National Healthcare Agreement: P46-Rates of services: Outpatient occasions of service, 2010
Identifying and definitional attributes
|Metadata item type:||Indicator|
|Indicator type:||Output measure|
|Short name:||Rates of Services: Outpatient occasions of service, 2010|
|Description:||Number of hospital outpatient occasions of service per 1,000 population.|
|Indicator set:||National Healthcare Agreement (2010)|
Health, Superseded 08/06/2011
|Outcome area:||Hospital and Related Care|
National Health Performance Authority (retired), Retired 01/07/2016
Health, Standard 07/07/2010
|Quality statement:||National Healthcare Agreement: P46-Rates of services: Outpatient occasions of service, 2010 QS Health, Superseded 08/06/2011|
Collection and usage attributes
|Computation description:||Limited to public hospitals only.
Crude rates of service (age of patient is not available).
Occasions of service for diagnostic imaging, pathology and pharmacy excluded as different counting methods apply to these categories, and methods vary by state and territory.
Outpatient: A patient who does not undergo a hospital's formal admission process, excluding patients receiving services through emergency departments, community health settings, and other outreach.
Outpatient occasion of service: An interaction between one or more health care professionals with one or more non-admitted patients, for assessment, consultation and/or treatment intended to be unbroken in time. A service event means that a dated entry is made in the patient/client's medical record.Presented per 1,000 population.
|Computation:||1,000 x (Numerator ÷ Denominator)|
|Numerator:||Number of outpatient occasions of service in hospitals|
|Numerator data elements:|
|Denominator data elements:|
|Disaggregation data elements:|
|Comments:||Specified disaggregation: State/Territory (of hospital location), by type of outpatient care.
Available disaggregation: State/Territory (of hospital location), by type of outpatient care.Most recent data available for 2010 CRC baseline report: 2007-08.
|Unit of measure:||Episode|
Indicator conceptual framework
|Framework and dimensions:||Accessibility|
Data source attributes
Australian Bureau of Statistics
Australian Institute of Health and Welfare
Australian Bureau of Statistics
|Reporting requirements:||National Healthcare Agreement|
|Organisation responsible for providing data:||Australian Institute of Health and Welfare|
|Further data development / collection required:||Specification: Interim - data development is required around scope and coverage.
There is the possibility that the National Outpatient Care Database (NOCD) will include patient-level data at some stage in the future, which would allow disaggregation by age, sex, Indigenous status, remoteness area, SEIFA of residence etc. However, the coverage of the NOCD is currently limited to the larger public hospitals in Peer Groups A and B, accounting for 72% of outpatient occasions of service reported for selected clinic types in public hospitals in the NPHED. Therefore the NPHED is currently the preferred data source for this indicator.
|Other issues caveats:||Outpatient care categories: allied health, dental, dialysis, drug and alcohol, endoscopy, mental health, other medical/surgical/obstetric.
The number of outpatient occasions of service can be affected by the variation in admission practices and policies among providers and over time.
Interpretation of rates for jurisdictions should take into consideration variations in counting practices and cross-border flows.
Note: flu clinics not included in 2007–08.
Examine issues around private patients (including in public outpatient settings, private outpatient settings and private specialists).
Clarification may be required as to whether diagnostic imaging, pathology and pharmacy services should be included in future.
Source and reference attributes
|Related metadata references:|
See also National Healthcare Agreement: P25-Specialist services claimed through Medicare, 2010
See also National Healthcare Agreement: P35-Waiting times for emergency department care, 2010
See also National Healthcare Agreement: P45-Rates of services: Overnight separations, 2010
See also National Healthcare Agreement: P47-Rates of services: Non-acute care separations, 2010
See also National Healthcare Agreement: P48-Rates of services: Hospital procedures, 2010
See also National Healthcare Agreement: P60-Access to services by type of service compared to need, 2010
Has been superseded by National Healthcare Agreement: PI 46-Rates of services: Outpatient occasions of service, 2011
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