Project objectives

To analyse hospital-acquired diagnoses across Australian hospitals and their impact on case complexity and resource use.

Australian Commission on Safety and Quality in Health Care

Our approach

The specific issues examined in this study included: the completeness and accuracy with which public hospitals record the condition onset flag (COF), the impact of excluding hospital-acquired diagnoses in assigning Australian-Refined Diagnosis Related Groups (AR-DRGs) and, hence, the impact on the prices payable for certain services; the incremental impact of hospital-acquired conditions on costs and bed days incurred over and above the cost of uncomplicated care.


The findings were used by the Commission in its work with the Independent Hospital Pricing Authority to integrate safety and quality into the pricing and funding of Australian public hospitals.

Our vision

HPA aims to be a leading firm in specialist consulting services in the health care sector, offering qualitative and quantitative analysis and synthesis of evidence, providing expertise in statistics and data science, and contributing to well founded and practical policy advice. We aim to deliver the highest quality of services, helping our clients to achieve their objectives, while transferring our expertise and building their capabilities.

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