South Australian report, August 2013

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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 South Australia for August 2013 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 SA Department of Health to view the service agreement for that LHN.

Basis for National Health Reform payments – South Australia, August 2013

For the basis of the Commonwealth contribution to NHR funding, see Basis of Commonwealth NHR funding, 2013-14.

The basis used to determine NHR payments to LHNs in South Australia for August 2013 was advised by the SA Department of Health to be as follows:

In determining the annual funding allocation for all LHNs, the budget has been built up predominantly on an activity basis applying an internally developed allocation methodology that is designed to equitably distribute funding to each local hospital network relative to all LHNs in South Australia. This occurs within the confines of a limited funding pool that includes adjustments to recognise cost improvements and the attainment of service efficiencies that are also equitably allocated on an activity basis. Supplementation is provided as block funding where an activity-based approach is not appropriate. This captures the provision of services including teaching, training and research, some mental health services and the delivery of out of hospital strategies incorporating primary health.

Monthly allocations to LHNs will vary for a variety of reasons, but they are predominantly cash flow financed based on need which includes the activity demand on hospital services.

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 – South Australia, August 2013

This table shows funding paid into the South Australian state pool account by the Commonwealth, South Australia or other states/territories, and payments out of the state pool account to LHNs, the state managed fund, the SA Department of Health or the state pool accounts of other states/territories for August 2013.

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
71,335,830 71,335,830 71,335,830
Commonwealth
Block funding
12,119,830 12,119,830 12,119,830
Commonwealth
Other funding
1,963,592 1,963,592 1,963,592
Total C'wealth
funding
85,419,253 71,335,830 12,119,830 1,963,592 85,419,253
SA
funding
170,119,594 133,960,465 0 0 133,960,465
Other state/territory funding 0 0
Total 255,538,847 205,296,296 12,119,830 1,963,592 0 219,379,718

See definitions and explanatory notes following table 1b.

Table 1b – State pool account transactions YTD – South Australia, August 2013

Following on from table 1a, this table shows year-to-date (YTD) funding paid into the South Australian state pool account by the Commonwealth, South Australia or other states/territories, and payments out of the state pool account to LHNs, the state managed fund, the South Australia Department of Health or the state pool accounts of other states/territories as at August 2013.

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
142,671,661 142,671,661 142,671,661
Commonwealth
Block funding
24,239,661 24,239,661 24,239,661
Commonwealth
Other funding
3,927,184 3,927,184 3,927,184
Total C'wealth
funding
170,838,506 142,671,661 24,239,661 3,927,184 170,838,506
SA
funding
350,309,088 278,807,552 0 0 278,807,552
Other state/territory funding 0 0
Total 521,147,594 421,479,212 24,239,661 3,927,184 0 449,646,057

Commonwealth ABF funding represents Acute admitted public, Acute admitted private, Non-admitted, and 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.

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

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

Note: The grey shaded areas in these tables reflect that these amounts are not applicable for a particular 'paid out' column. For example, Commonwealth block funding is only paid to state managed funds and is not applicable for 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 – South Australia, August 2013

This table shows funding paid into the South Australian state managed fund by the Commonwealth and South Australia, and payments out of the state managed fund to local hospital networks and other provider organisations for August 2013.

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 12,119,830 12,119,830
State/territory Block funding 14,683,874 14,683,874
Total 26,803,704 26,803,704 0 26,803,704

See explanatory notes following table 2b.

Table 2b – State managed fund transactions YTD – South Australia, August 2013

Following on from table 2a, this table shows year-to-date (YTD) funding paid into the South Australian state managed fund by the Commonwealth and South Australia, and YTD payments out of the state managed fund as at August 2013. These amounts include notional payments for July, August and September 2012.

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 24,239,661 24,239,661
State/territory Block funding 33,681,127 33,681,127
Total 57,920,788 57,920,788 0 57,920,788

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 South Australian 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 – South Australia, August 2013

This table shows NHR funding and payments by service category on both a monthly and year-to-date (YTD) basis for South Australia for August 2013. 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 YTD NHR
funding
YTD NHR
payments
($) ($) ($) ($)
ABF
Acute admitted - public 145,511,506 123,817,315 297,004,001 254,140,271
Acute admitted - private 10,205,213 8,770,097 20,740,336 17,888,423
Non-admitted 30,841,179 28,207,133 63,235,147 58,124,818
Emergency department 27,435,820 21,229,977 55,941,125 43,628,236
Admitted mental health 9,135,920 7,719,553 18,696,190 15,906,511
Sub-acute 18,206,192 15,552,220 37,054,861 31,790,952
Total ABF (Pool) 241,335,830 205,296,296 492,671,661 421,479,212
Block
Non-admitted mental health 7,147,193 7,147,193 15,418,712 15,418,712
Small rural hospitals 13,497,270 13,497,270 27,905,067 27,905,067
Teaching, training & research 4,192,653 4,192,653 10,216,452 10,216,452
Other non-admitted services 1,966,588 1,966,588 4,380,557 4,380,557
Total Block (SMF) 26,803,704 26,803,704 57,920,788 57,920,788
Other
Public health funding 1,963,592 1,963,592 3,927,184 3,927,184
Overdeposit 0 0 0 0
Cross-border 0 0 0 0
Interest 119,594 0 309,088 0
Total Other (Pool) 2,083,186 1,963,592 4,236,273 3,927,184
Grand Total 270,222,721 234,063,592 554,828,721 483,327,184

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, which are 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 – South Australia, August 2013

This table shows NHR contributions (from state, territory and Commonwealth sources) made to each LHN in South Australia during August 2013.

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)
($) ($) ($)
Central Adelaide Local Health Network 81,893,787 5,806,213 87,700,000
Country Health SA Local Health Network 24,013,379 17,986,621 42,000,000
Northern Adelaide Local Health Network 26,667,606 1,232,394 27,900,000
Southern Adelaide Local Health Network 51,137,444 1,362,556 52,500,000
Women's and Children's Health Network 21,584,079 415,921 22,000,000
Total 205,296,296 26,803,704 232,100,000

See explanatory notes below table 4b.

Table 4b – NHR contributions by local hospital network YTD – South Australia, August 2013

This table shows YTD NHR contributions (from state, territory and Commonwealth sources) made to each LHN in South Australia as at August 2013.

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)
($) ($) ($)
Central Adelaide Local Health Network 163,787,574 11,612,426 175,400,000
Country Health SA Local Health Network 48,013,379 37,186,621 85,200,000
Northern Adelaide Local Health Network 55,935,212 2,464,788 58,400,000
Southern Adelaide Local Health Network 108,574,889 5,125,111 113,700,000
Women's and Children's Health Network 45,168,159 1,531,841 46,700,000
Total 421,479,212 57,920,788 479,400,000

NHR contributions in this table are GST exclusive to enable comparability of NHR payments in each local hospital network 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 – South Australia, August 2013

This table shows estimated state or territory hospital activity for activity-based funding services expressed as NWAU for August 2013, the associated cumulative year-to-date (YTD), and total estimated annual NWAU for each LHN in South Australia.

Local hospital network (LHN) Estimated NWAU delivered in current month Estimated NWAU delivered YTD Estimated annual NWAU 2013-14
Central Adelaide Local Health Network 16,307 32,614 195,793
Country Health SA Local Health Network 4,782 9,561 57,384
Northern Adelaide Local Health Network 5,310 11,138 92,925
Southern Adelaide Local Health Network 10,183 21,620 137,147
Women's and Children's Health Network 4,298 8,994 54,916
Total 40,879 83,927 538,164

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.