What other information is available?
More information on these data are available in the Admitted patient care 2021–22: What services were provided? data tables.
Definitions of the terms used in this section are available in the Glossary.
An episode of Acute care for an admitted patient is one in which the principal clinical intent is to do one or more of the following:
- manage labour (obstetric)
- cure illness or provide definitive treatment of injury
- perform surgery
- relieve symptoms of illness or injury (excluding palliative care)
- reduce severity of illness or injury
- protect against exacerbation and/or complication of an illness and/or injury which could threaten life or normal functions
- perform diagnostic or therapeutic procedures
Rehabilitation care is care in which the primary clinical purpose or treatment goal is improvement in the functioning of a patient with an impairment, activity limitation, or participation restriction due to a health condition.
Rehabilitation care is always:
- delivered under the management of or informed by a clinician with specialised expertise in rehabilitation
- evidenced by an individualised multidisciplinary management plan, which is documented in the patient’s medical record, which includes negotiated goals within specified time frames and formal assessment of functional ability.
Palliative care is defined as care in which the primary clinical purpose or treatment goal is optimisation of the quality of life of a patient with an active and advanced life-limiting illness. The patient will have complex physical, psychosocial and/or spiritual needs.
Palliative care is always:
- delivered under the management of or informed by a clinician with specialised expertise in palliative care
- evidenced by an individualised multidisciplinary assessment and management plan, which is documented in the patient's medical record that covers the physical, psychological, emotional, social and spiritual needs of the patient and negotiated goals.
Mental health care
Mental health care is defined in this publication as care in which the primary clinical purpose or treatment goal is improvement in the symptoms and/or psychosocial, environmental, and physical functioning related to a patient’s mental disorder.
Mental health care:
- is delivered under the management of, or regularly informed by, a clinician with specialised expertise in mental health
- is evidenced by an individualised formal mental health assessment and the implementation of a documented mental health plan
- may include significant psychosocial components, including family and carer support.
Mental health care differs from mental health-related care reported in AIHW Mental health services reports. A hospitalisation is classified as mental health-related if:
- it had a mental health-related principal diagnosis, which, for admitted patient care in this report, is defined as a principal diagnosis that is either:
- a diagnosis that falls within the section on Mental and behavioural disorders (Chapter 5) in the International Statistical Classification of Diseases and Related Health Problems, 10th revision, Australian Modification (ICD‑10‑AM) (codes F00–F99), or
- a number of other selected diagnoses (see the technical information for a full list of applicable diagnoses), and/or
- it included any specialised psychiatric care.
For 2021–22, mental health care refers to hospitalisations for which the care type was reported as Mental health. The care type Mental health was introduced from 1 July 2015. Prior to this, mental health admitted patient activity was assigned to one of the other care types.
A day is considered ‘qualified’ for health insurance benefits purposes when a newborn meet at least 1 of the following criteria:
- the newborn is the second or subsequent live born infant of a multiple birth, whose mother is currently an admitted patient
- the newborn is admitted to an intensive care facility in a hospital, being a facility approved by the Commonwealth Minister for the purpose of the provision of special care
- the newborn is admitted to or remains in hospital without its mother.
A newborn admission to hospital can occur at any time within the first 9 days of life, including at the time of birth.
The reporting of unqualified newborns has changed over time and varies across jurisdictions. Prior to 2017–18, newborn episodes involving unqualified care were routinely excluded from national reporting on the basis that they did not meet admission criteria for all purposes. However, due to changes in Newborn care practices (such as, care being provided to unqualified newborns on the ward rather than in a special care nursery) stakeholders have expressed interest in the reporting of all newborn episodes, regardless of qualification status.