (LOS) of Total separations (= sum of items 2.1 to 2.10, no other Care Type allowed).

3.1 Separations with {no VIC-DRG3 or VIC-DRG3 951, VIC-DRG3 952, VIC-DRG3 955 or VIC-DRG3 956} and {Care Type (care) = '2', '6', '7', '9' or '5'}.

3.2 Separations with {no VIC-DRG3} and {Care Type (care) = '4', '8', '0' or 'U'}.

3.3 Separations with {VIC-DRG3 951, VIC-DRG3 952, VIC-DRG3 955 or VIC-DRG3 956} and {Care Type (care) = '4', '8', '0' or 'U'}.

3.4 = sum of 3.2 and 3.3.

4.1 Separations with {contract type=B and contract role=B and contract id='0100'} and {Care Type (care) = '4', '8', '0' or 'U'}.

4.2 Separations with {contract type=B and contract role=B and contract id not '0100'} and {Care Type (care) = '4', '8', '0' or 'U'}.

4.3 Separations with {contract type not B and contract role=B} and {Care Type (care) = '4', '8', '0' or 'U'}.

4.4 = sum of 4.1 and 4.2 and 4.3. 

The following Sections 5, 6, 7, 8 and 9 are based on Coded (WIES7) Funded Separations which are separations with {Care Type (care) = '4', '8', '0' or 'U'} and {Program Funding Source=6}, and with {VIC-DRG3 assigned} and not {VIC-DRG3 951 or VIC-DRG3 952 or VIC-DRG3 955 or VIC-DRG3 956} and not {Contract Role=B}.

Mechanical ventilation severity (both per diem and per case), thalessaemia, and hip revision co-payments and ATSI loadings are to be included in the WIES7 calculations wherever WIES7 is reported. That is, WIES7 refers to WIES7_v as defined in Box 5 of the WIES7 specification.

5.1 Total Separations.

5.2 Total Bed days (LOS).

5.3 Separations that are low outliers (inlier status='L' as defined in Box 3b).

5.4 Total bed days (LOS) of low outliers.

5.5 IES7 of low outliers.

5.6 WIES7 of low outliers.

5.7 Separations that are high outliers (inlier status='H' as defined in Box 3b).

5.8 Total bed days (LOS) of high outliers.

5.9 Bed days, after adjustment for mechanical ventilation co-payment days, in excess of the High Boundary Point = sum of (LOS - High Boundary Point - adjmvday) for each high outlier.

5.10 IES7 of high outliers.

5.11 WIES7 of high outliers.

5.12 Excess WIES7 of high outliers (base WIES excluding inlier component) =sum of (base WIES_v - md_in_v).

5.13 Inlier Separations (inlier status='I' as defined in Box 3b)

5.14 Total bed days (LOS) of Inlier Separations.

5.15 WIES7 of inliers.

5.16 Total IES7 = sum of item 5.5, item 5.10, and item 5.13.

5.17 Total WIES7 = sum of item 5.6, item 5.11, and item 5.15.

5.18 Same day Medical Target Separations = Coded Funded Separations that are same day episodes (admission date = separation date) in VIC-DRG3s identified as contributing to the Same day Medical Target.

5.19 WIES7 of Same day Medical Target Separations.

5.20 Sum of Hospital in the Home (HITH) Separations = separations with Accommodation Type = 4 in any status segment (Acctype1 - Acctype7).

5.21 HITH Bed days (LOS) of HITH separations = sum of LOS in HITH segments (ie segments with accommodation type = 4, LOS in non-HITH segments excluded).

5.22 Number of separations that have a thalessaemia co-payment (th_copay>0) as defined in Box 2b.

5.23 Number of separations that have a hip revision co-payment (hip_copay>0) as defined in Box 2c.

5.24 Number of ATSI separations (abor in '5','6',or '7'). 

5.25 WIES7 for ATSI separations.

5.26 Adjusted days of mechanical ventilation as defined in Box 2a.

5.27 Number of separations that have a neonate mechanical ventilation co-payment (where mv_elig='E' and mv_copay>0) as defined in Box 2a.

6.1 = 5.1 for public separations (sepaccnt starts with 'H').

6.2 = 5.16 for public separations (sepaccnt starts with 'H').

6.3 = 5.17 for public separations (sepaccnt starts with 'H').

6.4 = 5.18 for public separations (sepaccnt starts with 'H').

6.5 = 5.19 for public separations (sepaccnt starts with 'H').

6.6 = 5.20 for public separations (sepaccnt starts with 'H').

6.7 = 5.21 for public separations (sepaccnt starts with 'H').

6.8 = 5.22 for public separations (sepaccnt starts with 'H').

6.9 = 5.23 for public separations (sepaccnt starts with 'H').

6.10 = 5.24 for public separations (sepaccnt starts with 'H').

6.11 = 5.25 for public separations (sepaccnt starts with 'H').

7.1 = 5.1 for (Department of Veteran's Affairs) DVA separations (sepaccnt starts with 'V').

7.2 = 5.16 for DVA separations (sepaccnt starts with 'V').

7.3 = 5.17 for DVA separations (sepaccnt starts with 'V').

7.4 = 5.18 for DVA separations (sepaccnt starts with 'V').

7.5 = 5.19 for DVA separations (sepaccnt starts with 'V').

8.1 Non-same day Emergency Separations = Coded Funded Separations that are not same day episodes (admission date does not equal separation date) and are not unqualified newborns (care type does not equal 'U') and {Admission Type (admtype) equals 'R', 'I', or 'O'}.

8.2 WIES7 of Non-same day Emergency Separations.

9.1 Non-same day Elective Separations = Coded Funded Separations that are not same day episodes (admission date does not equal separation date) and are not unqualified newborns (care type does not equal 'U') and {Admission Type (admtype) does not equal 'R', or 'I', or 'O', or 'Y' or 'M' or ‘S’}.

9.2 WIES7 of Non-same day Elective Separations.

Notes on Precision:

Data should be shown rounded to the number of decimal places indicated in the total column of the attached draft IES7 report.

Full precision should be maintained prior to printing; eg item 5.18 which is defined as the sum of 5.7, 5.12, 5.16 is to be calculated by summing components at full precision, not by summing components that have been rounded. 

IES7 and related items report page 1 

IES7 and related items report page 2 

Mechanical Ventilation Severity Co-payment Eligibility

Only episodes with the following campus codes may be eligible:

1010 Alfred

1031, 1032 Austin & Repatriation Medical Centre

1050 Box Hill

2110 Dandenong

1210 Maroondah

1170 Monash Medical Centre - Clayton

2220 Frankston

1280 Northern

1191 Royal Children's

1331 Royal Melbourne

1450 St Vincents

1180 Western

2010 Ballarat

1020 Bendigo

2060 Central Wellington

2050 Barwon Health - Geelong

1121 Goulburn Valley - Shepparton

2440 New Latrobe Regional

4110 Mildura

1150 Wangaratta

2160 Warrnambool Base

1071 Western District - Hamilton

2170 Wimmera Health Care Group - Horsham

Eligible Hospitals - Mechanical Ventilation Severity Co-payment (per case)

Only episodes with the following hospital codes may be eligible:

1160 Mercy - East Melbourne

1170 Monash Medical Centre - Clayton

1191 Royal Children’s

1230 Royal Women’s

Regional Contacts

Mr Jim Fletcher	Ms Jan Snell
Manager, Provider Management	Manager, Provider Management
Barwon South Western Region	Loddon Mallee Region
P O Box 760	P O Box 513
GEELONG VIC 3213	BENDIGO VIC 3550
Ph: 03 5226 4944	Ph: 03 5434 5583
Fax:03 5226 4610	Fax: 03 5434 5671
Mr Geoff Iles	Mr John Joyce
Manager, Provider Management	Manager, Provider Management
Grampians Region	Hume Region
P O Box 712	P O Box 460
BALLARAT VIC 3353	WANGARATTA VIC 3677
Ph: 03 5333 6012	Ph: 03 5722 0523
Fax:03 5333 6093	Fax:03 5722 0550
Mr Peter Tyler	Mr Mark Grant
Manager, Provider Management	Manager, Provider Management
Gippsland Region	Western Metropolitan Region
P O Box 1661	71 Moreland Street
TRARALGON VIC 3844	FOOTSCRAY VIC 3011
Ph: 03 5177 2581	Ph: 03 9275 7190
Fax:03 5177 2570	Fax:03 9275 7200
Ms Jan Collett	Mr Mike Debinski
Manager, Provider Management	Manager Provider Management
Northern Metropolitan Region	Eastern Metropolitan Region
145 Smith Street	883 Whitehorse Road
COLLINGWOOD VIC 3066	BOX HILL VIC 3128
Ph: 03 9412 5303	Ph: 03 9843 6000
Fax:03 9412 5301	Fax:03 843 6541
Ms Helen Russell
Manager, Provider Management
Southern Metropolitan Region
122 Thomas Street
DANDENONG VIC 3175
Ph: 03 9213 2051
Fax:03 9213 2160