Nurses' retention and hospital characteristics in New South Wales, CHERE Discussion Paper No 52



NURSES’ RETENTION AND HOSPITAL CHARACTERISTICS IN NEW SOUTH WALES

Equivalent Full-Time (EFT) Staff. The number of equivalent full-time (EFT) staff for which funding
has been provided by the general fund for working standard hours. It includes employees on any type
of paid leave, but excludes employees on leave without pay.

High Cost Procedures. Number of procedures that are high cost complex (HCC) DRGs. HCCs are
high cost and complex AN-DRGs developed on empirical grounds, with some clinical input obtained.
The list contributes approximately 19% of cost weight adjusted activity in acute hospitals. The four
criteria used to develop the list were: 1) greater than 40% inter-Area flows; 2) greater than 70%
concentration within principal and major referral hospitals; 3) degree of inter-hospital transfer; and 4)
identification of medical ANDRGs with major co-morbidities. Selection of ANDRGs on the basis of the
first two criteria is better attuned to surgical cases. To ensure that medical cases were reasonably
represented, ANDRGs were added on the basis of the third and fourth criteria.

Separations. A formal separation is a discharge, transfer or death of a patient. It is the process by
which a same day patient or inpatient completes an episode of care. A type change separation
occurs when an episode of care ends because the type of care provided to the patient changes.

Total Expenses. The total cost of all salary and non-salary expenses from the General Fund. This
figure excludes Special Purposes and Trust Funds (SP&T).

Visiting Medical Officers (VMOs). A visiting medical officer (VMO) is a medical practitioner appointed
by the hospital board to provide medical services for public patients on an honorary, sessionally paid,
or fee for service basis.

Visiting Medical Officers (VMOs) Expenses. All payments made to visiting medical officers for
medical services provided to public inpatients and non-inpatients of the hospital on an honorary,
sessionally paid, or fee for service basis.

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