Remove SNAP 35 day requirement

Removing the minimum 35 day requirement before re-classifaction from acute to SNAP to better reflect the true episode of hospital care would provide an incentive for more appropriate community/non-acute care to be sourced by patients/carers/family.

Why the contribution is important

Eliminating the minimum 35 day SNAP rule would allow for more appropriate classification of the hospital episode of care commencing from admission. Any length of stay outside of an acute care episode would be immediately re-classified to SNAP resulting in a financial cost to the patient as per all other subacute services. This would act as an incentive for more appropriate community/ sub-acute care to be sourced by patients/family/carers and would reduce the length of stay for sub-acute patients and free up beds for acute care.

by Ned on May 17, 2019 at 07:38AM

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Comments

  • Posted by robyn May 18, 2019 at 09:53

    Not quite sure what the SNAP acronym stands for? Can anyone clarify, please?
  • Posted by Alaina_MetroSouthHealth May 20, 2019 at 14:53

    Hi Robyn,
    SNAP = Sub and Non-Acute Patient.
    More information about this term can be found in Section 12 of the
    Queensland Hospital Admitted Patient Data Collection (QHAPDC) Manual (can search via Google)
  • Posted by Ned May 20, 2019 at 15:02

    Sub-acute and Non acute Patient (SNAP) classification occurs when a patient moves from an Acute episode of care to a Non-acute episode of care . When a patient is reclassified as a SNAP, the hospital can begin to charge the patient, similar to all other non-acute settings (RACF, Supported Accomodation, Etc) Currently this can only happen after 35 days have elapsed. Eliminating this waiting period would ensure that the episode of care was appropriately classified when the acute phase ends (often after a few days) and eliminate any possible financial incentive for external parties to delay any discharge plans as the patient would be charged from the SNAP date and not have to wait for 35 days. Often the external carers (Family/RACF/Supported Accom) continue to receive the payment/pension from the person even whilst the are a patient in hospital.
  • Posted by kathygrud May 28, 2019 at 15:40

    I think that it is a requirement for an statement to be made at the 35 day mark that care is still acute. The episode can be categorised as subacute at any time before the 35 day mark.
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