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National Healthcare Agreement: PI 19–Selected potentially avoidable GP-type presentations to emergency departments, 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 19–Selected potentially avoidable GP-type presentations to emergency departments, 2018
METeOR identifier:Help on this term658497
Registration status:Help on this termHealth, Standard 30/01/2018
Description:Help on this term

Attendances at public hospital emergency departments that could have potentially been avoided through the provision of appropriate non-hospital services in the community.

Indicator set:Help on this termNational Healthcare Agreement (2018) Health, Standard 30/01/2018
Outcome area:Help on this termPrimary and Community Health Health, Standard 07/07/2010
Quality statement:Help on this termNational Healthcare Agreement: PI 19-Selected potentially avoidable GP-type presentations to emergency departments, 2018 QS Health, Standard 30/01/2018

Collection and usage attributes

Computation description:Help on this term

Potentially avoidable general practitioner (GP)-type presentations are defined as presentations to public hospital emergency departments with a Type of visit of Emergency presentation where the patient:

  • was allocated a Triage category of 4 (Semi-urgent: within 60 minutes) or 5 (Non-urgent: within 120 minutes) 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.

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

Presented as a number.

Computation:Help on this term

Numerator only.

Numerator:Help on this term

Number of potentially avoidable GP-type presentations to emergency departments.

Numerator data elements:Help on this term
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—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—transport mode (arrival), 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


Disaggregation:Help on this term

Nationally by SEIFA IRSD deciles (not reported this cycle).

2016–17—State and territory.

State and territory, by (all not reported this cycle):

  • Indigenous status
  • remoteness (Australian Statistical Geography Standard (ASGS))
  • SEIFA IRSD quintiles
  • peer group and triage category.

Some disaggregations may result in numbers too small for publication.

Disaggregation data elements:Help on this term
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 state/territory, remoteness and SEIFA IRSD


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 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 to derive hospital peer group


Comments:Help on this term

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

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.

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 termCount
Data type:Help on this termReal
Unit of measure:Help on this termEpisode
Format:Help on this term

NN[NNNNN]

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: Substantial work required, the measure requires significant work to be undertaken.

Source and reference attributes

Reference documents:Help on this term

Booz Allen Hamilton 2007. Key Drivers of Demand in the Emergency Department. Sydney: New South Wales Department of Health.

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

Supersedes National Healthcare Agreement: PI 19–Selected potentially avoidable GP-type presentations to emergency departments, 2017 Health, Superseded 30/01/2018

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