National Hospital Cost Data Collection, Public Hospitals Cost Report, Round 18 (Financial year 2013-14)

The National Hospital Cost Data Collection (NHCDC) is a unique collection and remarkable evidence base that is used across the Australian health system.

Participation

The Round 18, financial year 2013-14, NHCDC includes costs from 447 hospitals, 46 more than in Round 17. Queensland and NSW were the major contributors to this increase with 49 and 14 more hospitals respectively. Tasmania submitted 18 fewer hospitals than in Round 17, these were all small rural hospitals. The increase in hospital participation led to an increase in the proportion of admitted acute activity for which expenditure were submitted by 1.0 percent to 92.3 percent.

Total expenditure

In the Round 18 NHCDC, total expenditure submitted was $33.8 billion, a 6.8 percent increase over Round 17.

Expenditure is split between five streams:

  • Admitted acute accounted for 74 percent of total expenditure, reporting $24.8 billion from 352 hospitals. This represents a 6.3 percent increase in expenditure over Round 17, with five fewer hospitals reporting data;
  • Emergency Department (ED) expenditure accounted for $4.0 billion from 256 hospitals. This represents a 6.1 percent increase in expenditure over Round 17, with 13 fewer hospitals reporting data;
  • Non-Admitted expenditure accounted for $4.5 billion from 349 hospitals. This represents a 13.0 percent increase in expenditure over Round 17, and an increase of 68 hospitals reporting data;
  • Subacute expenditure accounted for $2.2 billion from 335 hospitals. This represents a 7.0 percent increase in expenditure over Round 17, with the number of hospitals reporting data unchanged; and
  • Other product expenditure accounted for $36.4 million from 195 hospitals. This represents a 33.9 percent decrease in expenditure over Round 17, with 27 more hospitals reporting data.