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National Healthcare Agreement: P20-Potentially avoidable deaths, 2010

Identifying and definitional attributes

Metadata item type:Help on this termIndicator
Indicator type:Help on this termIndicator
Short name:Help on this termPotentially avoidable deaths, 2010
METeOR identifier:Help on this term394495
Registration status:Help on this termHealth, Superseded 08/06/2011
Description:Help on this termDeaths that are potentially avoidable within the present health system:
  • potentially preventable deaths are those amenable to screening and primary prevention such as immunisation
  • potentially treatable deaths are those amenable to therapeutic interventions
  • Indicator set:Help on this termNational Healthcare Agreement (2010) Health, Superseded 08/06/2011
    Outcome area:Help on this termPrimary and Community Health Health, Standard 07/07/2010
    Quality statement:Help on this termNational Healthcare Agreement: P20-Potentially avoidable deaths, 2010 QS Health, Superseded 08/06/2011

    Collection and usage attributes

    Population group age to:Help on this termLess than 75 years
    Computation description:Help on this term

    Deaths are defined as avoidable in the context of the present health system.

    Rates are directly age-standardised to the Australian population as at 30 June 2001.

    Presented per 100,000 population.

    ICD-10 codes in scope are as specified below:

    Table 20A: ICD-10 codes for potentially avoidable deaths, by major cause of death group

    Cause of death group ICD-10 Codes Limits(age, sex) Treatable Preventable
    Infections
    Tuberculosis A15–A19, B90   X  
    Selected invasive bacterial and protozoal infections A38–A41, A46, A48.1 B50–B54, G00,G03, J02.0, J13–J15, J18, L03   X  
    Hepatitis B15–B19     X
    HIV/AIDS B20–B24     X
    Viral pneumonia and influenza J10, J12, J17.1, J21     X
    Enteritis and other diarrhoeal disease A00–A09     X
    Childhood vaccine-preventable diseases A35–A37, A49.1, A49.2, A80, B01, B05–B06, J11 0–14   X
    Sexually transmitted diseases, except HIV/AIDS A50–A64, M02.3, N34.1, N70–N73, N75.0, N75.1, N76.4, N76.6, O00     X
    Ear infections—otitis media and mastoiditis H65–H70   X  
    Upper respiratory tract infection J00–J06   X  
    Cancer
    Lip, oral cavity and pharynx C00–C14     X
    Oesophagus C15     X
    Stomach C16     X
    Colorectal C18–C21   X  
    Liver C22     X
    Lung C33, C34     X
    Melanoma of skin C43   X  
    Non-melanocytic skin C44 X  
    Breast C50 Female X  
    Cervix C53   X  
    Uterus C54, C55   X  
    Bladder C67   X  
    Thyroid C73   X  
    Hodgkin’s disease C81   X  
    Lymphoid leukaemia—acute/chronic C91.0, C91.1 X  
    Benign cancers D10–D36   X  
    Malignant neoplasm of testis C62     X
    Malignant neoplasm of eye and adnexa C69     X
    Diabetes E10–E14   X (0.5) X (0.5)
    Drug use disorders
    Alcohol related disease F10, I42.6, K29.2, K70     X
    Illicit drug use disorders F11–F16, F18, F19     X
    Epilepsy G40, G41   X  
    Diseases of the circulatory system
    Rheumatic and other valvular heart disease I01–I09   X  
    Hypertensive heart disease I11   X  
    Ischaemic heart disease I20–I25   X (0.5) X (0.5)
    Cerebrovascular diseases I60–I69   X (0.5) X (0.5)
    Aortic aneurysm I71     X
    Phlebitis and thrombophlebitis of other deep vessels of lower extremities I80.2      
    Pulmonary embolism I26     X
    Diseases of the genitourinary system
    Nephritis and nephrosis I12, I13, N00–N09, N17–N19   X  
    Obstructive uropathy & prostatic hyperplasia N13, N20, N21, N35, N40, N99.1   X  
    Diseases of the respiratory system
    COPD J40–J44 45–74 years X
    Asthma J45, J46 0–44 years X  
    Diseases of the digestive system
    Peptic ulcer disease K25–K28   X  
    Diseases of appendix; hernia; disorders of gallbladder, biliary tract, and pancreas K35–K38, K40–K46, K80–K83, K85, K86, K91.5   X  
    Chronic liver disease (excluding alcohol-related disease) K73, K74     X
    Maternal & infant causes
    Birth defects H31.1, P00, P04, Q00–Q99   X  
    Complications of perinatal period P03, P05–P95   X  
    Unintentional injuries
    Road traffic injuries V01–V04, V06, V09–V80, V87, V89, V99     X
    Falls W00–W19     X
    Fires, burns X00–X09     X
    Accidental poisonings X40–X49     X
    Drownings W65–W74     X
    War Y36     X
    Intentional injuries
    Suicide and self-inflicted injuries X60–X84, Y87.0, Y10–Y34     X
    Violence X85–Y09, Y87.1     X
    Other conditions
    Nutritional deficiency anaemia D50–D53     X
    Thyroid disorders E00–E07   X  
    Adrenal disorders E24, E27   X  
    Congenital metabolic disorders E25, E70.0, E74.2   X  
    Osteomyelitis and other osteopathies of bone M86, M89–M90     X
    Complications of pregnancy, labour or the puerperium O01–O99     X
    Misadventures to patients during surgical and medical care Y60–Y69     X
    Medical devices associated with adverse incidents in diagnostic & therapeutic use Y70–Y82     X
    Surgical and other medical procedures as the cause of abnormal reaction of the patient, or of later complication, without mention of misadventure at the time of the procedure Y83–Y84     X
    Computation:Help on this term

    100,000 x (Numerator ÷ Denominator)

    Calculated separately for ‘Preventable’ and ‘Treatable’ categories, as per the table above.
    Numerator:Help on this termNumber of deaths of persons aged less than 75 years, categorised as potentially avoidable
    Numerator data elements:Help on this term
    Data Element / Data SetPerson—underlying cause of death, code (ICD-10 2nd edn) ANN-ANN
    Data Source
    ABS Causes of Death Collection
    Guide for use
    Data source type: Registry
    ICD-10 codes N99.1 and K91.5 cannot be used as underlying cause of death
    Denominator:Help on this termPopulation aged less than 75 years
    Denominator data elements:Help on this term
    Data Element / Data SetData Element
    Person—estimated resident population of Australia
    Data Source
    ABS Estimated resident population (total population)
    Guide for use
    Data source type: Census-based plus administrative by-product data
    Data Element / Data SetData Element
    Person—estimated resident population of Australia
    Data Source
    ABS Indigenous experimental estimates and projections (2001 Census-based)
    Guide for use
    Data source type: Census-based plus administrative by-product data
    Data Element / Data SetPerson—age, total years N[NN]
    Data Source
    ABS Estimated resident population (total population)
    Guide for use
    Data source type: Census-based plus administrative by-product data
    Data Element / Data SetPerson—age, total years N[NN]
    Data Source
    ABS Indigenous experimental estimates and projections (2001 Census-based)
    Guide for use
    Data source type: Census-based plus administrative by-product data
    Disaggregation data elements:Help on this term
    Data Element / Data SetPerson—area of usual residence, geographical location code (ASGC 2007) NNNNN
    Data Source
    ABS Causes of Death Collection
    Guide for use
    Data source type: Registry
    Used for disaggregation by state/territory, remoteness area and SEIFA of residence
    Data Element / Data SetPerson—Indigenous status, code N
    Data Source
    ABS Causes of Death Collection
    Guide for use
    Data source type: Registry
    Comments:Help on this termSpecified disaggregation: Nationally and by state/territory: by Indigenous status, remoteness area and SEIFA of residence

    Available disaggregation: Nationally and by state/territory: by Indigenous status

    Data for 2008-09 will be available mid-2010 (2008 calendar year).

    Most recent data available for 2010 CRC baseline report: 2007 (pending release of ABS data).

    Representational attributes

    Representation class:Help on this termRate
    Data type:Help on this termReal
    Unit of measure:Help on this termPerson
    Format:Help on this termNN[N].N

    Indicator conceptual framework

    Framework and dimensions:Help on this termDeaths

    Data source attributes

    Data sources:Help on this term
    Data SourceABS Causes of Death Collection
    Frequency
    Annual
    Quality statement
    ABS causes of death collection, QS
    Data custodian
    Australian Bureau of Statistics

    Data SourceABS Estimated resident population (total population)
    Frequency
    Quarterly
    Quality statement
    ABS Estimated resident population (total population), QS
    Data custodian
    Australian Bureau of Statistics

    Data SourceABS Indigenous experimental estimates and projections (2001 Census-based)
    Frequency
    Periodic
    Quality statement
    ABS Indigenous experimental estimates and projections, QS
    Data custodian
    Australian Bureau of Statistics

    Accountability attributes

    Reporting requirements:Help on this termNational Healthcare Agreement
    Organisation responsible for providing data:Help on this termAustralian Bureau of Statistics (ABS) to provide the data. Data quality statement to be prepared by ABS in consultation with the Australian Institute of Health and Welfare.
    Further data development / collection required:Help on this termSpecification: Interim

    International work is currently being undertaken to refine and standardise the definition of avoidable mortality.

    The specifications for this indicator could be modified following completion of the international work; for example, considering the prevalence of particular conditions, any advances in the effectiveness of healthcare and other interventions to prevent or treat them.
    Other issues caveats:Help on this termDisaggregations within individual jurisdictions are subject to data quality considerations. Some disaggregations may result in numbers too small for publication.

    Theoretically, this indicator could be adjusted for levels of community morbidity and risk factor prevalence. Or, information on risk factor prevalence and community morbidity could be used to assist interpretation of the indicator. There are currently no methods developed to undertake such adjustments.

    The 75 years age cut-off is somewhat arbitrary, and will have different effects on different causes of death. For example, most car accident deaths will be included, but many hip fracture deaths will not be included.

    Interpreting a change or difference in a mortality rate is problematic, as the change or difference could reflect variation in disease incidence, survival (case fatality) or both.

    Relational attributes

    Related metadata references:Help on this term

    See also National Healthcare Agreement: P05-Proportion of persons obese, 2010 Health, Superseded 08/06/2011

    See also National Healthcare Agreement: P06-Proportion of adults who are daily smokers, 2010 Health, Superseded 08/06/2011

    See also National Healthcare Agreement: P07-Proportion of adults at risk of long-term harm from alcohol, 2010 Health, Superseded 08/06/2011

    See also National Healthcare Agreement: P09-Immunisation rates for vaccines in the national schedule, 2010 Health, Superseded 08/06/2011

    See also National Healthcare Agreement: P18-Life expectancy, 2010 Health, Superseded 08/06/2011

    See also National Healthcare Agreement: P19-Infant/young child mortality rate, 2010 Health, Superseded 08/06/2011

    See also National Healthcare Agreement: P22-Selected potentially preventable hospitalisations, 2010 Health, Superseded 08/06/2011

    See also National Healthcare Agreement: P43-Unplanned/unexpected readmissions within 28 days of selected surgical admissions, 2010 Health, Superseded 08/06/2011

    See also National Healthcare Agreement: P59-Age-standardised mortality by major cause of death, 2010 Health, Superseded 08/06/2011

    Has been superseded by National Healthcare Agreement: PI 20-Potentially avoidable deaths, 2011 Health, Superseded 30/10/2011

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