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National Healthcare Agreement: PI 21a–Waiting times for emergency hospital care: Proportion seen on time, 2018

Identifying and definitional attributes

Metadata item type:Help on this termIndicator
Indicator type:Help on this termProgress measure
Short name:Help on this termPI 21a–Waiting times for emergency hospital care: Proportion seen on time, 2018
METeOR identifier:Help on this term658491
Registration status:Help on this termHealth, Standard 30/01/2018
Description:Help on this term

Percentage of patients who are treated within national benchmarks for waiting times for each triage category in public hospital emergency departments.

Indicator set:Help on this termNational Healthcare Agreement (2018) Health, Standard 30/01/2018
Outcome area:Help on this termHospital and Related Care Health, Standard 07/07/2010
National Health Performance Authority (retired), Retired 01/07/2016
Quality statement:Help on this termNational Healthcare Agreement: PI 21a-Waiting times for emergency department care: proportion seen on time, 2018 QS Health, Standard 30/01/2018

Collection and usage attributes

Computation description:Help on this term

See Non-admitted patient emergency department service episode—triage category, code N for description of each triage category.

The numerator and denominator include records with a Type of visit of Emergency presentation. 

Records are excluded from both the numerator and denominator if the episode end status is either 'Did not wait to be attended by a health care professional', or 'Dead on arrival', or 'Registered, advised of another health care service, and left the emergency department without being attended by a health care professional' or if the waiting time to service is invalid.

The scope for calculation of this indicator is all hospitals reporting to the Non-admitted patient emergency department care (NAPEDC) National Minimum Data Set (NMDS) 2016–17.

Analysis by state and territory is based on location of service.

Analysis by remoteness and Socio-Economic Indexes for Areas (SEIFA) Index of Relative Socio-Economic Disadvantage (IRSD) is based on usual residence of person.

Presented as a percentage.

Computation:Help on this term

100 x (Numerator ÷ Denominator)

Calculated overall and separately for each triage category.

Numerator:Help on this term

Number of presentations to public hospital emergency departments that were treated within benchmarks for each triage category:

  • Triage category 1: seen within seconds, calculated as less than or equal to 2 minutes
  • Triage category 2: seen within 10 minutes
  • Triage category 3: seen within 30 minutes
  • Triage category 4: seen within 60 minutes
  • Triage category 5: seen within 120 minutes
Numerator data elements:Help on this term
Data Element / Data SetEmergency department stay—waiting time (to commencement of clinical care), total minutes NNNNN
Data Source
National Non-admitted Patient Emergency Department Care Database
NMDS / DSS
Non-admitted patient emergency department care NMDS 2016-17
Guide for use

Data source type: Administrative by-product data


Data Element / Data SetNon-admitted patient emergency department service episode—triage category, code N
Data Source
National Non-admitted Patient Emergency Department Care Database
NMDS / DSS
Non-admitted patient emergency department care NMDS 2016-17
Guide for use

Data source type: Administrative by-product data


Data Element / Data SetEmergency department stay—type of visit to emergency department, code N
Data Source
National Non-admitted Patient Emergency Department Care Database
NMDS / DSS
Non-admitted patient emergency department care NMDS 2016-17
Guide for use

Data source type: Administrative by-product data


Data Element / Data SetNon-admitted patient emergency department service episode—episode end status, code N
Data Source
National Non-admitted Patient Emergency Department Care Database
NMDS / DSS
Non-admitted patient emergency department care NMDS 2016-17
Guide for use

Data source type: Administrative by-product data


Denominator:Help on this term

Total presentations to public hospital emergency departments

Denominator data elements:Help on this term
Data Element / Data SetNon-admitted patient emergency department service episode—episode end status, code N
Data Source
National Non-admitted Patient Emergency Department Care Database
NMDS / DSS
Non-admitted patient emergency department care NMDS 2016-17
Guide for use

Data source type: Administrative by-product data


Data Element / Data SetEmergency department stay—type of visit to emergency department, code N
Data Source
National Non-admitted Patient Emergency Department Care Database
NMDS / DSS
Non-admitted patient emergency department care NMDS 2016-17
Guide for use

Data source type: Administrative by-product data


Disaggregation:Help on this term

2016–17—Nationally, by Triage category, by 2011 SEIFA IRSD deciles (not reported).

2016–17—State and territory, by Triage category by:

  • peer group
  • Indigenous status
  • remoteness (Australian Statistical Geography Standard (ASGS) Remoteness Structure)
  • 2011 SEIFA IRSD quintiles

Disaggregation by peer group uses the peer group classification as described in the AIHW publication Australian hospital peer groups.

Some disaggregation may result in numbers too small for publication.

Disaggregation data elements:Help on this term
Data Element / Data SetEstablishment—organisation identifier (Australian), NNX[X]NNNNN
Data Source
National Non-admitted Patient Emergency Department Care Database
NMDS / DSS
Non-admitted patient emergency department care NMDS 2016-17
Guide for use

Data source type: Administrative by-product data

Used for disaggregation by state/territory and to derive hospital peer group


Data Element / Data SetPerson—Indigenous status, code N
Data Source
National Non-admitted Patient Emergency Department Care Database
NMDS / DSS
Non-admitted patient emergency department care NMDS 2016-17
Guide for use

Data source type: Administrative by-product data


Data Element / Data SetNon-admitted patient emergency department service episode—triage category, code N
Data Source
National Non-admitted Patient Emergency Department Care Database
NMDS / DSS
Non-admitted patient emergency department care NMDS 2016-17
Guide for use

Data source type: Administrative by-product data


Data Element / Data SetPerson—area of usual residence, statistical area level 2 (SA2) code (ASGS 2011) N(9)
Data Source
National Non-admitted Patient Emergency Department Care Database
NMDS / DSS
Non-admitted patient emergency department care NMDS 2016-17
Guide for use

Data source type: Administrative by-product data
Used for disaggregation by remoteness and SEIFA IRSD


Comments:Help on this term

Most recent data available for 2018 National Healthcare Agreement performance reporting: 2016–17.

For 2016–17 data, the 2011 SEIFA IRSD quintile and decile data will be produced using the ASGS geographical unit of Statistical Area Level 2.

Note that for the 2016 and previous reports the scope for the calculation of this indicator was limited to public hospitals in Peer Groups A and B, using the peer group classification method as reported in Australian hospital statistics 2010–11, with the addition of emergency department activity at the Mersey Community Hospital.

Representational attributes

Representation class:Help on this termPercentage
Data type:Help on this termReal
Unit of measure:Help on this termPerson
Format:Help on this term

NN[N]

Indicator conceptual framework

Framework and dimensions:Help on this termAccessibility

Data source attributes

Data sources:Help on this term
Data SourceNational Non-admitted Patient Emergency Department Care Database
Frequency
Annual
Data custodian

Australian Institute of Health and Welfare


Accountability attributes

Reporting requirements:Help on this term

National Healthcare Agreement

Organisation responsible for providing data:Help on this term

Australian Institute of Health and Welfare

Further data development / collection required:Help on this term

Specification: Final, the measure meets the intention of the indicator.

Source and reference attributes

Reference documents:Help on this term

AIHW (Australian Institute of Health and Welfare) 2012. Australian hospital statistics 2010–11. Health services series no. 43. Cat no. HSE 117. Canberra: AIHW.

AIHW 2015. Australian hospital peer groups. Health services series no. 66. Cat. no. HSE 170. Canberra: AIHW.

Relational attributes

Related metadata references:Help on this term

See also National Healthcare Agreement: PI 12–Waiting times for GPs, 2018 Health, Standard 30/01/2018

See also National Healthcare Agreement: PI 19–Selected potentially avoidable GP-type presentations to emergency departments, 2018 Health, Standard 30/01/2018

Supersedes National Healthcare Agreement: PI 21a–Waiting times for emergency hospital care: Proportion seen on time, 2017 Health, Superseded 30/01/2018

See also National Healthcare Agreement: PI 21b–Waiting times for emergency hospital care: proportion of patients whose length of emergency department stay is less than or equal to four hours, 2018 Health, Standard 30/01/2018

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