bed type classification update from 1 january 2020 · bed type classification update from 1 january...

Bed Type Classification Update from 1 January 2020

Summary This Information Bulletin advises of an update to the Bed Type classification (Amended definitions of bed type categories 91, 92 and 93) for the purposes of reporting admitted patient data, and replaces IB2018_029 and IB2019_020

Document type Information Bulletin

Document number IB2020_001

Publication date 29 January 2020

Author branch System Information and Analytics

Branch contact (02) 9461 7307

Replaces IB2018_029, IB2019_020

Review date 29 January 2025

Policy manual Not applicable

File number H19/137411

Status Active

Functional group Clinical/Patient Services - Information and DataCorporate Administration - Information and Data

Applies to Ministry of Health, Local Health Districts, Board Governed Statutory Health Corporations, Specialty Network Governed Statutory Health Corporations, Affiliated Health Organisations, Public Hospitals

Distributed to Ministry of Health, Public Health System

Audience Patient administration system managers/developers, Patient admission and ED clerical staff

Information Bulletin

Secretary, NSW Health

IB2020_001 Issue date: January-2020 Page 1 of 2

NSW HEALTH INFORMATION BULLETIN

BED TYPE CLASSIFICATION UPDATE FROM 1 JANUARY 2020

PURPOSE

The purpose of this Information Bulletin is to inform NSW Health service providers and source system administrators of amendments to the definitions of Bed Type 91 – Intensive Care Unit 1, Bed Type 92 – Intensive Care Unit 2 and Bed Type 93 – Close Observation Unit in the Bed Type classification for use in the Admitted Patient Data Collection.

KEY INFORMATION

The definitions of the Bed Type 91 – Intensive Care Unit 1, Bed Type 92 – Intensive Care Unit 2 and Bed Type 93 – Close Observation Unit have been amended to provide clarity relating to the clinically determined condition or acuity of patients. Revised Definition of Bed Type 91 – Intensive Care Unit 1

Bed within a designated Intensive Care Unit occupied by a ventilated or other similarly critically ill patient (clinically determined), including those that may require complex management and require constant monitoring and care without interruption (e.g. ventricular assist device, ECMO). (Prior to 1 July 2018, identified as Bed Type 15 – General Intensive Care).

An ICU is a specially staffed and equipped, separate and self-contained area of a hospital, dedicated to the management of patients with life-threatening illnesses, injuries and complications, and monitoring of potentially life-threatening conditions.

Beds in this category may not be used for ‘overflow patients’. Time in this Bed Type counts towards “Hours in Intensive Care”.

Notes: An intensive care bed is a bed where care is coordinated by an intensivist or specialist equivalent and is located within an Intensive Care Unit (ICU) that meets the requirements detailed in the current version of the NSW Health Guide to the Role Delineation of Health Services for an intensive care service. The Guide has three levels for an intensive care service (Level 4, 5 or 6).

Revised Definition of Bed Type 92 – Intensive Care Unit 2

Bed within a designated Intensive Care Unit occupied by a critically ill patient whose condition or acuity has been clinically determined as lower than that requiring an Intensive Care Unit 1 bed.

An ICU is a specially staffed and equipped, separate and self-contained area of a hospital, dedicated to the management of patients with life-threatening illnesses, injuries and complications, and monitoring of potentially life-threatening conditions.

Beds in this category may not be used for ‘overflow patients’. Time in this Bed Type does NOT count towards “Hours in Intensive Care”.

IB2020_001 Issue date: January-2020 Page 2 of 2

NSW HEALTH INFORMATION BULLETIN

Notes: An intensive care bed is a bed where care is coordinated by an intensivist or specialist equivalent and is located within an Intensive Care Unit (ICU) that meets the requirements detailed in the current version of the NSW Health Guide to the Role Delineation of Health Services for an intensive care service. The Guide has three levels for an intensive care service (Level 4, 5 or 6).

Revised Definition of Bed Type 93 – Close Observation Unit

Bed occupied by a patient whose condition or acuity has been clinically determined as requiring a higher level of clinical care or monitoring than is available in a general ward bed, but not requiring admission to a designated Intensive Care Unit. (Prior to 1 July 2018, identified as Bed Type 34 – High Dependency Care).

A COU is a specially staffed and equipped area of a hospital that provides an intermediate level of care between intensive care and general ward care. A Level 3 COU is applicable to a hospital that has no intensive care service and a Level 4 COU is applicable to a hospital that has a Level 4, 5 or 6 intensive care service.

Beds in this category may not be used for ‘overflow patients’. Time in this Bed Type does NOT count towards “Hours in Intensive Care”.

Notes: A close observation bed is managed under the care of a medical specialist (who may not be an intensivist) and is located within a dedicated Close Observation Unit (COU) that meets the requirements detailed in the current version of the NSW Health Guide to the Role Delineation of Health Services for a COU. The Guide has two levels for a COU (Level 3 or 4).

The revised Bed Type definitions are effective immediately and do not require any changes to be made to source systems or clinical practices, but provide definitional clarity relating to the clinically determined condition or acuity of patients.

Requests for advice concerning the Bed Type classification should be directed to the System Information and Analytics Branch, NSW Ministry of Health.

Primary Contact:

Position: Data Integrity Officer – Admitted Patient Data Collection

Contact: Roman Leszczynski

Email: [email protected]

Telephone: (02) 9391 9995

ATTACHMENTS

1. Bed Type Classification from 1 January 2020

mailto:[email protected]

NSW Health: Admitted Patient Data Dictionary Page: 1 of 33

Bed Type Classification from 1 January 2020

Defining Attributes

Definition: The designation of each bed, in terms of type of care or group of patients, which the patient is accommodated in during his/her stay in hospital.

Coverage: Each bed created on the patient administration system must be assigned a Bed Type, even if it is not being used for admitted patient care.

Guide for Use

Data Domain: The table below shows the data domain for this element.

Admitted Patient Beds – Overnight

Code Domain Description

08 Brain Injury Rehabilitation

53 Brain Injury Transitional Living

93 Close Observation Unit

33 Coronary Care

61 Detoxification

07 Drug and Alcohol

89 Drug and Alcohol Involuntary Treatment Bed

59 Emergency Medical

15 General Intensive Care * THIS BED TYPE HAS BEEN EXPIRED AS FROM 1 JULY 2018

01 General – Mixed

79 Gynaecology

34 High Dependency Care * THIS BED TYPE HAS BEEN EXPIRED AS FROM 1 JULY 2018

91 Intensive Care Unit 1

92 Intensive Care Unit 2

46 Medical

87 Medical Assessment Unit

48 Medical Oncology

18 Mother Craft

37 Neonatal Intensive Care

16 Neonate Special Care Nursery

49 Obstetrics

43 Paediatric

03 Palliative

02 Rehabilitation

69 Stroke

47 Surgical


Admitted Patient Beds - Same Day


82 Extended Short Stay Surgical (< 24 hrs)

68 Mobile Service

71 Same Day Chemotherapy

74 Same Day Drug and Alcohol

73 Same Day Mental Health

75 Same Day Not Elsewhere Classified

39 Same Day Renal Dialysis

72 Sleep Disorder (< 24 hour care)

80 Same Day Medical

81 Same Day Surgical

Other Hospital Beds


60 Bassinet

66 Delivery Suite

67 Operating Theatre / Recovery

76 Transit Lounge

Admitted Patient Beds – State-wide Specialist Units


42 Dental Service

40 Specialist Spinal Injury

41 Severe Burns

38 Transplant

Admitted Patient Beds – Designated Psychiatric


62 CAMHS Supported Paediatric * THIS BED TYPE HAS BEEN EXPIRED AS FROM 1 JULY 2019

63 CAMHS Supported Psychiatric * THIS BED TYPE HAS BEEN EXPIRED AS FROM 1 JULY 2019

64 CAMHS Acute

65 CAMHS Non-Acute

24 Confused and Disturbed Elderly (CADE) – Psychiatric * THIS BED TYPE HAS BEEN EXPIRED AS FROM 1 JULY 2007

22 Dual Diagnosis

21 Neuro-Psychiatry

13 Post Natal Depression

04 Psychiatric Acute Care

85 Psychiatric Emergency

20 Psychiatric Extended Care

12 Psychiatric Intensive Care

50 Psychiatric Medium Secure * THIS BED TYPE IS NOT CURRENTLY IN USE *

05 Psychiatric Rehabilitation

06 Psychiatric Secure


Admitted Patient Beds – Virtual


17 Emergency Department – Level 3 and Above

58 Emergency Department – Level 1 and 2

29 Collaborative Care Service Provider – General

30 Collaborative Care Service Provider – Drug and Alcohol

32 Collaborative Care Service Provider – Mental Health

25 Hospital in the Home – General

26 Hospital in the Home – Drug and Alcohol

28 Hospital in the Home – Mental Health * THIS BED TYPE IS NOT CURRENTLY IN USE *

90 Transfer to Another Facility

Non-Admitted Patient Beds – Community Residential


09 Confused and Disturbed Elderly – Non-Psychiatric * THIS BED TYPE HAS BEEN EXPIRED AS FROM 1 JULY 2007

70 Drug and Alcohol Community Residential

54 Mental Health Community Residential (24 hour staff)

55 Mental Health Community Residential (< 24 hour staff)

Non-Admitted Patient Beds – Residential Aged Care


14 Residential Aged Care – High (Nursing Home)

23 Residential Aged Care – Low (Hostel)

51 Respite – High: Federal Govt. Block Funded

52 Respite – Low: Federal Govt. Block Funded

77 Intermittent Transitional Care – In Hospital – Federal & State Mix Funding

78 Intermittent Transitional Care – In the Community – Federal & State Mix Funding

83 Residential Aged Care - Not Further Defined

86 Respite – Not Further Defined

Non-Admitted Patient Beds – Virtual


56 Mental Health Social Day Program

57 Aged & Disability Social Day Program

84 ComPacks – Approved Patient Packages * THIS BED TYPE IS NOT CURRENTLY IN USE *

Other


88 Justice Health Clinical Observation Bed

99 Lodger/Boarder Beds


Domain Definitions: The table below shows the domain definitions for this element.

Code Domain Definition

01 Mixed Purpose: A bed staffed 24 hours a day and designated by the facility for the accommodation of medical, surgical and/or obstetric patients of a non-specific age. Beds in this category are typically located in small and rural hospitals (such as Multi Purpose Services) where medical, surgical, and obstetric patients are accommodated in the same ward as standard practice. Note: Beds in this category may be used for a mix of both day stay and overnight patients, but must be staffed for overnight patient care. Beds in this category may be used for ‘overflow patients’ (that is, patients who would usually be accommodated in another Bed Type if those beds were available).

02 Rehabilitation: A bed staffed 24 hours a day and designated by the facility for the accommodation of patients primarily requiring rehabilitation care. Note: Beds in this category may be used for a mix of both day stay and overnight patients, but must be staffed for overnight patient care. Beds in this category may be used for ‘overflow patients’ (that is, patients who would usually be accommodated in another Bed Type if those beds were available).

03 Palliative: A bed staffed 24 hours a day and designated by the facility for the accommodation of patients primarily requiring palliative care. Note: Beds in this category may be used for a mix of both day stay and overnight patients, but must be staffed for overnight patient care. Beds in this category may be used for ‘overflow patients’ (that is patients who would usually be accommodated in another Bed Type if those beds were available).

04 Psychiatric Acute: A bed staffed 24 hours a day that is designated by the

Mental Health and Drug & Alcohol Office (MHDAO) to accommodate patients who present with acute episodes of mental illness.



Note: Beds in this category may be used for a mix of both day stay and overnight patients, but must be staffed for overnight patient care. Beds in this category may not be used for ‘overflow patients’. Days spent in this type of bed are counted as “Days in a Designated Psychiatric Unit”.

05 Psychiatric Rehabilitation: A bed staffed 24 hours a day that is designated by the Mental Health and Drug & Alcohol Office (MHDAO) to accommodate patients requiring care which has a primary focus on intervention to reduce functional impairments resulting from psychiatric disorders that limit the independence of patients. Note: Beds in this category may be used for a mix of both day stay and overnight patients, but must be staffed for overnight patient care. Beds in this category may not be used for ‘overflow patients’. Days spent in this type of bed are counted as “Days in a Designated Psychiatric Unit”.

06 Psychiatric Secure: A bed staffed 24 hours a day that is designated by the Mental Health and Drug & Alcohol Office (MHDAO) to accommodate of forensic patients (or other patients) requiring a higher level of care and containment than other mental health patients. Forensic patients are people with a mental disorder that has led them to commit criminal offences, or makes it likely that they will offend in the future if not adequately treated or contained. Note: Beds in this category may be used for a mix of both day stay and overnight patients, but must be staffed for overnight patient care. Beds in this category may not be used for ‘overflow patients’. Days spent in this type of bed are counted as “Days in a Designated Psychiatric Unit”.

07 Drug and Alcohol: A bed staffed 24 hours a day that is officially recognised by the NSW Department of Health for the accommodation of patients requiring treatment for substance use/abuse on an admitted patient basis; excluding detoxification. Note: Beds in this category may be used for a mix of both day stay and overnight patients, but must be staffed for overnight patient care. Beds in this category may not be used for ‘overflow patients’. Days spent in this type of bed are NOT counted as “Days in



a Designated Psychiatric Unit”, despite the fact they can be co-located with designated psychiatric beds.

08 Brain Injury Rehabilitation Program Rehabilitation: A bed staffed 24 hours a day and officially designated by the NSW Department of Health Policy Directive for the accommodation of admitted patients receiving care in a rehabilitation unit for a brain injury under the Brain Injury Rehabilitation Program. Note: Beds in this category may be used for a mix of both day stay and overnight patients, but must be staffed for overnight patient care. Beds in this category may not be used for ‘overflow patients’.

09 Confused and Disturbed Elderly (CADE) – Non-Psychiatric THIS BED TYPE HAS BEEN EXPIRED AS FROM 1 JULY 2007.

12 Psychiatric Intensive Care: A bed staffed 24 hours a day that is designated by the Mental Health and Drug & Alcohol Office (MHDAO) to accommodate patients requiring a higher intensity of management than can be readily provided in a general acute psychiatric bed. These beds are staffed and designed for the accommodation of patients who:

are severely disturbed and represent a high risk of being a danger to themselves, others or the environment

present with threatening or violent behaviours and cannot be safely managed in a less restrictive environment

require higher levels of nursing observation. Note: Beds in this category may be used for a mix of both day stay and overnight patients, but must be staffed for overnight patient care. Beds in this category may not be used for ‘overflow patients’. Days spent in this type of bed are counted as “Days in a Designated Psychiatric Unit”, but NOT as “Hours in Intensive Care”.

13 Post Natal Depression: A bed staffed 24 hours a day that is designated by the Mental Health and Drug & Alcohol Office (MHDAO) to accommodate patients with post natal depression.



Note: Beds in this category may be used for a mix of both day stay and overnight patients, but must be staffed for overnight patient care. Beds in this category may not be used for ‘overflow patients’. Days spent in this type of bed are counted as “Days in a Designated Psychiatric Unit”.

14 Residential Aged Care – High (Nursing Home): A bed staffed 24 hours a day, block funded by the federal Government, for the provision of high level (nursing home) residential aged care to long stay clients. These beds are NOT counted admitted patient beds. These beds may be located in the public Residential Aged Care facilities, Multi Purpose Services, and a small number specially approved public hospitals (for example, rural hospitals that have lodged an application to become a Multi Purpose Service). Note: Patients accommodated in these beds are residents, and thus will be overnight patients apart from exceptional circumstances (for example, death on the day of commencing their stay). Beds in this category may not be used for ‘overflow patients’. Ward transfers transactions to this Bed Type are not permitted, except between this Bed Type and Bed Type “23 – Residential Aged Care – Low (Hostel)”. For all other ward transfers to this Bed Type a formal discharge and formal admission transaction must be performed. In Multi Purpose Services “virtual” beds will need to be established under this Bed Type for situations where high level residential aged care is provided in a bed usually designed for low care, or admitted patient activity. All activity reported under this Bed Type must have a “Service Category” of 6 – Other Care.

15 General Intensive Care: THIS BED TYPE HAS BEEN EXPIRED AS FROM 1 JULY 2018

16 Neonate Special Care Nursery: A bed staffed 24 hours a day that is approved by the federal Government for the purpose of the provision of neonatal special care. Note: Beds in this category may be used for a mix of both day stay and overnight patients, but must be staffed for overnight patient care. Beds in this category may not be used for ‘overflow patients’. Time in this type of unit does not qualify for “Hours in



Intensive Care”. Newborns admitted to this Bed Type are considered to be “Qualified Newborns”. Special Care Nurseries that do not have federal Government approval are excluded from this Bed Type.

17 Emergency Department – Level 3 and Above: A bed, stretcher, trolley or chair in an area within the hospital staffed 24 hours a day and designated as an Emergency Department of Level 3 or above. Note: Beds in this category may not be used for ‘overflow patients’. Beds classified as ‘Emergency Medical Units’ are excluded from this category.

18 Mother Craft: A bed staffed 24 hours a day that is designated by the Department for accommodating patients who require mothercraft services only. Note: Beds in this category may be used for a mix of both day stay and overnight patients, but must be staffed for overnight patient care. Beds in this category may not be used for ‘overflow patients’.

20 Psychiatric Extended Care: A bed staffed 24 hours a day that is designated by the Mental Health and Drug & Alcohol Office (MHDAO) to accommodate patients who require care over an indefinite period because they have a stable but severe level of functional impairment and an inability to function independently and thus require extensive care and support. Note: Beds in this category may be used for a mix of both day stay and overnight patients, but must be staffed for overnight patient care. Beds in this category may not be used for ‘overflow patients’. Days spent in this type of bed are counted as “Days in a Designated Psychiatric Unit”.

21 Neuro-Psychiatry: A bed staffed 24 hours a day that is designated by the Mental Health and Drug & Alcohol Office (MHDAO) to accommodate patients who require neuro-psychiatric care. These beds are attended by specialists in Neurology or Neuropsychiatry. Note: Beds in this category may be used for a mix of both day stay and overnight patients, but must be staffed for overnight patient care. Beds in this



category may not be used for ‘overflow patients’. Days spent in this type of bed are counted as “Days in a Designated Psychiatric Unit”.

22 Dual Diagnosis: A bed staffed 24 hours a day that is designated by the Mental Health and Drug & Alcohol Office (MHDAO) to accommodate patients who require specialist care for co-existing mental health and substance use disorders. Note: Beds in this category may be used for a mix of both day stay and overnight patients, but must be staffed for overnight patient care. Beds in this category may not be used for ‘overflow patients’. Days spent in this type of bed are counted as “Days in a Designated Psychiatric Unit”.

23 Residential Aged Care – Low (Hostel): A bed staffed 24 hours a day, block funded by the federal Government, for the provision of low level (hostel) residential aged care to long stay clients. These beds are NOT counted admitted patient beds. These beds may be located in the public Residential Aged Care facilities, Multi Purpose Services, and a small number specially approved public hospitals (for example, rural hospitals that have lodged an application to become a Multi Purpose Service). Note: Patients accommodated in these beds are residents, and thus will be overnight patients apart from exceptional circumstances (for example, death on the day of commencing their stay). Beds in this category may not be used for ‘overflow patients’. Ward transfers transactions to this Bed Type are not permitted, except between this Bed Type and Bed Type “14 – Residential Aged Care – High (Nursing Home)”. For all other ward transfers to this Bed Type a formal discharge and formal admission transaction must be performed. In Multi Purpose Services “virtual” beds will need to be established under this Bed Type for situations where high level residential aged care is provided in a bed usually designed for low care, or admitted patient activity. All activity reported under this Bed Type must have a “Service Category” of 6 – Other Care.

24 Confused and Disturbed Elderly (CADE) - Psychiatric: THIS BED TYPE HAS BEEN EXPIRED AS FROM 1 JULY 2007



25 Hospital in the Home – General: A “virtual” bed established on the patient administration system to record general admitted patient activity provided under a recognised “Hospital in the Home” program to patients in their private place of residence.

26 Hospital in the Home – Drug and Alcohol: A “virtual” bed established on the patient administration system to record drug and alcohol admitted patient activity provided under a recognised “Hospital in the Home” program to patients in their private place of residence.

28 Hospital in the Home – Mental Health: *** THIS BED TYPE IS NOT CURRENTLY IN USE ***

29 Collaborative Care Service Provider – General: A “virtual” bed established on the patient administration system to record general admitted patient activity provided by another public or private hospital under a collaborative (or contract) care arrangement. Note: The days the patient is accommodated in these beds counts towards the patient days for both the purchasing facility and the facility providing the collaborative care service.

30 Collaborative Care Service Provider – Drug and Alcohol: A “virtual” bed established on the patient administration system to record drug and alcohol admitted patient activity provided by another public or private hospital under a collaborative (or contract) care arrangement. Note: The days the patient is accommodated in these beds counts towards the patient days for both the purchasing facility and the facility providing the collaborative care service.

32 Collaborative Care Service Provider – Mental Health: A “virtual” bed established on the patient administration system to record mental health admitted patient activity provided by another public or private hospital under a collaborative (or contract) care arrangement.



Note: The days the patient is accommodated in these beds counts towards the patient days for both the purchasing facility and the facility providing the collaborative care service.

33 Coronary Care: A bed staffed 24 hours a day that is designated by the facility to accommodate patients who require cardiac monitoring (both bedside and central), but which otherwise does not meet the criteria of ’15 - Intensive Care’. Note: Beds in this category may be used for a mix of both day stay and overnight patients, but must be staffed for overnight patient care. Beds in this category may not be used for ‘overflow patients’. Time in beds with this Bed Type do NOT count towards “Hours in Intensive Care”.

34 High Dependency Care: THIS BED TYPE HAS BEEN EXPIRED AS FROM 1 JULY 2018

37 Neonatal Intensive Care: A bed staffed 24 hours a day that meets the Intensive Care role delineation of level 3 or higher, and used to accommodate neonates requiring intensive care. These beds must be capable of providing complex, multi-system life support for neonates for an indefinite period. They must be located in an area capable of providing mechanical ventilation and invasive cardiovascular monitoring; or care of a similar nature. Note: Beds in this category may be used for a mix of both day stay and overnight patients, but must be staffed for overnight patient care. Beds in this category may not be used for ‘overflow patients’. Time in this Bed Type count towards “Hours in Intensive Care”. This category excludes “General Intensive Care Units” and “Psychiatric Intensive Care Units”. Newborns admitted to this Bed Type are considered to be “Qualified Newborns”.

38 Transplant: A bed staffed 24 hours a day that is designated as a special unit dedicated to care of transplant recipients. This category includes beds in units dedicated for bone marrow (haemopoietic stem cell), renal, heart, heart-lung, liver, and pancreas transplants.



Note: Beds in this category may be used for a mix of both day stay and overnight patients, but must be staffed for overnight patient care. Beds in this category may not be used for ‘overflow patients’.

39 Same Day Renal Dialysis: A chair/bed in a designated specialised day stay unit that is dedicated to the provision of renal dialysis services. Note: Renal Dialysis units generally have regular business hours and open and close each day at set times, however in some facilities these units may be open at midnight. Beds in this category may not be used for ‘overflow patients’.

40 Specialist Spinal Injury: A bed staffed 24 hours a day that is designated as a special State unit dedicated to the initial treatment and subsequent ongoing management and rehabilitation of patients with acute spinal cord injury. Note: Beds in this category may be used for a mix of both day stay and overnight patients, but must be staffed for overnight patient care. Beds in this category may not be used for ‘overflow patients’. Time in this Bed Type do NOT count towards “Hours in Intensive Care”.

41 Severe Burns: A bed staffed 24 hours a day that is designated as a special State unit dedicated to the initial treatment and subsequent rehabilitation of severely injured burns patients. Patients accommodated in these beds usually have greater than 10 per cent of body surface affected for adults, and greater than 5 per cent of body surface affected for children. Note: Beds in this category may be used for a mix of both day stay and overnight patients, but must be staffed for overnight patient care. Beds in this category may not be used for ‘overflow patients’. Time in this Bed Type do NOT count towards “Hours in Intensive Care”.

42 Dental Service: A bed in a specialised unit designated for the treatment of the patients receiving dental services. Note: Dental Service units generally have regular business hours and open and close each day at set



times, however in some facilities these units may be open at midnight. Beds in this category may not be used for ‘overflow patients’.

43 Paediatric: A bed staffed 24 hours a day that is designated by the facility for accommodation and treatment of patient’s aged older than 29 days and less than 16 years. Note: Beds in this category may be used for a mix of both day stay and overnight patients, but must be staffed for overnight patient care. Beds in this category may be used for ‘overflow patients’ (that is, patients who would usually be accommodated in another Bed Type if those beds were available). This category may only be used by general hospitals and is NOT to be used by the specialist children’s hospitals – “The Children’s Hospital at Westmead”, or “Sydney Children’s Hospital”.

46 Medical: A bed staffed 24 hours a day and designated by the facility to primarily accommodate medical patients of a non-specific age. Note: Beds in this category may be used for a mix of both day stay and overnight patients, but must be staffed for overnight patient care. Beds in this category may be used for ‘overflow patients’ (that is, patients who would usually be accommodated in another Bed Type if those beds were available).

47 Surgical: A bed staffed 24 hours a day and designated by the facility to primarily accommodate surgical patients of a non-specific age. Note: Beds in this category may be used for a mix of both day stay and overnight patients, but must be staffed for overnight patient care. Beds in this category may be used for ‘overflow patients’ (that is, patients who would usually be accommodated in another Bed Type if those beds were available).

48 Medical Oncology: A bed staffed 24 hours a day in a unit designated by the facility to accommodate overnight patients who require medical oncology services. Note: Beds in this category may be used for a mix of both day stay and overnight patients, but must be



staffed for overnight patient care. Beds in this category may be used for ‘overflow patients’ (that is, patients who would usually be accommodated in another Bed Type if those beds were available).

49 Obstetrics: A bed staffed 24 hours a day and designated by the facility to primarily accommodate obstetric/maternity patients of a non-specific age. Note: Beds in this category may be used for a mix of both day stay and overnight patients, but must be staffed for overnight patient care. Beds in this category may be used for ‘overflow patients’ (that is, patients who would usually be accommodated in another Bed Type if those beds were available).

50 Psychiatric Medium Secure: *** THIS BED TYPE IS NOT CURRENTLY IN USE ***

51 Respite – High: Federal Govt. Block Funded: A bed block funded by the federal Government, for the provision of high level (nursing home) residential aged care to short stay respite clients. These beds are NOT counted admitted patient beds. These beds may be located in the public Residential Aged Care facilities, Multi Purpose Services, and a small number specially approved public hospitals (for example, rural hospitals that have lodged an application to become a Multi Purpose Service). Note: Beds in this category may not be used for ‘overflow patients’. Ward transfers transactions to this Bed Type are not permitted, except between this Bed Type and Bed Type “52 – Respite – Low: Federal Govt. Block Funded”. For all other ward transfers to this Bed Type a formal discharge and formal admission transaction must be performed. In Multi Purpose Services “virtual” beds will need to be established under this Bed Type for situations where high level respite residential aged care is provided in a bed usually designed for respite low care, long stay residential aged care, or admitted patient activity. All activity reported under this Bed Type must have a “Service Category” of 6 – Other Care.

52 Respite – Low: Federal Govt. Block Funded: A bed block funded by the federal Government, for the provision of low level (hostel) residential aged care to



short stay respite clients. These beds are NOT counted admitted patient beds. These beds may be located in the public Residential Aged Care facilities, Multi Purpose Services, and a small number specially approved public hospitals (for example, rural hospitals that have lodged an application to become a Multi Purpose Service). Note: Beds in this category may not be used for ‘overflow patients’. Ward transfers transactions to this Bed Type are not permitted, except between this Bed Type and Bed Type “51 – Respite – High: Federal Govt Block Funded”. For all other ward transfers to this Bed Type a formal discharge and formal admission transaction must be performed. In Multi Purpose Services “virtual” beds will need to be established under this Bed Type for situations where low level respite residential aged care is provided in a bed usually designed for respite high care, long stay residential aged care, or admitted patient activity. All activity reported under this Bed Type must have a “Service Category” of 6 – Other Care.

53 Transitional Living Unit Beds - Brain Injury Rehabilitation Program: A bed staffed 24 hours a day that is officially approved by the NSW Department of Health Policy Directive under the Brain Injury Rehabilitation Program, for the accommodation of clients requiring transitional living care services following a brain injury. Note: Beds in this category may be used for a mix of both day stay and overnight patients, but must be staffed for overnight patient care. Transitional Living Units may be closed on certain days of the week, such as weekends. Beds in this category may NOT be used for ‘overflow patients’.

54 Mental Health Community Residential (24 Hour Staffing): A bed designated to accommodate mental health community residential care clients in a unit staffed 24 hours a day. Note: It is not a requirement for community residential activity to be recorded on a patient administration system, however where it is the activity must be clearly identified by a community residential care bed type so that it is not counted as admitted patient activity. Beds in this category may not be used for ‘overflow patients’. Ward transfers transactions to this Bed Type are not permitted, rather a formal discharge and formal



admission transaction must be performed. All activity reported under this Bed Type must have a “Service Category” of either “6 – Other Care” or “0 - Boarder”.

55 Mental Health Community Residential (< 24 hour staffing): A bed designated to accommodate mental health community residential care clients in a unit that is not staffed 24 hours a day. Note: It is not a requirement for community residential activity to be recorded on a patient administration system, however where it is the activity must be clearly identified by a community residential care bed type so that it is not counted as admitted patient activity. Beds in this category may not be used for ‘overflow patients’. Ward transfers transactions to this Bed Type are not permitted, rather a formal discharge and formal admission transaction must be performed. All activity reported under this Bed Type must have a “Service Category” of either “6 – Other Care” or “0 - Boarder”.

56 Mental Health Social Day Program A ‘virtual’ bed established for the purpose of recording mental health social day program activity on a patient administration system. Note: Beds in this category may not be used for ‘overflow patients’. Generally, mental health social day program activity should be classified as non-admitted patient care and thus should not be recorded on a patient administration system. However, in a few circumstances this activity is performed on an admitted patient basis under a special arrangement, for example for DVA clients at Concord.

57 Aged & Disability Social Day Program A ‘virtual’ bed established for the purpose of recording non-admitted aged and disability social day program activity on a patient administration system. Note: Aged and Disability social day program activity should be classified as non-admitted patient care, and thus recorded on an ambulatory care system, rather than a patient administration system. However if a site chooses to record this activity on a patient administration system, the activity must be clearly identified using this bed type and a “Service Category” of “0 - Boarder”. Beds in this category may not be used for ‘overflow patients’. Ward transfers transactions to and from this category are not permitted between - rather a formal discharge and



formal admission transaction must be performed. An example of a service that would fall into this category is an aged client community program where elderly residents living in the community are invited to attend social days at a Multi Purpose Services where they meet with other elderly clients to play cards, converse, have lunch, etc. This activity should be counted as an ambulatory group activity and reported via Web-DOHRS or ambulatory system unit record feed.

58 Emergency Department – Level 1 or 2 A bed, stretcher, trolley or chair in an area within the hospital designated as an Emergency Department of Level 1 or Level 2. Note: Beds in this category may NOT be used for ‘overflow patients’. Beds in units classified as ‘Emergency Medical Units’ are excluded from this category.

59 Emergency Medical Unit A bed staffed 24 hours a day that is designated for the accommodation of patients requiring emergency medical care who would otherwise have remained in the Emergency Department until a bed in an alternative ward was made available. Note: Beds in this category may be used for a mix of both day stay and overnight patients, but must be staffed for overnight patient care. Beds in this category may be used for ‘overflow patients’ (that is, patients who would usually be accommodated in another Bed Type if those beds were available).

60 Bassinet: A bed staffed 24 hours a day that is designated for the care of newborns, other than a Federal Government approved neonate special care nursery, or a designated neonate intensive care unit. Beds in this category may either be located next to the mother’s bed, or in a separate nursery that does not meet the criteria of a neonate special care nursery. Note: Beds in this category may be used for a mix of both day stay and overnight patients, but must be staffed for overnight patient care. Beds in this category may NOT be used for ‘overflow patients’.

61 Detoxification:



A bed staffed 24 hours a day that is designated by the facility for the accommodation of patients requiring drug detoxification care. Note: Beds in this category may be used for a mix of both day stay and overnight patients, but must be staffed for overnight patient care. Beds in this category may not be used for ‘overflow patients’. Days spent in this type of bed are NOT counted as “Days in a Designated Psychiatric Unit”, despite the fact they can be co-located with designated psychiatric beds.

62 CAMHS Supported Paediatric: A bed that is staffed 24 hours a day, designated by the facility to be a paediatric bed, that is currently being used to accommodate a child or adolescent mental health patient under the Child and Adolescent Mental Health (CAMHS) program. While admitted to this bed, care is provided by a specially trained CAMHS nurse. Note: Beds in this category may be used for a mix of both day stay and overnight patients, but must be staffed for overnight patient care. Beds in this category may NOT be used for ‘overflow patients’. These beds are ‘swinging’ beds with beds classified as ‘43 – Paediatric’. Days spent in this type of bed are NOT counted as “Days in a Designated Psychiatric Unit”. Patients admitted to beds in this category must be less than 18 years old at the time of formal admission. As this activity is accounted for under Program 5 – Acute Admitted Patient Services, a sub-program is not relevant.

63 CAMHS Supported Psychiatric: A bed that is staffed 24 hours a day, designated by the facility to be a designated adult psychiatric bed, that is currently being used to accommodate a child or adolescent mental health patient under the Child and Adolescent Mental Health (CAMHS) program. Note: Beds in this category may be used for a mix of both day stay and overnight patients, but must be staffed for overnight patient care. Beds in this category may NOT be used for ‘overflow patients’. Days spent in this type of bed are counted as “Days in a Designated Psychiatric Unit”. These beds are ‘swinging’ beds with beds classified designated adult psychiatric beds (such as ’04 - Psychiatric Acute Care’). Patients admitted to beds in this category must be less than 18 years old at the time of formal admission. The associated value for the ‘Mental Health Financial Sub Program’ must be “B”.



64 CAMHS Acute: A bed staffed 24 hours a day that is specifically designated by the Mental Health and Drug & Alcohol Office (MHDAO) to accommodate child or adolescent mental health patients who require acute care. Theses beds are funded under the Child and Adolescent Mental Health (CAMHS) program. Note: Beds in this category may be used for a mix of both day stay and overnight patients, but must be staffed for overnight patient care. Beds in this category may NOT be used for ‘overflow patients’. Days spent in this type of bed are counted as “Days in a Designated Psychiatric Unit”. Patients admitted to beds in this category must be less than 18 years old at the time of formal admission. The associated value for the ‘Mental Health Financial Sub Program’ must be “B”.

65 CAMHS Non-Acute: A bed staffed 24 hours a day that is specifically designated by the Mental Health and Drug & Alcohol Office (MHDAO) to accommodate child or adolescent mental health patients who require non-acute care. These beds are funded under the Child and Adolescent Mental Health (CAMHS) program. Note: Beds in this category may be used for a mix of both day stay and overnight patients, but must be staffed for overnight patient care. Beds in this category may NOT be used for ‘overflow patients’. Days spent in this type of bed are counted as “Days in a Designated Psychiatric Unit”. Patients admitted to beds in this category must be less than 18 years old at the time of formal admission. The associated value for the ‘Mental Health Financial Sub Program’ must be “B”.

66 Delivery Suite: A bed able to be staffed 24 hours a day, that is dedicated for the delivery of newborns. Note: It is not a NSW Department of Health requirement to establish delivery suite beds, however where these beds have been established on the patient administration this Bed Type must be used. Beds in this category may NOT be used for ‘overflow patients’.



67 Operating Theatre / Recovery: A bed able to be staffed 24 hours a day, that is within a dedicated operating theatre or theatre procedure recovery area. Note: It is not a NSW Department of Health requirement to establish operating theatre / recovery beds, however where these beds have been established on the patient administration this Bed Type must be used. Beds in this category may NOT be used for ‘overflow patients’.

68 Mobile Service: A mobile bed located within a vehicle which is used to deliver admitted patient care, including routine procedures, outside the hospital setting. These services are generally run in remote rural areas, and generally intended for routine admitted patient services that can be provided on a same day basis. Note: Beds in this category may NOT be used for ‘overflow patients’.

69 Stroke: A bed staffed 24 hours a day that is designated by the facility to accommodate patients who are recovering from a stroke. Note: Beds in this category may be used for a mix of both day stay and overnight patients, but must be staffed for overnight patient care. Beds in this category may not be used for ‘overflow patients’.

70 Drug and Alcohol Community Residential: A bed staffed 24 hours a day, located in a community or non-admitted patient setting, that is used to accommodate patients who require treatment for substance use/abuse on a non-admitted patient basis. Note: It is not a requirement for community residential activity to be recorded on a patient administration system, however where it is the activity must be clearly identified by a community residential care bed type so that it is not counted as admitted patient activity. Beds in this category may not be used for ‘overflow patients’. Ward transfers transactions to this Bed Type are not permitted, rather a formal discharge and formal admission transaction must be performed. All activity reported under this Bed Type must have a “Service Category” of either “6 – Other Care” or “0 - Boarder”.



71 Same Day Chemotherapy: A chair or bed staffed for a limited period each a day that is designated by the facility for the provision of same day chemotherapy and radiation oncology services only. Note: Same Day Chemotherapy units generally have regular business hours and open and close each day at set times. Chairs and beds in this category may only be used for patients receiving a chemotherapy service. This bed type can be used to temporarily accommodate overnight stay patients requiring chemotherapy as part of their overall admitted patient service, however where this occurs the patient must be transferred out to an overnight ward before the end of the business day. The purpose of this bed type is not to identify same day patients, but instead to identify activity in beds that are not staffed 24 hours a day.

72 Sleep Disorder (< 24 Hour Care): A chair or bed staffed for a limited period each a day that is designated by the facility for the provision of same day sleep disorder patients only. Note: Sleep Disorder units generally have regular business hours and open and close each day at set times. Chairs and beds in this category may only be used for patients receiving a sleep disorder service. The purpose of this bed type is not to identify same day patients, but instead to identify activity in beds that are not staffed 24 hours a day.

73 Same Day Mental Health: A chair or bed staffed for a limited period each a day that is designated by the Mental Health and Drug & Alcohol Office (MHDAO) for the provision of same day mental health services only. Note: Same Day Mental Health units generally have regular business hours and open and close each day at set times. Beds in this category include those used to for same day ECT services. Chairs and beds in this category may only be used for patients receiving a mental health service and days spent in this type of bed are counted as “Days in a Designated Psychiatric Unit”.



This bed type can be used to temporarily accommodate overnight stay patients however where this occurs the patient must be transferred out to an overnight ward before the end of the business day. The purpose of this bed type is not to identify same day patients, but instead to identify activity in beds that are not staffed 24 hours a day.

74 Same Day Drug and Alcohol: A chair or bed staffed for a limited period each a day that is designated by the facility for the accommodation of patients requiring same day treatment for substance use/abuse; and/or detoxification. Note: Same Day Drug and Alcohol units generally have regular business hours and open and close each day at set times, however in some facilities these units may be open at midnight. Chairs and beds in this category may only be used for patients receiving a drug and alcohol service. This bed type can be used to temporarily accommodate overnight stay patients however where this occurs the patient must be transferred out to an overnight ward before the end of the business day. The purpose of this bed type is not to identify same day patients, but instead to identify activity in beds that are not staffed 24 hours a day. Days spent in this type of bed are NOT counted as “Days in a Designated Psychiatric Unit”, despite the fact they can be co-located with designated psychiatric beds.

75 Same Day, Not Elsewhere Classified: A chair or bed staffed for a limited period each a day that is designated by the facility for the provision of same day services only, and not covered by any other same day Bed Type category. Note: Other Same Day units generally have regular business hours and open and close each day at set times. This bed type can be used to temporarily accommodate overnight stay patients however where this occurs the patient must be transferred out to an overnight ward before the end of the business day. The purpose of this bed type is not to identify same day patients, but instead to identify activity in beds that are not staffed 24 hours a day.

76 Transit Lounge:



A chair or lounge used to temporarily accommodate patients that no longer require care within a specific ward, are medically ready to be discharged, and unable to be formally discharged due to a requirement for further observation or limited care by nursing staff, return of test results, fulfilment of prescriptions, completion of administrative tasks, etc. These chairs or lounges are generally used to address the problem of access block to overnight wards. Note: It is not a requirement for transit lounge beds to be established on a patient administration system, however where they are established the bed must be mapped to this category and the patient movement should be reflected via a bed/ward transfer on the patient administration system. The time of formal discharge should be the time the patient departs the lounge, and the movements and transfer times should be recorded in the patient’s medical record. Beds in this category may not be used for ‘overflow patients’. These beds should not be counted as overnight available beds.



77 Transitional Care – In Hospital – Federal & State Mix Funding: A bed staffed 24 hours a day, and located within an area of a hospital that has been modified and designated for the provision of transitional aged care under the terms of the Intermittent Care Program. Intermittent Transitional Care beds must be used to provide a mix of health and aged care services including nursing support, rehabilitation, therapy, medical support, social support and personal support for the purpose of recovery and recuperation for a limited time period (up to approximately 8 weeks). The residents accommodated in these beds must be:

medically stable,

have an ACAT assessment indicating the patient requires high or low residential aged care (excluding respite care),

discharged as an admitted patient prior to being registered.

Note: These beds are NOT counted as admitted patient beds. Beds in this category are intended to be used for overnight stay residents, but in rare circumstances may accommodate a resident who only stays one day. Beds in this category may NOT be used for ‘overflow patients’. There must not be any transfers into or out of this Bed Type – a formal discharge from admitted patient care, followed by a formal admission transaction must be performed.

78 Transitional Care – Community – Federal & State Mix Funding: A bed staffed 24 hours a day, and located in the community and designated for the provision of transitional aged care under the terms of the Intermittent Care Program. Intermittent Transitional Care beds must be used to provide a mix of health and aged care services including nursing support, rehabilitation, therapy, medical support, social support and personal support for the purpose of recovery and recuperation for a limited time period (up to approximately 8 weeks). The residents accommodated in these beds must be:

medically stable,



have an ACAT assessment indicating the patient requires high or low residential aged care (excluding respite care),

discharged as an admitted patient prior to being registered.

Note: These beds are NOT counted as admitted patient beds. Beds in this category are intended to be used for overnight stay residents, but in rare circumstances may accommodate a resident who only stays one day. Beds in this category may NOT be used for ‘overflow patients’. There must not be any transfers into or out of this Bed Type – a formal discharge from admitted patient care, followed by a formal admission transaction must be performed.

79 Gynaecology: A bed staffed 24 hours a day and designated by the facility to primarily accommodate gynaecology patients of a non-specific age. Note: Beds in this category may be used for a mix of both day stay and overnight patients, but must be staffed for overnight patient care. Beds in this category may be used for ‘overflow patients’ (that is, patients who would usually be accommodated in another Bed Type if those beds were available).

80 Same Day Medical: A chair or bed staffed for a limited period each a day that is designated by the facility for the provision of same day medical services only. Note: Other Same Day units generally have regular business hours and open and close each day at set times. This bed type can be used to temporarily accommodate overnight stay patients however where this occurs the patient must be transferred out to an overnight ward before the end of the business day. The purpose of this bed type is not to identify same day patients, but instead to identify activity in beds that are not staffed 24 hours a day.

81 Same Day Surgical: A chair or bed staffed for a limited period each a day that is designated by the facility for the provision of same day surgical services only. Note: Other Same Day units generally have regular business hours and open and close each day at set times. This bed type can be used to temporarily



accommodate overnight stay patients however where this occurs the patient must be transferred out to an overnight ward before the end of the business day. The purpose of this bed type is not to identify same day patients, but instead to identify activity in beds that are not staffed 24 hours a day.

82 Extended Short Stay Surgical (< 24 hrs) A chair or bed staffed for a limited period within each 24 hour period that is designated by the facility for the provision of surgical services only. Note: Other Same Day units generally have regular business hours and open and close each day at set times. This bed type can be used to temporarily accommodate overnight stay patients however where this occurs the patient must be transferred out to an overnight ward before the end of the business day. The purpose of this bed type is not to identify same day patients, but instead to identify activity in beds that are not staffed 24 hours a day.

83 Residential Aged Care, Not Further Defined: A bed block funded by the federal Government, for the provision of either high level (nursing home), low level (hostel) or respite residential aged care. These beds are NOT counted admitted patient beds. These beds may be located in the public Residential Aged Care facilities, Multi Purpose Services, and a small number specially approved public hospitals (for example, rural hospitals that have lodged an application to become a Multi Purpose Service). Note: Beds in this category may not be used for ‘overflow patients’. Ward transfers transactions to this Bed Type are not permitted. For all other ward transfers to this Bed Type a formal discharge and formal admission transaction must be performed.

84 ComPacks – Approved Patient Packages: *** THIS BED TYPE IS NOT CURRENTLY IN USE ***

85 Psychiatric Emergency: A bed staffed 24 hours a day that is designated by the Mental Health and Drug & Alcohol Office (MHDAO) to accommodate patients who present to hospital Emergency Departments with acute mental illness and require specialised mental health care and observation prior to disposal (e.g. transportation, transfer to



another admitted patient bed, transfer to another designated psychiatric bed or discharge). They may be admitted as either voluntary or involuntary patients under the Mental Health Act. These beds are co-located and associated with the Emergency Department of a hospital. Note: Beds in this category may be used for a mix of both day stay and overnight patients, but must be staffed for overnight patient care. Beds in this category may not be used for ‘overflow patients’. Days spent in this type of bed are counted as “Days in a Designated Psychiatric Unit”.

86 Respite - Not Further Defined: A bed block funded by the federal Government, for the provision of residential aged care to short stay respite clients. These beds are NOT counted admitted patient beds. These beds may be located in the public Residential Aged Care facilities, Multi Purpose Services, and a small number specially approved public hospitals (for example, rural hospitals that have lodged an application to become a Multi Purpose Service). Note: Beds in this category may not be used for ‘overflow patients’. Ward transfers transactions to this Bed Type are not permitted, except between this Bed Type and Bed Type “52 – Respite – Low: Federal Govt. Block Funded”. For all other ward transfers to this Bed Type a formal discharge and formal admission transaction must be performed. In Multi Purpose Services “virtual” beds will need to be established under this Bed Type for situations where high level respite residential aged care is provided in a bed usually designed for respite low care, long stay residential aged care, or admitted patient activity.

87 Medical Assessment Unit (MAU): A bed in a dedicated Medical Assessment Unit (MAU) which is a physical ward that is close to the Emergency Department although not co-located. The MAU is an alternative pathway for adult non-critical medical patients; in many cases these will be elderly complex medical patients with co-morbidities. Patients within the MAU can expect to stay for a period of up to 48 hours, after this time most will be discharged home (with community services where appropriate), while some who require specialised care will be transferred to an inpatient bed.



88 Justice Health Clinical Observation Bed A non-admitted bed located in a Justice Health Centre that is used to accommodate patients who require a higher level of observation for any Primary Health, Drug & Alcohol, Population Health and Mental Health issues. Note: Where Justice Health Clinical Observation is reported, the activity must be clearly identified by a Justice Health Clinical Observation bed type so that it is not counted as admitted patient activity. Ward transfers transactions to this Bed Type are not permitted, rather a formal discharge and formal admission transaction must be performed. All activity reported under this Bed Type must have a “Service Category” of either “6 – Other Care” or “0 - Boarder”.

89 Drug and Alcohol Involuntary Treatment Bed An inpatient bed staffed 24 hours a day and designated for the accommodation of involuntary clients being treated under the Drug and Alcohol Treatment Act of 2007. Note: When there are no involuntary admissions, beds in this category may be used for voluntary Drug and Alcohol patients if available. If used by voluntary patients the beds should be reclassified to Bed Type “61 – Detoxification”. Beds must be prioritised for involuntary admissions.

90 Transfer to Another Facility: Definition: A ‘virtual’ bed established on the Patient Administration System to record a patient being transferred to another facility and for whom clinical care is being maintained during transfer while he/she remains admitted to the facility. Guide for Use: When an admitted patient is being transferred to another facility for ongoing clinical care, and the sending facility is maintaining clinical care during the transfer, the patient remains admitted to the sending facility until handover of clinical care. In this instance the patient may be transferred on the facility’s PAS to a ‘Transfer to Another Facility’ bed allowing the physical bed which he/she had occupied to be used for another patient during the transfer period in which the patient remains admitted to the facility. Note: Setting up and use of this bed type is optional thus left to each LHD’s / SHN’s discretion, as the need might not occur at every LHD / SHN.



91 Intensive Care Unit 1 Bed within a designated Intensive Care Unit occupied by a ventilated or other similarly critically ill patient (clinically determined), including those that may require complex management and require constant monitoring and care without interruption (e.g. ventricular assist device, ECMO). (Prior to 1 July 2018, identified as Bed Type 15 – General Intensive Care). Notes: An intensive care bed is a bed where care is coordinated by an intensivist or specialist equivalent and is located within an Intensive Care Unit (ICU) that meets the requirements detailed in the current version of the NSW Health Guide to the Role Delineation of Health Services for an intensive care service. The Guide has three levels for an intensive care service (Level 4, 5 or 6). An ICU is a specially staffed and equipped, separate and self-contained area of a hospital, dedicated to the management of patients with life-threatening illnesses, injuries and complications, and monitoring of potentially life-threatening conditions. Beds in this category may not be used for ‘overflow patients’. Time in this Bed Type counts towards “Hours in Intensive Care”.

92 Intensive Care Unit 2 Bed within a designated Intensive Care Unit occupied by a critically ill patient whose condition or acuity has been clinically determined as lower than that requiring an Intensive Care Unit 1 bed. Notes: An intensive care bed is a bed where care is coordinated by an intensivist or specialist equivalent and is located within an Intensive Care Unit (ICU) that meets the requirements detailed in the current version of the NSW Health Guide to the Role Delineation of Health Services for an intensive care service. The Guide has three levels for an intensive care service (Level 4, 5 or 6). An ICU is a specially staffed and equipped, separate and self-contained area of a hospital, dedicated to the management of patients with life-threatening illnesses, injuries and complications, and monitoring of potentially life-threatening conditions. Beds in this category may not be used for ‘overflow patients’. Time in this Bed Type does NOT count towards “Hours in Intensive Care”.



93 Close Observation Unit Bed occupied by a patient whose condition or acuity has been clinically determined as requiring a higher level of clinical care or monitoring than is available in a general ward bed, but not requiring admission to a designated Intensive Care Unit. (Prior to 1 July 2018, identified as Bed Type 34 – High Dependency Care). Notes: A close observation bed is managed under the care of a medical specialist (who may not be an intensivist) and is located within a dedicated Close Observation Unit (COU) that meets the requirements detailed in the NSW Health Guide to the Role Delineation of Health Services second edition May 2017 for a COU. The Guide has two levels for a COU (Level 3 or 4). A COU is a specially staffed and equipped area of a hospital that provides an intermediate level of care between intensive care and general ward care. A Level 3 COU is applicable to a hospital that has no intensive care service and a Level 4 COU is applicable to a hospital that has a Level 4, 5 or 6 intensive care service. Beds in this category may not be used for ‘overflow patients’. Time in this Bed Type does NOT count towards “Hours in Intensive Care”.

99 Lodger/Boarder Beds: Beds used to accommodate boarders and lodgers who are not in receipt of health care. People accommodated in these beds are commonly relatives (e.g. parents or children) of patients. Most activity reported under this Bed Type would have a Service Category of “0 – Hospital Boarder”, however where clinical coding needs to be reported for a local requirement non-admitted patient activity may also be reported as “6 – Other Care”.

Collection Methods: Bed Type is attached to a bed within a ward. Staff record bed / ward movements on the patient administration system and the Bed Type is recorded or linked in the back end of the system.

Screen Prompts: The screen prompts below are recommended where this information is collected on a computer screen. Bed Type


Question Module: Not Applicable

Validation Rules: = 01, 02, 03, 04, 05, 06, 07, 08, 12, 13, 14, 16, 17, 18, 20, 21, 22, 23, 25, 26, 29, 30, 32, 33, 37, 38, 39, 40, 41, 42, 43, 46, 47, 48, 49, 51, 52, 53, 54, 55, 56, 57, 58, 59, 60, 61, 64, 65, 66, 67, 68, 69, 70, 71, 72, 73, 74, 75, 76, 77, 78, 79, 80, 81, 82, 83, 85, 86, 87, 88, 89, 90, 91, 92, 93, 99.

Justification: This information is collected for the purpose of:

Identifying activity within special purpose inpatient units located in hospitals. The clinical profile of patients admitted to such units, as distinct from those admitted to a general ward, can be determined,

Monitoring the utilisation patterns of state-wide units. Many of these units are psychiatric units that must be monitored individually to satisfy National and State reporting requirements,

Measuring “Hospital in the Home” days

Accounting for “Contracted Care” activity

Accounting for “Transitional Care” activity

Representation

Data Element Type: Data Element

Data Type: Code

Form: Char

Minimum Size: 2

Maximum Size: 2

Layout: {X}2

Administrative Information

Version: 11

Effective date: 1 January 2020

Change Summary: Version 5:

Added new categories:

o 79 Gynaecology o 80 Same Day Medical o 81 Same Day Surgical o 82 Extended Short Stay Surgical (< 24 hrs)


o 83 Residential Aged Care, Not Further Defined o 84 ComPacks – Approved Patient Packages o 85 Psychiatric Emergency o 86 Respite o 87 Medical Assessment Unit o 99 Lodger/Boarder

Version 6:

Removed categories:

o 28 Hospital in the Home – Mental Health o 50 Psychiatric Medium Secure o 84 ComPacks – Approved Patient Packages

Version 7:

Added new category:

o 88 Justice Health Clinical Observation Bed Version 8:

Added new category:

o 89 Drug and Alcohol Involuntary Treatment Bed Version 9:

Added new categories:

o 90 Transfer to Another Facility o 91 Intensive Care Unit 1 o 92 Intensive Care Unit 2 o 93 Close Observation Unit

Removed categories:

o 15 General Intensive Care o 34 High Dependency Care

Version 10:

Removed categories:

o 62 CAMHS Supported Paediatric o 63 CAMHS Supported Psychiatric

Version 11:

Amended definitions:

o 91 Intensive Care Unit 1 o 92 Intensive Care Unit 2 o 93 Close Observation Unit


Related Information

Related Elements: Financial Program, Admitted Patient Data Dictionary, NSW Department of Health

References: Not applicable

bed type classification update from 1 january 2020 · bed type classification update from 1 january...

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