Hospital Throughput 1997/98

Hospital Throughput 1997/98
Date of publication: September 1999

Disclaimer
This report includes data supplied by purchasers of health services and by health provider organisations. Whilst every care has been taken in the preparation of the information contained in this report, the Ministry of Health can not confirm the accuracy nor comprehensiveness of the supplied data, or of tables, analyses, conclusions and other information in this report which is based on that supplied data. Consequently, all information in this report should be used as a guide only. The Ministry of Health recommends that before acting on any of this information you seek independent advice.

Published in December 1999 by
Ministry of Health
PO Box 5013
Wellington
New Zealand

ISBN 0-478-23908-4 (Booklet)
ISBN 0-478-23911-4 (Internet)

Introduction
Hospital Throughput 1997/98 is the third report in this annual series.

On 1 July 1993, the New Zealand health system was reorganised around a purchaser/provider split. Four regional health authorities (RHAs) were responsible for purchasing health services within each of their regions. Their primary roles were to assess the needs for and purchase health and disability services, as well as monitoring the performance of health service providers against purchase agreements.

From 1 July 1997 to 31 December 1997, the Transitional Health Authority had overall responsibility for purchasing personal health, disability support and some public health services for the people of New Zealand. This function was transferred to the Health Funding Authority (HFA) on 1 January 1998.

In most cases the HFA purchased medical and surgical services from the 23 Health and Hospital Services (HHSs) Formerly known as Crown Health Enterprises (CHEs).. The HHSs are responsible for public hospitals and associated services. The HFA also purchased services from private providers.

Hospital Throughput 1997/98, the third report in this annual series, provides a summary of publicly funded medical and surgical secondary care, as recorded on the National Minimum Dataset (NMDS) data. Information is presented for the 1997/98 year, covering the period 1 July to 30 June 1998 inclusive, as well as for previous financial years. The data includes services purchased by both the HFA, and the Accident Rehabilitation and Compensation Insurance Corporation (ACC), the latter being responsible for purchasing elective treatment for people as a result of an accident or injury For accidents and injuries deemed to be covered by the Accident Insurance Act 1998.. The following information is included in this report:

National Services. This includes medical, surgical and total throughput volumes, discharges by Major Diagnostic Category (MDCs), and information for the 20 highest volume Australian National Diagnosis Related Groups (AN-DRGs), version 3.1. MDCs are derived from the AN-DRGs.
Geographic analysis. Volumes by Regions (old RHA regions), and the sub-regions, which are defined by amalgamating territorial local authority areas, are presented.
Provider type. Volumes for each of the 23 HHSs and non-HHS providers are presented.

The report should be of interest to the following groups:

all funders, purchasers and providers of health care in New Zealand
administrators of health care facilities
health care professionals
consultants and researcherrs, whether academic or commercial, working in the health area.

The report should be of particular relevance to health care providers, providing an indication of their performance relative to a national benchmark.

This publication has been converted to Adobe's Portable Document Format (PDF). Here is a link to information on downloading and viewing PDFs.

This publication has been split into a number of parts for faster download times.

This publication is also available in hard copy.

Part 1
Disclaimer
Acknowledgements
Introduction
Notes On The Data (24 Kb)

Part 2
AN-DRG and Health Specialty Information (76 Kb)

Part 3
Total Throughput
Medical Throughput
Surgical Throughput (230 Kb)

Part 4

Section 1	Pre-MDC, MDC 01, 02, 03
Section 2	MDC 04, 05, 06, 07
Section 3	MDC 08, 09, 10, 11
Section 4	MDC 12, 13, 14, 15
Section 5	MDC 16, 17, 18, 20
Section 6 (1602 Kb)	MDC 21, 22, 23

Part 5
Through Put by High Volume AN_DRGs

Section 1	AN-DRG 052, 099, 122, 124
Section 2	AN-DRG 128, 172, 177, 187
Section 3	AN-DRG 252, 261, 347, 484
Section 4	AN-DRG 491, 659, 670,674
Section 5 (1419 Kb)	AN-DRG 676, 678, 683, 727

Part 6
Appendices
	Populations
	Filtering of Hospital Discharge Data
	Case-mix Adjustment
	Standardisation
(78 Kb)	Average Length of Stay and Day Cases
Glossary
Bibliography