Queensland report, April 2015

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In this report

This report includes the following tables:

This report is issued by the Administrator of the National Health Funding Pool under section 240 of the National Health Reform Act 2011.

This report is prepared on a cash basis. It shows monthly and year-to-date (YTD) National Health Reform (NHR) funding and payments for Queensland for April 2015 as part of the National Health Reform Agreement.

Local hospital networks and National Health Reform

A local hospital network (LHN) is an organisation that provides public hospital services in accordance with the Agreement. An LHN can contain one or more hospitals, and is usually defined as a business group, geographical area or community. Every Australian public hospital is part of an LHN.

Note: The term ‘local hospital network’ is a national term. Some states and territories use their own terminology to describe these networks, such as local health districts, health organisations, and hospital and health services.

Under the Agreement, LHNs receive funding for the following public hospital services:

  • All admitted and non-admitted services
  • All emergency department services provided by a recognised emergency department
  • Other outpatient, mental health, sub-acute services and other services that could reasonably be considered a public hospital service.

Note: LHNs also receive funding from other sources, including the Commonwealth, states and territories, and third parties for the provision of other specific functions and services outside the scope of the Agreement, for example dental services, primary care, home and community care, residential aged care and pharmaceuticals. For further information on total funding to a particular LHN, contact the Queensland Department of Health to view the service agreement for that LHN.

Basis for National Health Reform payments – Queensland, April 2015

For the basis of the Commonwealth contribution to NHR funding, see Basis of Commonwealth NHR funding, 2014-15.

The basis used to determine NHR payments to LHNs in Queensland for April 2015 was advised by the Queensland Department of Health to be as follows:

Service agreements between the Department of Health and each Hospital and Health Service (HHS) are based on the department’s funding and purchasing models. In broad terms, the funding model determines the price at which the department purchases services from HHSs, and the purchasing model determines the volume of services that are purchased.

In terms of the funding model:

34 of the largest public hospitals are funded through the Queensland Activity Based Funding (ABF) model, which sets prices at a disaggregated level for each type of public hospital service. The Queensland ABF model is based largely on the national ABF model, but includes a number of modifications to reflect Queensland priorities.

89 public hospitals, predominantly small regional and rural hospitals, are funded through block funding arrangements which take account of hospital size and location. These are based on the National Efficient Cost Determination with some minor modifications.

Most non-hospital services (e.g. preventive health, primary and community health) are funded based on historical funding levels. However, some services, such as oral health and breast screening, are funded based on a price per unit of output.

The purchasing model determines the volume of services that the Department agrees to purchase from each HHS through the service agreement. The model is informed by Estimated Future Activity for each HHS and other key priorities for investment.

Interest received in the pool account from the Reserve Bank of Australia is returned to the Queensland Government’s Consolidated Fund and is not used for NHR funding.

Reference information

The financial information outlined in the following report is categorised as:

  • NHR funding – when the Commonwealth or state or territory government pays NHR funding into a state pool account or state managed fund.
  • NHR payments – when NHR funding that has been deposited into a state pool account or state managed fund is paid out of the state pool account by the Administrator, or is paid out of the state managed fund by the state or territory.

State pool account transactions

Table 1a – State pool account transactions – Queensland, April 2015

This table shows funding paid into the Queensland state pool account by the Commonwealth, Queensland or other states/territories, and payments out of the state pool account to LHNs, the state managed fund, the Queensland Department of Health or the state pool accounts of other states/territories for April 2015.

NHR funding by source Paid into state pool account Paid out of state pool account
To Local hospital networks To State
Managed Fund
To state
health department
To state pool (other State) Total paid out
($) ($) ($) ($) ($) ($)
Commonwealth
ABF funding
221,353,251 221,353,251 221,353,251
Commonwealth
Block funding
32,680,425 32,680,425 32,680,425
Commonwealth
Other funding
5,662,557 5,662,557 5,662,557
Total C'wealth
funding
259,696,233 221,353,251 32,680,425 5,662,557 259,696,233
QLD
funding
361,511,745 361,464,043 0 0 361,464,043
Other state/territory funding 0 0 0 0
Total 621,207,979 582,817,295 32,680,425 5,662,557 0 621,160,277

See definitions and explanatory notes following table 1b.

Table 1b – State pool account transactions YTD – Queensland, April 2015

Following on from table 1a, this table shows year-to-date (YTD) funding paid into the Queensland state pool account by the Commonwealth, Queensland or other states/territories, and payments out of the state pool account to LHNs, the state managed fund, the Queensland Department of Health or the state pool accounts of other states/territories as at April 2015.

NHR funding by source Paid into state
pool account
Paid out of state pool account
To Local hospital
networks
YTD
To State
Managed Fund
YTD
To state health
department
YTD
To state pool (other State)
YTD
Total paid out
YTD
($) ($) ($) ($) ($) ($)
Commonwealth
ABF funding
2,150,398,282 2,150,398,282 2,150,398,282
Commonwealth
Block funding
328,103,044 328,103,044 328,103,044
Commonwealth
Other funding
56,972,165 56,972,165 56,972,165
Total C'wealth
funding
2,535,473,490 2,150,398,282 328,103,044 56,972,165 2,535,473,490
QLD
funding
4,313,723,890 4,313,272,718 0 0 4,313,272,718
Other state/territory funding 0 0 0 0
Total 6,849,197,380 6,463,671,000 328,103,044 56,972,165 0 6,848,746,208

Commonwealth ABF funding represents Acute admitted, Non-admitted, Emergency department, Sub-acute, and Admitted mental health service categories, which are funded by the Commonwealth through the state pool account and subsequently paid to LHNs.

Commonwealth Block funding represents Non-admitted mental health, Small rural hospitals, Teaching, training & research, and Other non-admitted categories, which are funded by the Commonwealth and paid to the state managed fund.

Commonwealth Other funding represents other amounts funded by the Commonwealth, transacted through the state pool account and subsequently paid to state or territory health departments. This currently represents the Commonwealth contribution to public health.

QLD funding represents funding contributions paid by Queensland into its own state pool account, and subsequently paid to LHNs within the state, to the Queensland health department and/or to other state pool accounts.

Other state/territory funding represents contributions paid to Queensland by other states and territories for cross-border activity.

Note: The grey shaded areas in these tables reflect cells that are not applicable for a particular 'paid out' column. For example, Commonwealth block funding is only paid to state managed funds and not to local hospital networks or state or territory health departments.

NHR funding and payments shown in these tables include GST where applicable.

For more information, see National Health Reform funding and payments.

State managed fund transactions

Table 2a – State managed fund transactions – Queensland, April 2015

This table shows funding paid into the Queensland state managed fund by the Commonwealth and Queensland, and payments out of the state managed fund to LHNs and other provider organisations for April 2015.

NHR funding by source Paid into state managed fund Paid out of state managed fund
To local hospital networks To Other Total paid out
($) ($) ($) ($)
Commonwealth Block funding 32,680,425 32,680,425
State/territory Block funding 73,585,039 73,585,039
Total 106,265,464 106,265,464 0 106,265,464

See explanatory notes following table 2b.

Table 2b – State managed fund transactions YTD – Queensland, April 2015

Following on from table 2a, this table shows year-to-date (YTD) funding paid into the Queensland state managed fund by the Commonwealth and Queensland, and YTD payments out of the state managed fund to LHNs and other provider organisations as at April 2015.

NHR funding by source Paid into state
managed fund
YTD
Paid out of state managed fund YTD
To local hospital
networks
YTD
To Other
YTD
Total paid out
YTD
($) ($) ($) ($)
Commonwealth Block funding 328,103,044 328,103,044
State/territory Block funding 789,251,064 789,251,064
Total 1,117,354,108 1,117,354,108 0 1,117,354,108

Block funding represents Non-admitted mental health, Small rural hospitals, Teaching, training & research, and Other non-admitted categories.

Commonwealth Block funding represents Commonwealth block funding contributions paid into the state managed fund from the state pool account, and block payments out of the state managed fund to LHNs and other provider organisations.

State/territory Block funding represents Queensland block funding contributions into the state managed fund, and block payments out of the state managed fund to LHNs and other provider organisations.

Note: The grey shaded areas in these tables reflect that these block payments cannot at this stage be identified by source of funding (state, territory or Commonwealth contribution).

NHR funding and payments shown in these tables include GST where applicable.

For more, see National Health Reform funding and payments.

NHR funding and payments by service category

Table 3 – NHR funding and payments by service category – Queensland, April 2015

This table shows NHR funding and payments by service category on both a monthly and year-to-date (YTD) basis for Queensland for April 2015. NHR funding and payments are separated into the following service categories – activity-based funding (ABF), block funding, and other funding.

Service category NHR
funding
NHR
payments
NHR
funding YTD
NHR
payments YTD
($) ($) ($) ($)
ABF
Acute admitted 367,610,560 367,610,560 4,092,511,914 4,092,511,914
Admitted mental health 29,501,539 29,501,539 319,796,573 319,796,573
Sub-acute 30,811,763 30,811,763 337,954,301 337,954,301
Emergency department 85,091,826 85,091,826 935,298,710 935,298,710
Non-admitted 69,801,607 69,801,607 778,109,502 778,109,502
Total ABF (Pool) 582,817,295 582,817,295 6,463,671,000 6,463,671,000
Block
Small rural hospitals 57,567,780 57,818,354 602,691,748 605,251,941
Teaching, training & research 21,971,348 21,971,348 224,756,226 224,731,635
Non-admitted mental health 26,187,910 26,010,169 283,596,777 281,792,700
Other non-admitted services 538,427 465,593 6,309,357 5,577,832
Total Block (SMF) 106,265,464 106,265,464 1,117,354,108 1,117,354,108
Other
Public health funding 5,662,557 5,662,557 56,972,165 56,972,165
Overdeposit 0 0 0 0
Cross-border 0 0 0 0
Interest 47,702 0 451,172 0
Total Other (Pool) 5,710,259 5,662,557 57,423,336 56,972,165
Grand Total 694,793,018 694,745,316 7,638,448,444 7,637,997,272

Total ABF (Pool) is an aggregate of both Commonwealth and state or territory NHR funding and payments for activity-based funding (ABF) which is transacted through the state pool account.

Total Block (SMF) is an aggregate of both Commonwealth and state or territory NHR funding and payments for block funding which is transacted through the state managed fund (SMF).

Total Other (Pool) represents other funding and payments transacted through the state pool account, including public health funding, overdeposits, cross-border funding and payments, and interest.

State and territory cross-border payments can either be:

  • Paid to the relevant state or territory's LHNs - included within ABF and/or block payments in the above table, or
  • Reimbursed to the relevant state or territory where the state or territory's LHNs are already being funded for the cost of treating cross-border patients - shown in the Cross-border row under Other in the above table.

NHR funding and payments shown in these tables include GST where applicable.

For more information, see National Health Reform funding and payments.

NHR contributions by local hospital network

Table 4a – NHR contributions by local hospital network – Queensland, April 2015

This table shows NHR contributions (from state, territory and Commonwealth sources) made to each LHN in Queensland during April 2015.

NHR contributions to LHNs are separated into an activity-based funding (ABF) component and a block component.

Local hospital network (LHN) ABF component
(ex GST)
Block component
(ex GST)
Total NHR payment
(ex GST)
($) ($) ($)
Cairns and Hinterland Hospital and Health Service 35,672,574 7,041,411 42,713,985
Central Queensland Hospital and Health Service 19,621,111 6,858,421 26,479,532
Central West Hospital and Health Service 0 2,339,509 2,339,509
Children's Health Queensland Hospital and Health Service 22,288,253 874,245 23,162,498
Darling Downs Hospital and Health Service 20,456,248 14,189,657 34,645,905
Gold Coast Hospital and Health Service 64,117,818 4,654,898 68,772,716
Mackay Hospital and Health Service 17,301,311 3,677,882 20,979,193
Mater Misericordiae Health Service Brisbane 25,696,485 1,536,193 27,232,678
Metro North Hospital and Health Service 128,742,652 10,695,185 139,437,837
Metro South Hospital and Health Service 113,401,683 13,813,755 127,215,438
North West Hospital and Health Service 5,632,138 2,234,449 7,866,587
South West Hospital and Health Service 0 5,214,160 5,214,160
Sunshine Coast Hospital and Health Service 41,864,374 3,649,656 45,514,030
Torres and Cape Hospital and Health Service 0 4,374,934 4,374,934
Townsville Hospital and Health Service 38,110,627 9,345,730 47,456,357
West Moreton Hospital and Health Service 21,477,580 9,354,962 30,832,543
Wide Bay Hospital and Health Service 25,864,792 6,256,800 32,121,591
Total 580,247,646 106,111,845 686,359,491

See explanatory notes below table 4b.

Table 4b – NHR contributions by local hospital network YTD – Queensland, April 2015

This table shows YTD NHR contributions (from state, territory and Commonwealth sources) made to each LHN in Queensland as at April 2015.

NHR contributions to LHNs are separated into an activity-based funding (ABF) component and a block component.

Local hospital network ABF component YTD
(ex GST)
Block component YTD
(ex GST)
Total NHR payment YTD
(ex GST)
($) ($) ($)
Cairns and Hinterland Hospital and Health Service 397,861,479 75,309,373 473,170,851
Central Queensland Hospital and Health Service 217,696,001 73,226,989 290,922,989
Central West Hospital and Health Service 0 24,920,980 24,920,980
Children's Health Queensland Hospital and Health Service 247,856,694 13,028,796 260,885,490
Darling Downs Hospital and Health Service 248,911,393 151,315,031 400,226,424
Gold Coast Hospital and Health Service 687,024,498 50,136,515 737,161,013
Mackay Hospital and Health Service 182,727,045 39,318,224 222,045,270
Mater Misericordiae Health Service Brisbane 359,942,255 13,230,884 373,173,139
Metro North Hospital and Health Service 1,377,466,869 115,033,914 1,492,500,782
Metro South Hospital and Health Service 1,237,694,183 148,108,133 1,385,802,315
North West Hospital and Health Service 58,484,714 23,834,290 82,319,004
South West Hospital and Health Service 0 55,542,372 55,542,372
Sunshine Coast Hospital and Health Service 454,029,081 39,147,289 493,176,371
Torres and Cape Hospital and Health Service 0 46,602,779 46,602,779
Townsville Hospital and Health Service 437,309,147 99,923,165 537,232,312
West Moreton Hospital and Health Service 226,673,706 99,817,588 326,491,294
Wide Bay Hospital and Health Service 293,999,711 47,534,699 341,534,410
Total 6,427,676,774 1,116,031,019 7,543,707,794

NHR contributions in this table are GST exclusive to enable comparability of NHR payments in each LHN report.

Note: This table excludes GST.
The majority of government funding to LHNs is not subject to GST. However in some cases hospital funding to non-government entities does attract GST, for example, denominational hospitals, privately and commercially owned health facilities, or any other non-government third party provider of health services or related supplies.

For more information, see National Health Reform funding and payments.

Estimated monthly, YTD and annual activity

States and territories provide service volume estimates at the start of each financial year, and if required, can continue to refine these estimates during the course of the year. These estimates form the basis of monthly reporting of service volumes until actual service numbers become available. These estimates are expressed as National Weighted Activity Units (NWAU).

States and territories provide estimated annual NWAU to the Administrator as a basis for determining the Commonwealth activity-based funding. Current month NWAU estimates accumulate through the year-to-date (YTD) NWAU, to be equal to the annual NWAU at the end of the financial year.

States and territories may also provide activity information relating to the delivery of other public hospital functions funded.

Table 5 – Estimated monthly, YTD and annual NWAU by local hospital network – Queensland, April 2015

This table shows estimated state or territory hospital activity for activity-based funding services expressed as NWAU for April 2015, the associated cumulative year-to-date (YTD), and total estimated annual NWAU for each LHN in Queensland.

Local hospital network (LHN) Estimated NWAU delivered in current month Estimated NWAU delivered YTD Estimated annual NWAU 2014-15
Cairns and Hinterland Hospital and Health Service 7,433 73,847 90,104
Central Queensland Hospital and Health Service 3,903 38,827 46,882
Children's Health Queensland Hospital and Health Service 3,749 37,894 45,621
Darling Downs Hospital and Health Service 4,737 47,946 58,806
Gold Coast Hospital and Health Service 12,225 122,249 149,647
Mackay Hospital and Health Service 3,235 32,437 38,197
Mater Misericordiae Health Service Brisbane 5,910 59,278 70,352
Metro North Hospital and Health Service 24,232 240,768 293,285
Metro South Hospital and Health Service 21,586 216,421 261,013
North West Hospital and Health Service 966 9,655 11,071
Sunshine Coast Hospital and Health Service 8,258 83,279 101,340
Townsville Hospital and Health Service 7,651 75,144 93,497
West Moreton Hospital and Health Service 4,308 43,332 51,856
Wide Bay Hospital and Health Service 5,292 53,716 64,063
Total 113,484 1,134,792 1,375,734

An NWAU is a measure of health service activity expressed as a common unit. It provides a way of comparing and valuing each public hospital service, whether they are admissions, emergency department presentations or outpatient episodes, by weighting them for their clinical complexity. The average hospital service is worth one NWAU - the most intensive and expensive activities are worth multiple NWAU, the simplest and least expensive are worth fractions of an NWAU.

Monthly NHR payments relate to the cash needs of public hospitals and do not necessarily reflect the volume of services to be delivered in the month.

For more information on the NWAU calculation, see Calculation of NWAU.