Tier 2 Non-Admitted Care Services classification development

Prior to the implementation of Activity Based Funding, there was no national classification used for funding non-admitted services.

The current Tier 2 classification system for non-admitted care developed out of the National Hospital Cost Data Collection (NHCDC) list of clinics. In 1997, an Outpatient Costing and Classification Study was commissioned by the Commonwealth. This study resulted in the Developmental Ambulatory Classification System (DACS). While DACS was never implemented, the list of clinics from the study formed the list of Tier 2 clinics in the NHCDC. This data was first collected in the Round 3 (1997-98) NHCDC, and has been reported in each year since.

In 2011, the list of Tier 2 clinics (known as classes) was updated to accommodate the increase in services that were previously provided to inpatients now being undertaken as outpatient services. This also included a full review of the classification in response to the National Health Reform Agreement.

The aim was to develop a classification system for use with non-admitted outpatient services for activity based funding (ABF) purposes. The outcome of the review was the publication of version 1.0 of the Tier 2 Outpatient Clinic Definitions. The table below details the names of the Tier 2 versions, the corresponding National Efficient Price (NEP) and number of classes for each version.

Name

Version

NEP

Number of classes

Review type

Tier 2 Outpatient Clinic Definitions

1.0

 

107

 

Tier 2 Outpatient Clinic Definitions

1.2

NEP12

107

Minor

Tier 2 Non-admitted Services

2.0

NEP13

136

Major

Tier 2 Non-admitted Services

3.0

NEP14

137

Major

Tier 2 Non-admitted Services

4.0

NEP15

138

Major

.


Contact