Queensland report, April 2016

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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 2016 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 2016

For the basis of the Commonwealth contribution to NHR funding, see Basis of Commonwealth NHR funding, 2015-16.

The basis used to determine NHR payments to LHNs in Queensland for April 2016 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:

35 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.

83 public hospitals, predominantly small regional and rural hospitals, and 4 specialist mental health facilities 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.

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 2016

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 2016.

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
291,797,113 291,797,113 291,797,113
Commonwealth
Block funding
32,198,861 32,198,861 32,198,861
Commonwealth
Other funding
5,851,177 5,851,177 5,851,177
Total C'wealth
funding
329,847,151 291,797,113 32,198,861 5,851,177 329,847,151
QLD
funding
410,884,889 410,810,132 0 0 410,810,132
Other state/territory funding 0 0 0 0
Total 740,732,040 702,607,245 32,198,861 5,851,177 0 740,657,283

See definitions and explanatory notes following table 1b.

Table 1b – State pool account transactions YTD – Queensland, April 2016

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 2016.

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
2,510,695,452 2,510,695,452 2,510,695,452
Commonwealth
Block funding
321,988,605 321,988,605 321,988,605
Commonwealth
Other funding
59,411,463 59,411,463 59,411,463
Total C'wealth
funding
2,892,095,520 2,510,695,452 321,988,605 59,411,463 2,892,095,520
QLD
funding
4,570,171,264 4,543,030,674 0 26,700,000 4,569,730,674
Other state/territory funding 38,400,000 0 38,400,000 38,400,000
Total 7,500,666,784 7,053,726,126 321,988,605 97,811,463 26,700,000 7,500,226,195

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 2016

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 2016.

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 32,198,861 32,198,861
State/territory Block funding 65,354,331 65,354,331
Total 97,553,191 97,553,191 0 97,553,191

See explanatory notes following table 2b.

Table 2b – State managed fund transactions YTD – Queensland, April 2016

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 2016.

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 321,988,605 321,988,605
State/territory Block funding 751,770,534 751,770,534
Total 1,073,759,140 1,073,759,140 0 1,073,759,140

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 2016

This table shows NHR funding and payments by service category on both a monthly and year-to-date (YTD) basis for Queensland for April 2016. 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 440,548,919 440,548,919 4,454,198,267 4,454,198,267
Admitted mental health 34,103,500 34,103,500 356,348,276 356,348,276
Sub-acute 36,067,044 36,067,044 368,654,231 368,654,231
Emergency department 98,737,340 98,737,340 997,023,624 997,023,624
Non-admitted 93,150,442 93,150,442 877,501,728 877,501,728
Total ABF (Pool) 702,607,245 702,607,245 7,053,726,126 7,053,726,126
Block
Small rural hospitals 50,052,362 49,959,901 544,820,599 544,283,823
Teaching, training & research 21,058,143 21,058,143 241,068,053 241,068,053
Non-admitted mental health 26,442,687 26,535,148 287,870,487 288,407,263
Other non-admitted services 0 0 0 0
Total Block (SMF) 97,553,191 97,553,191 1,073,759,140 1,073,759,140
Other
Public health funding 5,851,177 5,851,177 59,411,463 59,411,463
Overdeposit 0 0 0
Cross-border 0 0 65,100,000 65,100,000
Interest 74,757 0 440,589 0
Total Other (Pool) 5,925,934 5,851,177 124,952,053 124,511,463
Grand Total 806,086,371 806,011,614 8,252,437,318 8,251,996,729

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 2016

This table shows NHR contributions (from state, territory and Commonwealth sources) made to each LHN in Queensland during April 2016.

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 40,774,724 6,188,172 46,962,897
Central Queensland Hospital and Health Service 26,808,991 5,162,108 31,971,099
Central West Hospital and Health Service 0 2,352,764 2,352,764
Children's Health Queensland Hospital and Health Service 37,227,510 1,519,765 38,747,275
Darling Downs Hospital and Health Service 36,818,835 12,533,578 49,352,413
Gold Coast Hospital and Health Service 71,958,573 5,311,532 77,270,105
Mackay Hospital and Health Service 21,605,303 4,031,975 25,637,278
Mater Misericordiae Health Service Brisbane 19,201,287 10,861 19,212,148
Metro North Hospital and Health Service 173,805,294 11,275,503 185,080,797
Metro South Hospital and Health Service 120,917,473 12,575,554 133,493,026
North West Hospital and Health Service 6,521,376 2,396,863 8,918,240
South West Hospital and Health Service 0 5,225,778 5,225,778
Sunshine Coast Hospital and Health Service 45,115,620 3,632,850 48,748,470
Torres and Cape Hospital and Health Service 0 5,087,524 5,087,524
Townsville Hospital and Health Service 42,466,028 9,278,432 51,744,460
West Moreton Hospital and Health Service 23,380,124 8,950,910 32,331,034
Wide Bay Hospital and Health Service 34,085,978 2,017,936 36,103,914
Total 700,687,116 97,552,105 798,239,222

See explanatory notes below table 4b.

Table 4b – NHR contributions by local hospital network YTD – Queensland, April 2016

This table shows YTD NHR contributions (from state, territory and Commonwealth sources) made to each LHN in Queensland as at April 2016.

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 430,741,055 67,304,976 498,046,032
Central Queensland Hospital and Health Service 246,164,800 58,166,485 304,331,285
Central West Hospital and Health Service 0 24,615,698 24,615,698
Children's Health Queensland Hospital and Health Service 345,261,132 16,275,392 361,536,524
Darling Downs Hospital and Health Service 294,246,345 135,486,255 429,732,600
Gold Coast Hospital and Health Service 787,568,053 55,840,783 843,408,835
Mackay Hospital and Health Service 201,771,150 41,736,631 243,507,780
Mater Misericordiae Health Service Brisbane 323,349,184 7,821,684 331,170,867
Metro North Hospital and Health Service 1,506,955,535 119,367,143 1,626,322,679
Metro South Hospital and Health Service 1,286,616,460 136,630,459 1,423,246,918
North West Hospital and Health Service 55,164,130 24,825,967 79,990,097
South West Hospital and Health Service 0 54,713,377 54,713,377
Sunshine Coast Hospital and Health Service 482,399,118 38,812,141 521,211,259
Torres and Cape Hospital and Health Service 0 51,735,781 51,735,781
Townsville Hospital and Health Service 472,721,518 98,091,773 570,813,291
West Moreton Hospital and Health Service 249,258,621 95,170,955 344,429,576
Wide Bay Hospital and Health Service 339,174,108 46,381,473 385,555,581
Total 7,021,391,208 1,072,976,972 8,094,368,180

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 2016

This table shows estimated state or territory hospital activity for activity-based funding services expressed as NWAU for April 2016, 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 2015-16
Cairns and Hinterland Hospital and Health Service 8,344 77,252 100,125
Central Queensland Hospital and Health Service 4,307 43,647 51,684
Children's Health Queensland Hospital and Health Service 5,515 50,115 66,180
Darling Downs Hospital and Health Service 5,801 53,439 69,616
Gold Coast Hospital and Health Service 14,447 137,443 173,358
Mackay Hospital and Health Service 3,541 32,556 42,487
Mater Misericordiae Health Service Brisbane 5,179 53,152 62,142
Metro North Hospital and Health Service 26,473 250,245 317,671
Metro South Hospital and Health Service 22,223 221,674 266,677
North West Hospital and Health Service 887 9,399 10,647
Sunshine Coast Hospital and Health Service 9,058 86,653 108,691
Townsville Hospital and Health Service 8,175 80,642 98,104
West Moreton Hospital and Health Service 4,703 46,275 56,436
Wide Bay Hospital and Health Service 5,453 54,403 65,439
Total 124,105 1,196,892 1,489,257

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.