National Healthcare Agreement: PI 23-Selected potentially avoidable GP-type presentations to emergency departments, 2012
Identifying and definitional attributes
Metadata item type:
Indicator
Indicator type:
Progress measure
Short name:
PI 23-Selected potentially avoidable GP-type presentations to emergency departments, 2012
METeOR identifier:
443689
Registration status:
Health, Standard 31/10/2011
Description:
Attendances at public hospital emergency departments that could have potentially been avoided through the provision of appropriate non-hospital services in the community.
Potentially avoidable GP-type presentations are defined as presentations to public hospital emergency departments with a Type of visit of Emergency presentation (or for South Australia only, Type of visit can be Emergency presentation or Not reported) where the patient:
was allocated a Triage category of 4 or 5 and
did not arrive by ambulance or police or correctional vehicle and
was not admitted to the hospital, not referred to another hospital, or did not die.
Limited to public hospitals in Peer Groups A and B.
Analysis by state and territory, remoteness and SEIFA Index of Relative Socioeconomic Disadvantage (IRSD) is based on usual residence of person.
Presented as a number.
Computation:
Numerator only.
Numerator:
Number of potentially avoidable GP-type presentations to emergency departments.
Numerator data elements:
Disaggregation:
2009-10 (updated for peer group) and 2010–11—Nationally by SEIFA Index of Relative Socioeconomic Disadvantage (IRSD) deciles
2009-10 (updated for peer group) and 2010–11—State and territory, by:
Indigenous status
remoteness (Australian Standard Geographical Classification Remoteness Structure)
SEIFA IRSD quintiles
peer group and triage category
Some disaggregations may result in numbers too small for publication.
Disaggregation by peer group is limited to Peer Groups A and B, as this is the scope of the collection, and coverage varies for other hospitals by state and territory.
Disaggregation data elements:
Comments:
Most recent data available for 2012 CRC report: 2010–11.
This definition of ‘potentially avoidable GP-type presentation’ was used in the Booz Allen Hamilton study of emergency department care in NSW, and is considered to be a reasonable starting approximation of the population that should be receiving service in the primary care sector.
National Healthcare Agreement performance benchmark and National Partnership on Taking Pressure Off Public Hospitals performance benchmark:
By 2012–13, 80 percent of emergency department presentations are seen within clinically recommended triage times as recommended by the Australian College of Emergency Medicine.
National Partnership on Taking Pressure Off Public Hospitals performance benchmark:
By 2013–14, 95 per cent of hospitals with an ED report to the non-admitted emergency care national minimum data set collection.
National Partnership Agreement on Taking Pressure Off Public Hospitals output measures:
Output: A nationally accepted definition of what a non emergency GP type presentation is based on emergency department DRGs by June 2012.
Joint Roles: D10 Commonwealth and States to develop a nationally consistent DRG based definition of a non emergency primary care presentation.
