Feedback Template Allied Health Data Set Specificatin Organisatin: Australian Orthtic Prsthetic Assciatin (AOPA) Date: 14 th f Nvember 2014 Cntact: Jackie O Cnnr Manager Advcacy and Representatin; Plicy and Prject Officer Phne: 03 9816 4620; Email: prject@apa.rg.au Principle 1. D yu supprt the review and expansin f the natinal Allied Health data set, and the prpsal t submit this t AIHW as a Natinal Data Set Specificatin? 2. D yu think that the data set shuld be mandatry fr cllectin by state and territry public health facilities? Please explain the reasn fr yur answer. Cmments AOPA supprt the review and expansin f the natinal Allied Health data set. AOPA believes it wuld be beneficial t submit such data t AIHW. It wuld be presumed that reprting f such data by a respected natinal bdy wuld assist with brad and apprpriate utilisatin f the data, which in turn wuld encurage accurate data entry at a clinician level. AOPA encurage mandatry data cllectin fr bth public and private service prviders. AOPA believe that a natinally cnsistent data set wuld enhance the reliability and validity f the data at the pint f clinician input as it wuld be mre familiar t all emplyees. Mandatry reprting wuld ensure that the data was mre representative f all aspects f the health system, therefre making it mre pwerful and useful. Nt all public health services include all aspects f allied health service prvisin, particularly smaller prfessins such as prsthetics and rthtics, therefre, nly sme health facilities prviding data culd significantly impact the ability fr the data t be representative f what is truly ccurring within the sectr and limit the ability f the data t reliably infrm future needs. In additin, with research and public plicy in many areas indicating a need fr allied health services t ccur utside f the traditinal hspital envirnment, the inclusin f private facilities wuld ensure that allied health data capture was mre accurate than anything else currently available and assist with future planning f services at an apprpriate level. Hwever, AOPA wuld questin hw the requirements f this data set will fit with VINAH in Victria and ther state based data sets already in place and wuld encurage cnsideratin f assistance with cmplementary electrnic packages t ensure that it were financially pssible fr all intended participants t cmply with cllectin f such a data set. 1. D yu agree with the administrative data elements included? 2. Are the descriptins fr administrative data elements apprpriate? Yes there is agreement with the elements included. The surce f funds fr a nn-admitted patient service event may cause cnfusin as t whether the questin relates t funding f the service delivery aspect and/r aspects f any cnsumables r equipment required as a part f the treatment being prvided. Fr example, des this relate t funding f a prsthetic limb Feedback template fr cnsultatin: Review f the Natinal Allied Health Minimum Dataset Page 1 f 3
in terms f the cmpnents which make up the limb r funding f the prsthetist wh is prviding the clinical service required t ensure thse cmpnents becme functinal fr the patient? If the surce f funds fr cnsumables and equipment is wishing t be recrded, then it will be necessary t ensure that mre than ne ptin is pssible t enter in this field and that service is separated frm cnsumables and equipment. 1. D yu agree with the activity data elements included? In particular, d yu agree with the new data elements: AOPA supprt the inclusin f this infrmatin and can envisage hw it wuld be beneficial t the efficient and cst effective planning f services int the future. a) Service Prvider Type b) Attendance Type c) Service Delivery Mde d) Duratin 2. Are the descriptins fr activity data elements apprpriate? 3. D yu agree with the clinical data elements included? In particular, d yu agree with the new data elements: As per belw. a) Clinical Finding AOPA believe this is highly beneficial and will assist with demnstrating the knwledge Allied Health clinicians have and why the assessment aspect t their rle is s critical. b) Activity AOPA agree with the inclusin f all three aspects, assessment, interventin and plan. AOPA believe the inclusin f interventin is particularly imprtant as there is currently limited data cllected which recgnises the breadth and depth f what an rthtist/prsthetist undertakes in their daily activities. Therefre, it wuld be imprtant t AOPA that suitable detail culd be added within this interventin area t enable the extensive scpe f practice f prfessins t be recgnised. 4. Are the descriptins fr clinical data elements apprpriate? It is difficult t decipher hw the Indicatr fr Interventin differentiates frm and therefre adds value t the data set given the Diagnsis and Clinical Finding categries. 5. Are there any additinal items that yu believe shuld be included in an Allied Health Data Set Specificatin? If s please prvide definitin and justificatin fr inclusin Feedback template fr cnsultatin: Review f the Natinal Allied Health Minimum Dataset Page 2 f 3
6. Other cmments Please submit feedback t Allied_Health_Advisry@health.qld.gv.au by 14 Nvember, 2014. Feedback template fr cnsultatin: Review f the Natinal Allied Health Minimum Dataset Page 3 f 3
Prpsal fr Cnsultatin: Natinal Allied Health Data Set Specificatin Overview The Natinal Allied Health ehealth Cllabrative (NAHeHC) is seeking feedback and supprt frm key stakehlders n revisin f the existing Allied Health Minimum Data Set, including cnsideratin f additinal clinical data items (see Appendix 1 Prpsed Natinal Allied Health Data Set Specificatin). Once agreement has been reached regarding the revised cntent f the data set, it is prpsed that it be submitted t the Australian Institute f Health and Welfare (AIHW) fr inclusin in the Natinal Data Set Specificatins. Backgrund In 2001 the Health Activity Hierarchy, including The Allied Health Minimum Data Set, was develped by the Natinal Allied Health Classificatin Cmmittee (NAHCC) t supprt Allied Health in the mve t casemix funding 1. This data set cnsists primarily f administrative and activity data and is available at http://www.nahcc.rg.au/hierarchy.htm. A review f the Allied Health Minimum Data Set was cmmenced by NAHCC in cllabratin with the Department f Health and Ageing in 2007. Hwever, this was nt cmpleted due t changes in funding. With the current mvement frm paper based t electrnic clinical recrds in public health services acrss jurisdictins in Australia, it has been identified that there is a need t expand the Allied Health Data Set t include clinical data items. In 2013 the Natinal Allied Health ehealth Cllabrative (NAHeHC) was established t fster infrmatin sharing arund ehealth, ABF, and infrmatin management acrss rganisatins and jurisdictins, bth public and private (see Appendix 2 Terms f Reference). The first key piece f wrk identified as a pririty by this grup was the develpment f a standard clinical data set fr use in ehealth in the public sectr, as a pririty, and als cnsidering its use fr the private sectr. NAHeHC began discussins t review the Allied Health Minimum Data Set in 2013, utilising datasets already develped in New Suth Wales, Queensland and Suth Australia. Having identified and cnsidered cmmnalities between these datasets, alng with recmmendatins frm the 2007 data set review, the attached revised Natinal Allied Health Data Set Specificatin is nw presented fr wider stakehlder cnsultatin. Prpsed Changes A cmplete table f the prpsed data set is included in Appendix 1. The name f the data set has been mdified t reflect the terminlgy used by the AIHW - as minimum data set refers t a set f data items that are mandatry fr cllectin by jurisdictins, this terminlgy is being replaced with data set specificatin, which describes a data set that is recmmended as best practice fr cllectin. It is prpsed that at this stage the data set be put frward as recmmended best practice; hwever, shuld there be supprt frm stakehlders, an applicatin can be made t AIHW thrugh the Natinal Health Infrmatin Standards and Statistics Cmmittee (NHISSC) fr the data set t becme mandatry in the future. The key changes prpsed are: Prpsal fr cnsultatin: Natinal Allied Health Data Set Specificatin Page 1 f 9
Update existing data items in line with changes t the Natinal Health Data Dictinary (eg. Unique Client Identifier t Persn Identifier. Add activity data element Service Prvider Type t identify the Allied Health prfessin and the designatin f the prvider. Revise Party Relatinship t be replaced with tw new elements, Attendance Type and Service Delivery Mde. Include a data element fr Duratin t reflect time spent in each area f the Health Activity Hierarchy. Add tw new clinical data items Clinical Finding and Activity. Benefits / Purpse Review and expansin f the Natinal Allied Health Data Set will: Supprt the implementatin f a current, natinally cnsistent dataset that meets the needs f allied health service prviders. Enable cnsistent reprting f allied health cntributin t services and allw fr imprved data sharing and benchmarking acrss Australia. Assist with allied health wrkfrce planning. It is timely fr this review t ccur nw, as states and territries are already well underway t establishing electrnic health recrds in their jurisdictins. Scpe The Natinal Allied Health Data Set Specificatin will prvide a structure arund which each state can develp their ehealth recrds. At this stage, the data set will include brad data cllectin fields and definitins nly and will nt prvide discipline-specific data sets, althugh this wrk may be undertaken in the future. Currently, New Suth Wales, Queensland and Suth Australia public sectrs all have discipline-specific cdesets, which can be shared between jurisdictins alng with their experiences f implementatin. The data set review includes changes t the existing data elements t ensure they reflect current service needs, as well as the prpsed additin f several new data items. The prpsed Natinal Allied Health Data Set Specificatin includes Administrative and Activity data items cnsidered essential fr Allied Health data cllectin; hwever, it shuld be nted that the majrity f these will be cllected by existing data cllectin prcesses within the health service / facility and d nt need t be cllected / recrded by the individual allied health prfessinal. Cmmunicatin / Cnsultatin Cmprehensive stakehlder cnsultatin is essential t establishing natinal agreement n the Allied Health Data Set Specificatin. NAHeHC is seeking feedback and supprt frm the fllwing key rganisatins and bdies: Natinal Allied Health Classificatin Cmmittee State and Territry Allied Health Advisrs Cmmnwealth Department f Health Allied Health Prfessins Australia (AHPA) and assciated prfessinal rganisatins Australian Institute f Health and Welfare (AIHW) Prpsal fr cnsultatin: Natinal Allied Health Data Set Specificatin Page 2 f 9
Independent Hspital Pricing Authrity (IHPA) Natinal Hspital Perfrmance Authrity (NHPA) Natinal e-health Transitin Authrity (NEHTA) Australian Cnsrtium fr Classificatin Develpment (ACCD) As part f the cnsultatin prcess, NAHeHC will be requesting: 1. Supprt frm key stakehlders fr the review and expansin f the Natinal Allied Health Dataset and submissin t the AIHW as a Natinal Data Set Specificatin. 2. Feedback n the prpsed data elements and descriptins. 3. Feedback n whether the data set shuld be mandatry fr cllectin by state and territry public health facilities. 4. Advice frm the AIHW regarding the prcess fr apprval and publicatin f the Natinal Allied Health Data Set Specificatin. Stakehlders are requested t respnd using the standard feedback template (see attached). The cnsultatin perid will cmmence 18 th September 2014 and clse 14 th Nvember 2014. Members f NAHeHC are available t present t key stakehlder grups n request. Cnsultatin papers will als be made available t the public n the webpage f the Allied Health Prfessins Office Queensland. Fr further infrmatin, cntact Allied_Health_Advisry@health.qld.gv.au r ph. 07 3328 9298. Prpsal fr cnsultatin: Natinal Allied Health Data Set Specificatin Page 3 f 9
Appendix 1: Prpsed Natinal Allied Health Data Set Specificatin Data Element Descriptin Surce Administrative Data Persn Identifier Persn identifier unique within establishment r agency. Sex The bilgical distinctin between male and female. Date f Birth The date f birth f the persn Indigenus Status Area f Usual Residence Pstcde Telephne Number Interpreter Services Required Preferred Language Funding Surce Carer Availability Activity Data Admissin Date Whether a persn identifies as being f Abriginal r Trres Strait Islander rigin, as represented by a cde. This is in accrd with the first tw f three cmpnents f the Cmmnwealth definitin. Gegraphic lcatin f usual residence as represented by a cde. The gegraphical lcatin is reprted using a five digit numerical cde t indicate the Statistical Lcal Area (SLA) within the reprting state r territry, as defined in the Australian Standard Gegraphical Classificatin (ASGC). Fur digit pstcde f area f the usual residence f the persn. The telephne number t cntact the persn. Whether an interpreter service is required by r fr the persn, as represented by a cde. The language (including sign language) mst preferred by the persn fr cmmunicatin, as represented by a cde. The surce f funds fr an admitted patient episde r nnadmitted patient service event. The carer is any persn, fr example, family, friend r neighbur wh is giving regular, nging assistance t the identified client withut payment ther than the pensin r benefit. Date n which an admitted patient cmmences an episde f care. NAHCC - HAH Service Date The date n which a service ccurred. Referral Surce Client Type (nn-mandatry) Health Care Prvider Identificatin Service Prvider Type A persn r rganisatin frm which a persn r grup f peple is referred. Whether service prvided n an inpatient, same day inpatient, utpatient, cmmunity, r ther basis. Identificatin f staff engaged in service prvisin t client (either staff identificatin number r staffing level). The type f service prvider cnsulted during a health clinic visit. Includes categry f allied health prfessin and the designatin f the health care prvider wh prvided the NAHCC - HAH Prpsal fr cnsultatin: Natinal Allied Health Data Set Specificatin Page 4 f 9
Attendance Type Health Service Setting Duratin Service Delivery Mde clinical service eg. physitherapy assistant, physitherapist. Indicates whether an interactin is either the initial (new) r subsequent (review) attendance during a single curse f treatment (episde f care) frm yur service r prfessin. This applies t bth admitted and nn-admitted patients. The service setting in which the health-care incident ccurred. This is the physical lcatin where examinatin, cnsultatin, treatment r ther service was prvided by the health prfessinal. Eg. Hspital Cmmunity health centre Aged care service Patient s hme Other, please specify Ttal time in minutes, attributable t a patient (face-t-face r nn-face-t-face) r nn-patient related activity (teaching, research and administrative functins). This includes activity nt in the presence f the patient, such as travel time. Duratin is cllected under the health activity hierarchy: Clinical Care Activity Activities which prvide a service t an individual, grup r cmmunity t influence health status. Clinical Services Management Prfessinal and management activities which supprt and are essential t clinical care. Teaching and Training Frmal teach r training activities which relate t the imparting f knwledge, skills and clinical cmpetency t undergraduate and pst graduate students, practitiners in wn discipline, and ther practitiners as part f a structure prgram. Research Activities undertaken t advance the knwledge f the delivery f care t an individual grup r cmmunity. Research is limited t activities that lead t r fllw frmal apprval f the prject by a research cmmittee r equivalent bdy. Cntact Mde Primary methd f cmmunicatin used between the service prvider and the client (r ther persns where the client is nt present) during patient attributable cntact. In persn Telephne Videcnference Email NAHCC HAH (revised) NAHCC HAH Prpsal fr cnsultatin: Natinal Allied Health Data Set Specificatin Page 5 f 9
Pstal / curier service Other Grup sessin indicatr An indicatr f whether a patient service event was delivered in a grup. Clinical Data Diagnsis Indicatr fr Interventin The medical diagnsis/es f the client. (ptinal fr nnadmitted clients) The patient specific reasn fr Allied Health interventin / service. Des nt refer t a medical cnditin / diagnsis r a particular treatment / therapy. NAHCC HAH (ICD / DRG) NAHCC HAH (revised) Clinical Finding The discipline specific diagnsis based n allied health clinical assessment. New Item Activity Assessment An evaluatin r appraisal f the client based n bth subjective and/r bjective data, cnducted fr the purpses f frming a diagnsis and plan f treatment. An assessment may include the needs, preferences and abilities f the client. New Item Interventin The task / treatment / service prvided by the allied health prfessinal. Plan An indicatin f whether the patient is t be reviewed, referred r discharged by the allied health service. Natinal Health Data Dictinary NAHCC HAH = Natinal Allied Health Classificatin Cmmittee Health Activity Hierarchy Prpsal fr cnsultatin: Natinal Allied Health Data Set Specificatin Page 6 f 9
Appendix 2: NAHeHC Terms f Reference Terms f Reference Natinal Allied Health ehealth Cllabrative 1. PURPOSE A number f Allied Health rganisatins are prviding representatin and expert input int the natinal r jurisdictin ehealth, ABF, infrmatin management agenda frm a public r private r bth health sectrs f Australia. The purpse f the Natinal Allied Health ehealth Cllabrative is t bring tgether representatives f these grups in a discussin frum t fster infrmatin sharing; and establish wrking grups as required t address issues raised at this meeting (e.g. clinical data sets). 2. FUNCTIONS Facilitate infrmatin sharing acrss rganisatins and jurisdictins n the fllwing: - ehealth in bth the private and public sectr - Persnal electrnic health recrds - Standardisatin f infrmatin management acrss Australia including allied health data sets and business rules - Activity Based Funding (ABF) and the csting and pricing f allied health services; and - benchmarking f allied health activity. Reprting and making recmmendatins t member s respective rganisatins based n the utcmes frm these meetings. Oversee the develpment f a standard clinical data set fr use in ehealth in the public sectr, as a pririty, and cnsider its use fr the private sectr. Prmte the implementatin f standardised allied health infrmatin acrss state jurisdictins. Build cllabratin and crdinatin between jurisdictins and rganisatins in the fields f allied health ehealth and infrmatin management. 3. MEMBERSHIP Membership will be made up f representatives frm the fllwing rganisatins: Natinal Allied Health Advisry Cmmittee (chair) Natinal Allied Health Classificatin Cmmittee (NAHCC) Allied Health Prfessins Australia (AHPA) Health Infrmatics Sciety f Australia (HISA) Australasian Allied Health Benchmarking Cnsrtium (AAHBC) Services Australia Rural and Remte Allied Health (SARRAH) Indigenus Allied Health Assciatin (IAHA) Australian Medicare Lcal Alliance (AMLA) Primary Care Rep Other jurisdictinal and internatinal representatives invlved in implementing ehealth initiatives at a service level Membership will be reviewed every tw years. 4. PROXIES AND GUESTS Each member shall nminate a permanent prxy (i.e. smene that will attend if they are unavailable). Prxies must be fully briefed prir t the meeting. Prpsal fr cnsultatin: Natinal Allied Health Data Set Specificatin Page 7 f 9
Where agreed t by the Chair, the Cllabrative may invite ther persns with particular expertise t participate in the Cllabrative s prceedings / activities as guests f the meeting; hwever such persns d nt assume membership. 5. QUORUM The qurum fr the Cllabrative will be the Chair plus half f its members. In the absence f a qurum, the meeting may cntinue at the Chair s discretin with any items requiring a decisin t be deferred and circulated fllwing the meeting t members as an Out-f-Sessin item. 6. OUT-OF-SESSION ITEMS Any urgent matters unable t be deferred t next meeting r any fllw up decisins may be managed as an Out-f-Sessin item. The Out-f-Sessin item will be sent t Cllabrative members via email with a requested respnse date. Fr a reslutin t be apprved, the majrity f members must indicate their endrsement by the respnse date. It is agreed that if members d nt respnd, it will be assumed that they are supprtive and/r agree with the matter. If apprved, the reslutin will be entered int the minutes f the next meeting. If nt endrsed by a majrity f members, the item will be deferred until the next meeting fr discussin. 7. CONFIDENTIALITY Members f the Cllabrative may receive infrmatin that is regarded as cmmercial-in-cnfidence, clinically cnfidential r have privacy implicatins. Members acknwledge their respnsibility t maintain cnfidentiality f all infrmatin that is nt in the public dmain. 8. MEETING FREQUENCY The Cllabrative will meet bi-mnthly. Ad hc meetings will be scheduled as necessary in rder t discuss arising issues. 9. SECRETARIAT A member f the Cllabrative will prvide Secretariat supprt, that is, preparatin f agendas, minutes and meeting crdinatin. 10. BUSINESS RULES Agenda and Recrds Members wishing t place items n the agenda must ntify the secretariat at least seven wrking days prir t the scheduled meeting. The agenda and relevant papers will be sent ut t all members a minimum f three wrking days prir t the meeting. Late agenda items will be tabled at the discretin f the Chair. Bth electrnic and paper cpies f dcumentatin distributed t and received frm Cllabrative members will be kept and maintained by the secretariat. Standard Agenda Template: A standard agenda template will be created by the secretariat and will include the fllwing items: Cnfirmatin f previus minutes Reprt n actin items Prpsal fr cnsultatin: Natinal Allied Health Data Set Specificatin Page 8 f 9
Updates frm each grup Attendance: Telecnference facilities will be available fr each meeting. Terms f Reference: The terms f reference fr the Cllabrative will be reviewed every 24 mnths. The next review date will be September 2015. 11. TERMINATION Terminatin f the Cllabrative will ccur when members agree that the Cllabrative has served its purpse r its functins can be undertaken by anther cmmittee r grup. Cllabrative members will be advised f the frmal terminatin in writing. 12. ENDORSEMENT The members f the Cllabrative acknwledge and agree t abide by the prvisins set ut in these Terms f Reference. Prpsal fr cnsultatin: Natinal Allied Health Data Set Specificatin Page 9 f 9