Maternity Secondary and Tertiary Facility Table The following table is sourced from the table of Maternity facilities contained in the document Maternity Services: A Reference Document, HFA, 2000 – Appendix 9. Only the designated secondary and tertiary maternity facilities have been listed, as the intent of that maternity project group was that a casemix purchase framework should only apply for service provided in these facilities. Document Facility Name NMDS Facility Name NMDS Facility Code Secondary Tertiary Whangarei Whangarei Hospital 4111 Northshore Northshore 3215 Waitakere Waitakere 3216 National Women’s National Women’s 3213 Middlemore Middlemore 3214 Auckland City Auckland City 3260 Waikato Hospital Waikato 5311 Rotorua Rotorua 5312 Tauranga Tauranga 4911 Whakatane Whakatane 3311 Gisborne Gisborne 3411 New Plymouth Taranaki Base 4711 Wanganui Wanganui 5711 Hastings Hastings Memorial 3612 Masterton Masterton 5511 Palmerston North Palmerston North 4311 Wellington Wellington 5811 Hutt Hutt 5812 Blenheim (Wairau) Wairau 3811 Nelson Nelson 3911 Christchurch Women’s Christchurch Women’s 4014 Christchurch Hospital Christchurch Hospital 4011 Greymouth Grey Base Hospital 5911 Timaru Timaru 4411 Dunedin Dunedin 4211 Invercargill Southland 4511 Secondary Tertiary Maternity, Primary Maternity, and Well Newborn Events Maternity events where the first character of the Health Speciality Code (HSC) is ‘P’ and the facility is NOT listed in table 5.2.8 are referred to as ‘Primary Maternity’ events; these are excluded from casemix funding; see also 5.2.17 where the XPU for primary maternity labour, delivery and post-natal stay events are identified. Secondary or tertiary maternity events are those where the first character of the Health Specialty Code is ‘P’ and the facility is listed in the secondary/tertiary maternity facility table in section 5.2.8. In these facilities, well newborn babies, as opposed to ‘neonates’, will be covered by maternity inpatient casemix. In general, we expect well newborns to fall into AR-DRG P67D Neonate, AdmWt >2499g W/O Significant OR Procedure W/O Problem and be counted under the maternity inpatient casemix purchase unit W10.01.
Flags Flag Description Rule Output zflag Identifies delivery on mother's record Z37 in first three characters of any diagnosis code Y bflag Identifies birth or neonatal care on the baby's record Z38 in first three characters of any diagnosis code and zflag not = Y Y oflag Identifies complications of delivery O47 or O60-O75 in first three characters of any diagnosis code Y pflag Identifies postnatal care on mother's record Z39 in first three characters of any diagnosis code Y Refer to Appendix 4 for the Primary Maternity RVUs Relative Value Unit (RVU) Flow Diagram for Primary Maternity Transplants (T0103, T0106, T0111, T0113) Some organ transplants are not purchased via casemix, namely liver, heart and lung transplants. In what follows, age means age at admission. The AR-DRGs A01Z Liver Transplant, A03Z Lung or Heart/Lung Transplant, and A05Z Heart Transplant are excluded from casemix funding and non-casemix purchase units allocated as follows: A01Z at Starship (facility code 3260 and patient’s age <16) has Excluded Purchase Unit (XPU) T0113 Liver Transplant Children A01Z not at Starship (facility code not 3260 OR patient’s age >15) has XPU T0111 Liver Transplant Adult A05Z has XPU T0103 Heart Transplant A03Z has XPU T0106 Lung Transplant. Note that simultaneous pancreas and kidney transplants are included in casemix funding, and are identified as those cases assigned to AR-DRG A09A Renal Transplant With Pancreas Transplant or With Catastrophic CC where the event includes a procedure code of 9032400 [981] Transplantation of pancreas. Spinal Injuries (S50001, S50002) Some Spinal Services are excluded as they are not purchased via casemix. Excluded Spinal Services are those with the Health Speciality Code S50 Spinal Surgery. Events where the admission type is WN (Waiting List) map to S50002 Spinal Services non-acute, and all other admission types map to S50001 Spinal Services acute cases. Surgical Termination of Pregnancy – 2nd Trimester (S30009) – 14 to 25 completed weeks Non-acute Surgical Termination of Pregnancy (ToP) events are excluded. These are tested for by checking that: