National Casemix and Classification Centre (NCCC)
The NCCC is part of the Australian Health Services Research Institute (AHSRI), University of Wollongong. The NCCC was formed in March 2010 following the successful bid to DoHA by the University of Wollongong (UoW) to develop:
- The International Statistical Classification of Diseases and Related Health Problems, Tenth Revision, Australian Modification (ICD-10-AM), the Australian Classification of Health Interventions (ACHI), the Australian Coding Standards (ACS) – these are collectively known as ‘ICD-10-AM/ACHI/ACS’, and
- The Australian Refined Diagnosis Related Group (AR-DRG) classification, Version 7.0.
The ICD-10-AM/ACHI/ACS was previously managed under a DoHA contract by the National Centre for Classification in Health (NCCH), University of Sydney. AR-DRG classification development was previously managed by the DoHA in Canberra.
The NCCC developed the 2012 versions of ICD-10-AM/ACHI/ACS and AR-DRG, both classifications were released for implementation in July 2013. The NCCC will also provide user support services for ICD-10-AM/ACHI/ACS Seventh Edition and AR-DRG versions which will continue to be used in Australia until 30 June 2013.
The development process undertaken for these classifications followed the recommendations of the Review of the AR-DRG Classification System Development Process.
AR-DRG Classification System
The two classification components, ICD-10-AM/ACHI/ACS and AR-DRG, are now collectively known as the AR-DRG Classification System. These two classifications will continue to be used to code and group inpatient episodes of care in Australian hospitals for statistical reporting and funding purposes. Together, the coding (using ICD-10-AM/ACHI/ACS), then grouping (using AR-DRG) of health data enable analysis of a hospital’s casemix.
Casemix is an information tool involving the use of scientific methods to build and make use of classifications of patient care episodes. Casemix is about the relationship between hospital’s activity and costs, and makes use of data about classifications that are clinically meaningful and explain variation in resource use. Casemix analysis will be pivotal to the Australian Government’s current health reform plan; the health reform plan is largely based on activity based funding, and casemix as described by the AR-DRG Classification System reflects hospital inpatient activity. Please refer here for more.
Staff and expertise
The NCCC engages AHSRI specialists in classification and casemix. There is also opportunity to recruit additional experts and to build capacity in this important area of health information. A number of AHSRI staff have considerable experience with casemix system development and its use in the evaluation of programs and the analysis of outcomes. For staff profiles see here.
The establishment of the NCCC builds on the research that AHSRI has been undertaking for over a decade. The NCCC complements the other AHSRI centres:
- The Centre for Health Service Development (CHSD)
- The Australian Health Outcome Centre (AHOC)
- The Australasian Rehabilitation Outcome Centre (AROC)
- The Palliative Care Outcomes Collaboration (PCOC)
- The Australian Occupational Science Centre (AOSC)
- The Centre for applied statistics in Health (CASiH)
The AHSRI is a research centre of UoW’s Sydney Business School and the NCCC operates out of both the Sydney Business School headquarters in 1 Macquarie Place Circular Quay, Sydney and the main centre at the UoW campus.