Culturally and Linguistically Diverse Patient Costing Study



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1.1Findings

1.1.1Acute encounters


417The representation of CALD patients who were treated for a mental health condition, who identified as non-indigenous was very low relative to total sample site encounters. Across NSW, QLD and SA, these encounters made up less than 1%. The data supplied by Victoria did not contain the fields required to perform this analysis (the data did not contain the MDC field or the number of psychiatric care days).

418The key group encounters represent less than 1% of the total encounters in each of the states, and therefore no further analysis was done on any cost differential between this group and the overall sample.



Description of analysis performed

NSW
(PL)


QLD
(PL)


SA
(FS)


Key group encounters

2,251

248

55

Total sample site encounters

1,355,275

166,019

40,496

Key group encounters as a % of total sample site encounters

0.17%

0.15%

0.14%

419

1.1.1Emergency Department encounters


420NSW provided ED encounters with two CALD patient indicators, ‘Preferred Language’ and ‘Interpreter Required’, while the ED data supplied by Victoria did not contain the fields required to perform this analysis

421In NSW, the proportion of encounters that met the “key group” criteria was very low relative to the total encounters of the respective sample sites. There were no encounters that met the criteria for the sites submitted by VIC.

422The key group encounters represent less than 1% of the total encounters in NSW, and therefore no further analysis was done on any cost differential between this group and the overall sample.

Description of analysis performed

NSW
(PL)


NSW
(IR)


Key group encounters

1,265

406

Total sample site encounters

1,806,436

1,806,732

Key group encounters as a % of total sample site encounters

0.07%

0.02%

423

1.1.1Outpatient encounters


424Victoria was the only jurisdiction to provide outpatient encounters for analysis in this CALD patient costing study. The proportion of encounters that met the “key group” criteria represent approximately 0.04% of total encounters for the sample site.

425The key group encounters represent less than 1% of the total encounters in Victoria, and therefore no further analysis was done on any cost differential between this group and the overall sample.



Description of analysis performed

VIC
(IR)


Key group encounters

63

Total sample site encounters

280,538

Key group encounters as a % of total sample site encounters

0.02%


1

2Appendices


Appendix A: Glossary

Appendix B: Consultation attendees and survey respondents

Appendix C: Submissions to the Pricing Framework 2014-15 and 2015-16

Appendix D: Literature Review Searches

Appendix E: Literature review sources

Appendix F: CALD data items collected for mental health



Appendix G: Data summary and analysis assumptions
    1. Glossary


Acronym/abbreviation

Description

AHPCS

Australian Hospital Patient Costing Standards

AIHW

Australian Institute of Health and Welfare

AR-DRG

Australian Refined Diagnosis Related Groups

ATSI

Aboriginal and Torres Strait Islander

CALD

Culturally and Linguistically Diverse

CCU

Critical Care Unit

Cost bucket

An NHCDC/other defined group of costs used for reporting.

DH

Department of Health

ED

Emergency Department

Encounter

Unique occurrence of a patient record on hospital system (also known as a separation)

FS

First spoken language

ICU

Intensive Care Unit

IHPA

Independent Hospital Pricing Authority

IR

Interpreter required

LEP

Low English Proficiency

LHN

Local Health Network

LOS

Length of stay

NEP

National Efficient Price

NESB

Non-English speaking background

NHCDC

National Hospital Cost Data Collection

NWAU

National Weighted Activity Unit

PAS

Patient Administration System

PL

Preferred language

PwC

PricewaterhouseCoopers

Triage

The process of sorting emergency patients into categories of priority for treatment. Patients presenting to emergency departments are rated on a Triage scale of 1 to 5, with patients at triage category 1 being the most urgent to be seen.

VCDC

Victoria Cost Data Collection

426


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