Development of the Australian Emergency Care Classification

The Independent Hospital Pricing Authority (IHPA) released a public consultation paper on the development of the Australian Emergency Care Classification (AECC) on Wednesday 8 November 2017. The public consultation process closed on Friday 8 December 2017.

This public consultation paper sought stakeholders’ views on the proposed structure and data items for inclusion for the AECC. The consultation paper described the work undertaken to date to develop a new classification system for emergency care services, provided details of the statistical data analysis undertaken and consultation processes used. A Technical compendium to the consultation paper was also published. The Technical compendium provided further information on the classification end classes and the grouping logic, to assist stakeholders in the review of the proposed classification.

The development of the AECC builds on a significant program of work to refine the ABF framework for emergency care. The structure of the AECC has been based on the detailed findings from the Investigative review of emergency care services in Australia for Activity Based Funding purposes (the Investigative review), completed in 2014, which evaluated local and international classification systems used for emergency care services. The Investigative review recommended the development of a new classification system for emergency care services in Australia that better utilised principal diagnosis and took into account patient complexity factors; replacing the current classification systems which use triage as a proxy for patient complexity.

The development of the AECC has been underpinned by a high quality costing study of emergency care services, completed in 2017. The Emergency care costing study included a representative sample of hospitals across Australia and collected a range of patient and stay characteristics as drivers of cost. The information from the costing study was used to inform the development of the AECC.

The AECC is in the interests of all Australian governments, public hospital health service providers, clinicians and patients. It will provide more accurate and clinically meaningful data on emergency care services; particularly the allocation of resources to reflect the complexity of patient. These factors will help drive higher quality patient care and outcomes.    

As with other classification systems, the development of the AECC is an iterative process. As such, further work will be undertaken to enhance the classification system and data items in the future.


Submitting comments

Digital and hard copy submissions are welcome. Submissions will be published in their original format on this page as soon as possible after they are received (unless the respondent advises otherwise).

Digital submissions

Please forward digital submissions to submissions.ihpa [at] (subject: Development%20of%20the%20Australian%20Teaching%20and%20Training%20Classification) . Preferred formats include .docx, .pdf and .rtf. If the content has been emailed to IHPA the text of email submissions will be reproduced in Word format.

Hard copy submissions

Please forward hard copy submissions to:

Independent Hospital Pricing Authority
PO Box 483
Darlinghurst NSW 1300

Handwritten submissions will be scanned into PDF documents and uploaded to this page.

If you need help, or have further questions about the Development of the Australian Emergency Care Classification or the submission process, please contact IHPA via email, enquiries.ihpa [at], or phone, +61 2 8215 1100.

The submission period will end at 5pm (AEDT) Friday, 8 December 2017.


Submissions were forwarded to IHPA in a range of formats including Word, RTF, PDF and handwritten or typed hardcopy. In order to make submissions available as soon as possible, most submissions have been published in their original format. Handwritten submissions have been scanned into PDF documents. If the content has been emailed to IHPA the text of email submissions has been reproduced in Word format.

If you need help please contact IHPA by email enquiries.ihpa [at] or by calling +61 2 8215 1100.