NSW Hospital Peer Groups 2016

Information BulletinMinistry of Health, NSW73 Miller Street North Sydney NSW 2060Locked Mail Bag 961 North Sydney NSW 2059Telephone (02) 9391 9000 Fax (02) 9391 ceNSW Hospital Peer Groups 2016spaceDocument Number IB2016 013Publication date 06-Apr-2016Functional Sub group Corporate Administration - Information and dataCorporate Administration - GovernanceClinical/ Patient Services - Information and dataClinical/ Patient Services - Governance and Service DeliveryClinical/ Patient Services - ResearchSummary The purpose of this Information Bulletin is to inform NSW health servicesof changes to the NSW hospital peer groups effective from the release ofthis Information Bulletin. These changes result from a review carried outby the NSW Ministry of Health into NSW hospital peer groups.Replaces Doc. No. NSW Hospital Peer Groups 2014 [IB2014 070]Author Branch Health System Information & Performance ReportingBranch contact Health System Information & Performance 02 9391 9828Applies to Board Governed Statutory Health Corporations, Specialty NetworkGoverned Statutory Health Corporations, Affiliated Health Organisations,Ministry of Health, Public Health Units, Public Hospitals, Cancer Institute(NSW)Audience CEs, Directors of Operations, Directors of Clinical Governance,Performance & Reporting staffDistributed to Public Health System, Ministry of HealthReview date 06-Apr-2021Policy Manual Not applicableFile No. 08/1788Status ActiveDirector-General

INFORMATION BULLETINNSW HOSPITAL PEER GROUPS 2016PURPOSEThe purpose of this Information Bulletin is to correct allocations and naming in the NSWHospital Peer Group List of the NSW Hospital Peer Groups 2014 (Information BulletinIB2014 070). This Information Bulletin recapitulates the revised hospital peer groupclassification criteria and advises the allocation of hospitals to those peer groups.KEY INFORMATIONThe aim of peer grouping is to identify hospitals with similar characteristics,predominantly for comparative reporting and service planning. The previous majorreview of the NSW hospital peer groups was undertaken in May 2009 with a smallerscale review undertaken in 2011 specifically to review the grouping of the B MajorHospitals group.The latest review undertaken in 2013 (finalised 2014) was tasked to create a generic setof hospital peer groups that provide a valid basis for comparing hospitals for the majorityof analytical and reporting requirements.The NSW Admitted Patient Data Collection for 2011-12 was analysed for reviewing thepeer groups. 2010-11 data was also analysed when it was relevant to look at thestability of a particular hospital’s activity over time and the role delineation of emergencydepartments and intensive care units were also used as reference data.In addition to the review of the overall peer group structure, assignments of individualhospitals to groups were also reviewed, in total 13 hospitals were re-assigned to adifferent peer group.The review has resulted in: Changes to the criteria for some of the peer groups Splitting of one group (the B group) into two subgroups Deletion of a group (D2).It is recognised that there may be a need for peer grouping based on specific specialties(e.g. maternity, orthopaedics, neurosurgery, cardiology) however, the review focussedon peer grouping at the whole-of-hospital level.NSW Hospitals 2014 Peer Group ClassificationThe new peer group classification was applied from 1 October 2014. Table 1 shows theNSW hospital peer groups and the criteria used for assigning hospitals to them.Changes to NSW hospital peer groups since the 2011 review are represented in bold.Table 1 – NSW peer groups for public hospitals classificationsPeer groupA1 - Principal referralIB2016 013Criteria for groupingGreater than 35,000 acute weighted separations ANDoffering highly specialised services (such as bonemarrow and other specialised transplants, severe burninjury, major trauma)Issue date: April-2016Page 1 of 6

INFORMATION BULLETINA2 - Paediatric specialistA3 - Ungrouped acute – tertiary referralB1 – Major hospitals group 1B2 - Major hospitals group 2C1 – District group 1C2 – District group 2D1a – Community with surgeryD1b – Community without surgeryD2 - Community non-acuteE – Ungrouped acute – otherF1 – PsychiatricF2 – Nursing homeF3 – Multi-purpose serviceF4 – Sub-acuteF5 – Palliative careF6 – RehabilitationF7 – MothercraftF8 – Other ungroupedF9 – Dialysis servicesSpecialist paediatric roleSpecialist acute role not suitable for any other rolebased group and tertiary referral status35,000 or less but greater than 17,000 acute weightedseparations AND availability of one or morespecialist services requiring specific infrastructure(such as cardiac catheterisation, comprehensivecancer centre, in-centre dialysis and medicalradiation imaging) OR average acute NWAU perseparation of 1.25 or greater35,000 or less but greater than 10,000 acute weightedseparations AND no specialist services requiringspecific infrastructure OR average acute NWAUper separation less than 1.2510,000 or less but greater than 4,000 acute weightedseparations4,000 or less acute weighted separations but greaterthan 2,000 acute separations2,000 or less acute separations but greater than 200total separations AND more than 2 per cent surgery(based on DRG status)2,000 or less acute separations AND less than 2 percent surgery (based on DRG status), OR Less than200 total separationsDeletedSpecialist acute role not suitable for any other rolebased group and non-tertiary referral statusDesignated psychiatric facilityNursing homeMulti-purpose service, including associated agedcare entity75 per cent or more general (mixed) sub- and nonacute activityDesignated palliative care facilityDesignated rehabilitation facilityMothercraft serviceOther sub- and non-acute not able to be grouped toany other categoryDialysis servicesIn addition to the review of the overall peer group structure, assignments of individualhospitals to groups were also reviewed. Some changes to the assignment of individualhospitals were as a result of changes to the peer group structure (i.e. the addition ordeletion of peer groups). Others were as a result of the facility previously not beinggrouped or misclassified (for role-based assignments), or where there was a change inthe facility’s activity/role since the 2009 or 2011 reviews. Table 2 shows NSW Hospitalsthat were re-assigned and the rationale.IB2016 013Issue date: April-2016Page 2 of 6

INFORMATION BULLETINTable 2 – 2014 Re-assignment of Hospitals to peer groups, and rationaleHospital2011 peergroupUnclear2013 peer groupRationaleA1 Principalreferral hospitalHawkesburyDistrict HealthServiceN/ATBDBellinger RiverC2 Districtgroup 2BulliC2 Districtgroup 2D1a Communityacute withsurgeryF4 Sub acuteLower complexity compared with other A1hospitals; profile more similar to large majormetropolitan hospitals. However, the LHD hasargued that the fact that non-admitted datawas not used for the review, and thecontribution of clinical networks to thecomplexity of facilities was not examined, bothof which would show a different profile for thishospital. On this basis, it was decided by theMinistry to group this hospital to A1 until thenext review where these other factors will beconsidered.This facility is privately owned / operated, butcontracted to provide services to publicpatients. Options for its allocation to a peergroup have not been examined in this review,although it is most likely to align the C2 profileof hospitals. It is recommended that thestatistics for this hospital be examined for itsappropriate placement, and that it be includedas part of the comparative reporting intendedby the hospital peer grouping.Less than 2,000 acute separations per annumAND more than 2% surgery.TumutC2 Districtgroup 2C2 Districtgroup 2D1a Communitywith surgeryD1b Communitywithout surgeryIllawarra and Shoalhaven LHD have advisedthat it intends to move the ENT surgeryperformed at this hospital to WollongongHospital in the next 12 months. This will meanthat Bulli will be predominantly providing suband non-acute services, and will better meetthe criteria for F4 Sub- acute.Less than 2,000 acute separations per annumAND more than 2% surgery.Less than 2,000 acute separations per annumAND less than 2% surgery.Central CoastTransitionalCare BedsBallinaTransitionalCare BedsNot groupedF8 UngroupedotherThere are no comparative facilities to thisacross the state at this time.Not groupedF8 UngroupedotherNSCCAHSAcute and Postacute CentreD1bCommunityacute w/osurgeryF2 – NursinghomeF8 UngroupedotherThis is a six-bed inpatient unit which providesshort term inpatient care to optimise thefunctioning and independence of older peoplefollowing a hospital stay. Therefore, it is anadmitted (and not a virtual) unit. However,there are no similar units in NSW forcomparative purposes.There are no comparative facilities to thisacross the state at this time.F4 Sub-acutefacilityHad been misclassified as a residential agedcare facility. Is actually a sub-acute facility.BankstownCamdenLourdes DubboIB2016 013Issue date: April-2016Page 3 of 6

INFORMATION BULLETINHospitalManilla MultiPurpose ServiceWerris CreekMulti-PurposeServiceBalranald MultiPurpose Service2011 peergroupD2 Communitynon-acuteD2 Communitynon-acute2013 peer groupRationaleF3 Multipurpose serviceF3 Multipurpose serviceHas become a multi-purpose service.D2 Communitynon-acuteF3 Multipurpose serviceHas become a multi-purpose service.Has become a multi-purpose service.The full list of all NSW hospitals by peer grouping can be found in Attachment 1.Corrections to Attachment 1 of IB2014 070The list published in the Attachment 1 to the IB2014 070 contained some inaccuracieswhich have now been rectified.The facilities which have been corrected are listed in the table 00029K2111700022J3073003792C7052000089L210IB2016 013Hospital short nameBathurst BaseHospitalBatlow/Adelong MultiPurpose ServiceBombala MultiPurpose ServiceBoorowa MultiPurpose ServiceCorowa ResidentialAged CareDorrigo ResidentialAged CareDubbo HealthServiceForster Private Public ContractedBedsGower WilsonMemorial ResidentialAged CareGrenfell MultiPurpose ServiceIB2014 070peer 8N/aF3F3Name amended forconsistencyF3F3Facility codecorrectedIssue date: April-2016ActionundertakenName amended forconsistencyName amended forconsistencyName amended forconsistencyName amended forconsistencyAs Corowa has notbeen officiallydeclared an MPS,M706 shouldremain F2, ratherthan be reclassifiedto F3Name amended forconsistencyName amended forconsistencyDeleted: reportedas a ward ofManning BaseHospital as from 1July 2014Page 4 of 6

INFORMATION 13K7151900140R2063010233R706Hospital short nameGulgong MultiPurpose ServiceGulgong ResidentialAged CareGundagai MultiPurpose ServiceGundagai ResidentialAged CareIB2014 070peer groupRevisedpeergroupF3F3F3F3F3TBPHawkesbury DistrictHealth ServiceTBDN/a1900142R208Hillston MultiPurpose ServiceD1bF33018259R708Hillston ResidentialAged Care1900127M210Holbrook MultiPurpose eton ResidentialAge CareF3F21900145R213Lockhart MultiPurpose ServiceD1bF33015212R7133001193J711Lockhart ResidentialAged CareManilla ResidentialAged Care1900133N213MurrumburrahHarden MultiPurpose Service1900110N752MurrumburrahHarden ResidentialAged CareIB2016 013F3F3F3D1bF3F3F3Issue date: April-2016ActionundertakenOmitted fromIB2014 070 listOmitted fromIB2014 070 listName amended forconsistencyOmitted fromIB2014 070 listDeleted (beingprivate facilitydeemed out ofscope)Peer Groupcorrected:erroneouslyallocated to D1bOmitted fromIB2014 070 listPeer Groupcorrected:erroneouslyallocated to D1bPeer Groupcorrected:erroneouslyallocated to F3As Leeton has notbeen officiallydeclared an MPS,M706 shouldremain F2, ratherthan be reclassifiedto F3Peer Groupcorrected:erroneouslyallocated to D1bOmitted fromIB2014 070 listName amended forconsistencyPeer Groupcorrected:erroneouslyallocated to D1bName amended forconsistencyPage 5 of 6