BPA2021-08-30T13:52:50-04:00

BIG Primary Account Definitions

These are not standard OHRS MIS functional centres. BIG Primary Accounts were created to improve benchmarking comparability across organizations using several non-OHRS MIS functional centre roll ups and unique functional centres. These roll-ups are intended to allow organizations to view results for a particular service, such as Birthing, Renal, Medical Imaging, etc. in their entirety and take into account the way staff often work and rotate through the various areas of a service where resources may not be accurately tracked/allocated. Some unique functional centres were created to avoid skewing of comparison results in other functional centres.

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711100000 AS Administrative Services2021-08-30T12:27:20-04:00

For benchmarking purposes, 711120000 Emergency Preparedness and 711790000 Interpretation/Translation are included in the Administrative Services roll-up to account for differences in reporting these services across hospitals. One hospital may report these independently versus another hospital that may have these services provided by other departments or as contracted service within the General Administration group of functional centres.

The Administrative Services roll-up also includes all level 4 and 5 reported functional centres within the 7111***** account structure.

Enhanced benchmarking for Subscribing Members: The rolled-up functional centres are also benchmarked individually if they are reported separately.

711100099 Centralized Insurance Costs2021-08-30T12:29:11-04:00

Insurance costs (secondary code 68000, Fund 1 excluding Marketed Services) are moved to this unique functional centre 711100099. This is done to isolate and standardize the reporting of this significant cost item since hospitals report this expense in different functional centres.

711359900 AS Materials Management excl CSR2021-08-30T12:29:33-04:00

This functional centre is only created and benchmarked if the hospital reports 711354000 Reprocessing separately from other Materials Management functional centres. It includes all 71135***** Materials Management functional centres except for 711354000 Reprocessing. If a hospital reports 711354000 Reprocessing then the BIG benchmarking tool automatically benchmarks these three functional centres: 7113500000 Materials Management incl CSR, 711354000 Reprocessing and 711359900 Materials Management excl CSR. Otherwise only the 7113500000 Materials Management incl CSR can be benchmarked.

711559000 Utilities2021-08-30T12:30:13-04:00

Utilities (secondary codes 43010 – 43060 within 711* to 718* Functional Centres) are moved to this unique functional centre. This is done to isolate and standardize the reporting of this significant cost item since hospitals report this expense in different functional centres. It is also beneficial to isolate this expense given the different geographic realities of hospitals as well as the different approaches to utilities.

711559900 AS Plant Operation & Maintenance2021-08-30T12:29:51-04:00

Includes all 71153**** Plant Administration, 71155**** Plant Operations and 71165**** Plant Maintenance. Note utility costs are moved to 711559000 Utilities.

711752000 AS Biomedical Engineering2021-08-30T12:30:48-04:00

Includes all 71175**** Functional Centres, excluding 711754000 AS Medical Physics.

711754000 AS Medical Physics is unique to hospitals that provide Radiation Oncology services.. Excluding this functional centre avoids skewing comparisons of the other Biomedical Engineering services. Hospitals with Radiation Oncolgy have agreed to report 711754000 AS Medical Physics separately from the other Biomedical Engineering services. Note that the minimum OHRS reporting level is 71175000 As Biomedical Engineering / Medical Physics which includes all 71175**** functional centres. The OHRS 711750000 is also included in the BIG 711752000 roll up when 711754000 is not reported.

711959900 AS Patient + Non-Patient Food Services2021-08-30T12:31:08-04:00

Includes 71195**** AS Food Services and 71910**** NSF Non-Service Recipient Food Services. Combining these services is intended to account for differences in methodologies used for reporting labour and cost allocation/distribution between patient and non-patient services. Note: that for this functional centre only, the performance indicator nets out both recoveries and revenues.

712009900 IP Total Nursing Administration (IP + OP)2021-08-30T12:31:28-04:00

Includes 712051000 IP Nursing Administration, 712052*** IP Clinical Resources, 7120560000 IP Program Management Administration, 71250**** AC Ambulatory Care Administration and 713500500 AC Clinic – Administration. Combining these is intended to account for differences in nursing management structures and methodologies used for reporting labour and cost allocation/distribution across nursing administrative services.

712403000 IP ICU – Combined Med/Surgical2021-08-30T12:31:51-04:00

Includes 712401000 IP ICU – Medical, 712402000 IP ICU – Surgical, 712402800 IP ICU – Trauma and 712403000 IP ICU – Combined Med/Surgical. This is intended to “level out” differences in reporting practices across these lower level functional centres and also account for staffing working in different / multiple areas of the ICU. In 2016 17 no hospital reported 712401000 IP ICU – Medical, 712402000 IP ICU – Surgical, and 712402800 IP ICU – Trauma.

712509000 IP Obstetrics Labour, Delivery, Recovery, Postpartum (LDRP)2021-08-30T12:32:40-04:00

The BIG roll up for 712509000 includes all detailed functional centres excluding Level 2 Nursery. The OHRS minimum reporting level is 712509000 on its own excluding detailed functional centres. However OHRS comments that for comparative purposes detailed functional centres will be rolled to FC 712509000 excluding Level 2 Nursery.

Enhanced benchmarking for Subscribing Members: The rolled-up functional centres are also benchmarked individually if reported separately.

712509900 Birthing Program2021-08-30T12:32:15-04:00

Includes 71250**** IP Obstetrics and 7135050** AC Clinic – Obstetrics.

These are rolled up so that an organization sees the Birthing program in its entirety and also because of the way staff often work and rotate through the various birthing program components. They often work in different areas of Birthing and hours are not tracked well between areas (same as when staff work across all of the 71250**** sections). Also a number of areas provide outpatient services and it can be provided by the inpatient OBS staff and they do not report a clinic for these services…the inpatient staff provide this service and the visits are reported in the IP functional centre. We also do not take into account the visits in the denominator and only use patient days because the visits would need to be weighted somehow and none of our clients or our nursing consultant colleagues have been able to provide us with a reasonable weighting scheme.

Enhanced benchmarking for Subscribing Members: The rolled-up functional centres are also benchmarked individually if reported separately.

712699100 Pacemaker Costs2021-08-30T12:33:01-04:00

Cardiovascular prostheses costs (secondary codes 46031 and 56031) reported in 711* to 718* Functional Centres are moved to this unique functional centre. This is intended to avoid skewing comparisons of variable non-labour non-drug cost indicators in other functional centres.

712699200 Joint Replacement Prostheses Costs2021-08-30T12:33:18-04:00

Knee and hip joint replacement prostheses costs (secondary code 46027, 46028, 56027 and 56028) reported in 711* to 718* Functional Centres are moved to this unique functional centre. This is intended to avoid skewing comparisons of variable non-labour non-drug cost indicators in other functional centres.

712699300 Prostheses/Orthoses/Organs excl Joints/CV2021-08-30T12:33:38-04:00

Other prostheses, orthoses and organs costs (secondary code 46010, 46022, 46026, 46029, 46032, 46039, 56010, 56022, 56026, 56029, 56032 and 56039) reported in 711* to 718* Functional Centres are moved to this unique functional centre. This is intended to avoid skewing comparisons of variable non-labour non-drug cost indicators in other functional centres.

713408600 AC Renal Dialysis2021-08-30T12:34:00-04:00

Include all 7134086** Renal Dialysis functional centres. These are rolled up so that an organization sees the Renal Program in its entirety and also because of the way staff often work and rotate through the various program components. They often work in different areas and hours/costs are not always tracked well between areas.

Enhanced benchmarking for Subscribing Members: The rolled-up functional centres are also benchmarked individually if reported separately.

713500000 Combined Medical/Surgical Clinics – Acute [Annual Acute Survey]2021-08-30T12:34:20-04:00

This roll up is only used to present our Annual Acute Survey results. Includes all 7135010** to 7135075** Clinics and all 7135081** to 7135096** Clinics. Excludes 7135050** Obstetrics Clinics (roll up under 712509900 Birthing Program).

Enhanced benchmarking for Subscribing Members: The rolled-up functional centres are also benchmarked individually if reported separately.

713500000 Combined Medical/Surgical Clinics – Non-Acute [Annual Non-Acute Survey]2021-08-30T12:34:42-04:00

This roll up is only used to present our Annual Non-Acute Survey results. Includes all 713501*** to 7135075** Clinics. Excludes 713501720/30, 7135035**, 7135040** and 7135061**/62**

Enhanced benchmarking for Subscribing Members: The rolled-up functional centres are also benchmarked individually if reported separately.

713508199 AC Clinic Rehabilitation Combined – Non-Acute Annual Survey2021-08-30T12:35:02-04:00

This roll up is only used to present our Annual Non-Acute Survey results. Includes all 713508110 Medical, 713508128 Trauma, 713508130 Combined, 713508135 Burn, 713508166 Oncology, 713508172 Orthopaedic, 713508173 Amputee and 713508175 Urodynamic.

Enhanced benchmarking for Subscribing Members: The lower level detailed functional centres are also benchmarked individually.

714100000 LAB Clinical Laboratory2021-08-30T12:35:26-04:00

Includes all 71410**** Clinical Laboratory functional centres. This is not a required OHRS MIS required reporting level. Lower detailed level functional centres are rolled up for benchmarking purposes.

Enhanced benchmarking for Subscribing Members: The rolled-up functional centres are also benchmarked individually if reported separately.

714109900 Total Pathology2021-08-30T12:36:42-04:00

Includes 714104100 LAB Anatomical Pathology, 714104200 LAB Cytopathology and 714104300 LAB Electron Microscopy. The lower level detailed functional centres are also benchmarked individually.

714109999 Main Lab with Chem/Hem/BB (subscriber benchmarking only)2021-08-30T12:37:36-04:00

Includes 714101000 LAB Administration, 7141021** LAB Pre/Post Analysis, 7141025** LAB Clinical Chemistry, 7141030** LAB Clinical Hematology, 7141035** LAB Transfusion Medicine and 7141099** LAB Combined/Multi Functions (Core Lab).

714150000 MI Medical Imaging (excl. Cath Lab)2021-08-30T12:37:08-04:00

Includes all 71415**** Medical Imaging functional centres, except for 714154400 MI Cardiac Catheterization Lab. This is not an OHRS MIS reporting level and lower level functional centres are rolled up for benchmarking purposes.

Enhanced benchmarking for Subscribing Members: The rolled-up functional centres are also benchmarked individually if reported separately.

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