Nhcdc round 19 Independent Financial Review



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Activity data


Table presents patient activity data based on source and costing systems for the Gold Coast Hospital. This activity data is then compared to Table which highlights the transfer of activity data by NHCDC product from the Gold Coast Hospital to Queensland Health and then through to IHPA submission and finalisation.
Table – Activity data – Gold Coast University Hospital

Activity Data

# Records from Source

# Records in costing system

Variance

# Records linked to Admitted

# Records linked to Emergency

# Records linked to Non-admitted

# Records linked to Other

Total Linking Process

# Unlinked records

Inpatient

136,923

136,923

-

136,923

-

-

-

136,923

-

Emergency

150,508

150,508

-

-

150,508

-

-

150,508

-

Outpatients

494,918

494,918

-

-

-

494,918

-

494,918

-

TOTAL

782,349

782,349

-

136,923

150,508

494,918

-

782,349

-

Source: KPMG based on data supplied by the Gold Coast Hospital and Queensland Health

Table – Activity data submission – Gold Coast University Hospital



Product

Activity related to 2014-15 Costs

Adjustments

Activity submitted to jurisdiction

Adjustments

Activity submitted to IHPA

Total_Activity_submitted_for_Round_19_NHCDC'>Activity received by IHPA

Adjustments

Total Activity submitted for Round 19 NHCDC

Acute and Newborns

132,030

(37,740)

94,290

(87)

94,203

94,203

 (3,803)

 90,400

Non-admitted

494,921

(100,955)

393,966

24,985

418,951

418,951

-

 418,951

Emergency

150,508

(58,550)

91,958

(5,390)

86,568

86,568

-

 86,568

Sub Acute

3,878

(3,053)

825

(12)

813

813

-

 813

Mental Health

-

-

-

-

-

-

-

-

Other

1,012

(1,008)

4

(4)

-

-

-

 -

Research

-

-

-

-

-

-

-

-

Teaching and Training

-

-

-

-

-

-

-

-

Total

782,349

(201,306)

581,043

19,492

600,535

600,535

 (3,803)

596,732

Source: KPMG based on data supplied by the Gold Coast Hospital, Queensland Health and IHPA
The following should be noted about the transfer of activity data for the Gold Coast Hospital:

  • There was no variance between the number of records from source systems, detailed in Table (782,349 records) and activity related to 2014-15 costs by NHCDC product in Table (782,349 records).

  • Adjustments made by the Gold Coast Hospital related to the activity associated with the excluded costs, e.g. other facilities (Robina) and WIP (refer to Item D in the reconciliation above).

  • Adjustments made by Queensland Health related to the activity associated with the excluded costs (refer to Item G in the reconciliation). These records related to record matching issues for emergency and admitted patients, outpatient records at other facilities and product types that differ from the in-scope IHPA product type.

  • The adjustment made by IHPA to the acute and newborns product related to the UQB adjustment discussed in Item J of the explanation of reconciliation items.

  • Adjustments made by IHPA related to admitted emergency reallocations are for reporting and analysis purposes (as discussed in Item J of the explanation of reconciliation items) and have no impact on the reported activity.

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