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TitleReport of the National Sub-Acute and Non-Acute
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Table of Contents
                            University of Wollongong
Research Online
	1997
The Australian National Sub-Acute and Non-Acute Patient Classification (AN-SNAP): Report of the National Sub-Acute and Non-Acute Casemix Classification Study
	K. Eagar
	R. Gordon
	A. Hodkinson
	J. Green
	L. Eagar
		See next page for additional authors
		Publication Details
		Authors
C:\MyFiles\1996SNAPstudy_pdf.PDF
                        
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Page 1

University of Wollongong
Research Online

Centre for Health Service Development - CHSD Sydney Business School

1997

The Australian National Sub-Acute and Non-Acute
Patient Classification (AN-SNAP): Report of the
National Sub-Acute and Non-Acute Casemix
Classification Study
K. Eagar
University of Wollongong, [email protected]

R. Gordon
University of Wollongong, [email protected]

A. Hodkinson
University of Wollongong

J. Green
University of Wollongong, [email protected]

L. Eagar
University of Wollongong

See next page for additional authors

Research Online is the open access institutional repository for the University of Wollongong. For further information contact the UOW Library:
[email protected]

Publication Details
Report originally published as Eagar, K, Gordon, R, Hodkinson, A et al, The Australian National Sub-Acute and Non-Acute Patient
Classification (AN-SNAP): Report of the National Sub-Acute and Non-Acute CasemixClassification Study, Centre for Health Service
Development, University of Wollongong, August 1997, 267p.

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Page 134

Report of the National Sub-Acute and Non-Acute Casemix Classification Study Page 111

Figure 164 RUG-ADL data - Maintenance

Overnigh
t

Same day Outpatien
t

Communi
ty

RUG-ADL
admission
Range: 4-18

mean 11.2 6.3 5.6 5.5

median 11.0 4.0 4.0 4.0



Summary data on the RCI Behaviour scale are shown in Figure 165. These scores were re-coded to
numeric values with a range of 3 to 12. A score of 3 indicated that the person required minimal or
intervention for aggressive or disruptive behaviour. There were no differences on this item between
the ambulatory episodes. The overnight episodes had more behaviour problems than the ambulatory
episodes.

Figure 165 RCI Behaviour scale data - Maintenance

Overnight Same day Outpatient Community

mean
Range: 3-12

4.0 3.3 3.2 3.2

median 3.0 3.0 3.0 3.0



Figure 166 shows the reason for the end of the overnight episodes. 35% of episodes ended with the
patient being discharged to home or to other accommodation. The next most common reason was
discharge to a nursing home (31%) followed by transfer to another hospital (6%). 20% of all overnight
patients were still in care at the end of the study period.

Figure 166 Reason for Episode End - Overnight Maintenance

Reason number %

Discharged to a nursing home 465 30.6

Discharged to other accommodation 531 34.9

Died 83 5.5

Discharged/transferred to another hospital 86 5.7

Change to acute care and transfer to a different ward 8 0.5

Change to acute care whilst remaining on same ward 14 0.9

Change of Case Type within SNAP 26 1.7

Discharge own risk 1 0.1

Statistical discharge from leave 0 0.0

Still in care at end of study 308 20.2

Page 135

Report of the National Sub-Acute and Non-Acute Casemix Classification Study Page 112

Figure 167 shows why ambulatory episodes ended. 65% of the community clients were still in care at
the end of the study whilst 25% ended with a case closure / discharge. The pattern was similar for
outpatients.

Figure 167 Reason for Episode End - Ambulatory Maintenance

Same day Outpatient Community

number % number % number %

Discharge / case
closure

40 78.4 102 34.5 1,507 25.4

Died 0 0.0 3 1.0 151 2.5

Admitted to
hospital as
overnight patient

4 7.8 16 5.4 345 5.8

Change to acute or
primary care

0 0.0 1 0.3 21 0.4

Change of Case
Type within SNAP

0 0.0 1 0.3 26 0.4

Change of episode
type

0 0.0 1 0.3 5 0.1

Still in care at
episode end

7 13.7 172 58.1 3,880 65.4

Page 268

Class Episode Type Description Final Cost per
Episode
excluding medical

Final Cost per
Episode
including
medical

Final Cost per Day
excluding medical

Final Cost per Day
including medical

Report of the National Sub-Acute and Non-Acute Casemix Classification Study Page 245

555 Same Day & Community Assess, Multidisciplinary $426.47 $517.22 $120.21 $145.79
556 Outpatient Assess, Multidisciplinary $254.80 $344.30 $92.21 $124.60
557 All ambulatory Maintenance & Support, Nursing, age>=37, RUG>=5 $748.10 $831.20 $57.02 $63.36
558 All ambulatory Maintenance & Support, Nursing, age>=37, RUG 4 $776.30 $776.30 $57.39 $57.39
559 All ambulatory Maintenance & Support, Nursing, age<=36, RUG>=5 $777.36 $777.36 $51.34 $51.34
560 All ambulatory Maintenance & Support, Nursing, age<=36, RUG 4 $223.44 $223.44 $39.67 $39.67
561 All ambulatory Maintenance & Support, Physical Therapy, RUG>=6 $406.21 $406.21 $60.44 $60.44
562 All ambulatory Maintenance & Support, Physical Therapy, RUG 4,5 $339.76 $448.50 $52.17 $68.87
563 Community Maintenance & Support, Multidisc., age>=27, RUG 4-11 $1,042.13 $1,238.30 $56.90 $67.61
564 All ambulatory Maintenance & Support, Multidisc., age>=27, RUG>=12 $1,531.57 $1,688.73 $71.27 $78.59
565 Outpatient Maintenance & Support, Multidisc., age>=27, RUG 4-11 $623.93 $863.99 $81.11 $112.32

566 All ambulatory Maintenance & Support, Multidisc., <=26 yrs $667.36 $877.20 $74.26 $97.61

Page 269

Report of the National Sub-Acute and Non-Acute Casemix Classification Study Page 246

Appendix 15 Resolution of the National SNAP Steering
Committee

The National Steering Committee (see Appendix 1) held its final meeting on 8 August 1997
and:

1. Resolved to receive the draft final report and to sign off on the National
Project, noting:

1.1 that the Project has been conducted and finalised in a professional
manner;

1.2 that the Project Team will product a final report for wide distribution;
and

1.3 that the findings and interpretation in the final report remain those of
the Project Team.

2. Recommended that the SNAP classification be adopted as the first version of
the national classification, noting:

2.1 that matters of timing, policy, method and scope of implementation
rest with respective jurisdictions (States and Territories, private sector
and Commonwealth);

2.2 that matters of:

i. the interface/boundary between AN-SNAP and other
classifications

ii. boundaries between AN-SNAP case types; and
iii. AN-SNAP use and refinement

will require additional work over time.

In making this recommendation, the Committee noted that the representatives
of the Victorian Department of Human Services were unable to support this
recommendation without further consultation.

3. Resolved that the Committee record its thanks to the Project Team for their
committed and dedicated work in undertaking the Project.

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