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National Healthcare Agreement: PI 43-Unplanned/unexpected readmissions within 28 days of selected surgical admissions, 2011

Identifying and definitional attributes

Metadata item type:Help on this termIndicator
Indicator type:Help on this termProgress measure
Short name:Help on this termPI 43-Unplanned/unexpected readmissions within 28 days of selected surgical admissions, 2011
METEOR identifier:Help on this term421607
Registration status:Help on this term
  • Health, Superseded 31/10/2011
Description:Help on this termUnplanned and unexpected hospital readmissions within 28 days for selected surgical procedures.
Indicator set:Help on this termNational Healthcare Agreement (2011)
Health, Superseded 31/10/2011
Outcome area:Help on this termHospital and Related Care
National Health Performance Authority (retired), Retired 01/07/2016
Health, Standard 07/07/2010
Quality statement:Help on this termNational Healthcare Agreement: PI 43: Unplanned/unexpected readmissions within 28 days of selected surgical admissions, 2011 QS Health, Superseded 04/12/2012

Collection and usage attributes

Computation description:Help on this term

Unplanned/unexpected readmissions are those readmissions where the principal diagnosis indicates an adverse event. These include ICD-10AM codes: T80-88, T98.3, E89, G97, H59, H95, I97, J95, K91, M96 or N99.

Principal diagnoses  codes

A principal diagnosis for the readmission has one of the following ICD-10-AM (6th Ed) codes: T80–88, T98.3, E89, G97, H59, H95, I97, J95, K91, M96 or N99.  

T80 Complications following infusion, transfusion and therapeutic injection

T81 Complications of procedures, not elsewhere classified

T82 Complications of cardiac and vascular prosthetic devises, implants and grafts

T83 Complications of genitourinary prosthetic devices, implants and grafts

T84 Complications of internal orthopaedic prosthetic devices, implants and grafts

T85 Complications of other internal prosthetic devices, implants and grafts

T86 Failure and rejection of transplanted organs and tissues

T87 Complications peculiar to reattachment and amputation

T88 Other complications of surgical and medical care, not elsewhere classified

T98.3 Sequelae of complications of surgical and medical care, not elsewhere classified

E89 Postprocedural endocrine and metabolic disorders, not elsewhere classified

G97 Postprocedural disorders of nervous system, not elsewhere classified

H59 Postprocedural disorders of eye and adnexa, not elsewhere classified

H95 Postprocedural disorders of ear and mastoid process, not elsewhere classified

I97 Postprocedural disorders of circulatory system, not elsewhere classified

J95 Postprocedural respiratory disorders, not elsewhere classified

K91 Postprocedural disorders of digestive system, not elsewhere classified

M96 Postprocedural musculoskeletal disorders, not elsewhere classified

N99 Postprocedural disorders of genitourinary system, not elsewhere classified

 Procedure codes

Number of separations in which one of the following surgical procedures was undertaken: knee replacement; hip replacement; tonsillectomy and adenoidectomy; hysterectomy; prostatectomy; cataract surgery; appendicectomy.

The following is a list of the specific ACHI (6th Ed) procedure codes which are included in the specifications for each of the selected surgical procedures.

Procedure

Procedure Codes

Description

Knee replacement

49518-00

Total arthroplasty of knee, unilateral

 

49519-00

Total arthroplasty of knee, bilateral

 

49521-02

Total arthroplasty of knee with bone graft to tibia, unilateral

 

Hip replacement

49318-00

Total arthroplasty of hip, unilateral

 

49319-00

Total arthroplasty of hip, bilateral

 

Tonsillectomy and adenoidectomy

41789-00

Tonsillectomy without adenoidectomy

 

41789-01

Tonsillectomy with adenoidectomy

 

41801-00

Adenoidectomy without tonsillectomy

 

Hysterectomy

35653-01

Total abdominal hysterectomy

 

35653-04

Total abdominal hysterectomy with removal of adnexa

 

35661-00

Abdominal hysterectomy with extensive retroperitoneal dissection

 

35670-00

Abdominal hysterectomy with radical excision of pelvic lymph nodes

 

35756-00

Laparoscopically assisted vaginal hysterectomy proceeding to abdominal hysterectomy

 

35756-03

Laparoscopically assisted vaginal hysterectomy proceeding to abdominal hysterectomy with removal of adnexa

 

90448-01Total laparoscopic abdominal hysterectomy

 

90448-02

Total laparoscopic abdominal hysterectomy with removal of adnexa 

 

35657-00

Vaginal hysterectomy

 

35673-02Vaginal hysterectomy with removal of adnexa

 

35667-00

Radical abdominal hysterectomy

 

35664-00

Radical abdominal hysterectomy with radical excision of pelvic lymph nodes

 

35664-01

Radical vaginal hysterectomy with radical excision of pelvic lymph nodes

 

35667-01

Radical vaginal hysterectomy

 

90443-00

Other excision of uterus

 

 

Prostatectomy

37207-00

Endoscopic laser ablation of prostate (includes TULIP)

 

37201-00

Transurethral needle ablation of prostate

 

37203-00

Transurethral resection of prostate

 

37203-02

Transurethral electrical vaporisation of prostate

 

37203-04

Microwave thermotherapy of prostate

 

37203-05

High intensity focussed ultrasound (transrectal) of prostate

 

37207-01

Endoscopic laser excision of prostate

 

37200-03

Suprapubic prostatectomy

 

37200-04

Retropubic prostatectomy

 

37224-00

Endoscopic destruction of prostatic lesion

 

37224-01

Endoscopic resection of prostatic lesion

 

90407-00

Excision of other lesion of prostate

 

37203-03

Cryoablation of prostate

 

Cataract surgery

42698-00

Intracapsular extraction of crystalline lens

 

42702-00

Intracapsular extraction of crystalline lens with insertion of foldable artificial lens

 

42702-01

Intracapsular extraction of crystalline lens with insertion of other artificial lens

 

42698-01

Extracapsular extraction of crystalline lens by simple aspiration (and irrigation) technique

 

42702-02

Extracapsular extraction of crystalline lens by simple aspiration (and irrigation) technique with insertion of foldable artificial lens

 

42702-03

Extracapsular extraction of crystalline lens by simple aspiration (and irrigation) technique with insertion of other artificial lens

 

42698-02

Extracapsular extraction of crystalline lens by phacoemulsification and aspiration of cataract

 

42702-04

Extracapsular extraction of crystalline lens by phacoemulsification and aspiration of cataract with insertion of foldable artificial lens

 

42702-05

Extracapsular extraction of crystalline lens by phacoemulsification and aspiration of cataract with insertion of other artificial lens

 

42698-03

Extracapsular crystalline lens extraction by mechanical phacofragmentation and aspiration of cataract

 

42702-06

Extracapsular crystalline lens extraction by mechanical phacofragmentation and aspiration of cataract with insertion of foldable artificial lens

 

42702-07

Extracapsular crystalline lens extraction by mechanical phacofragmentation and aspiration of cataract with insertion of other artificial lens

 

42698-04

Other extracapsular extraction of crystalline lens

 

42702-08

Other extracapsular extraction of crystalline lens with insertion of foldable artificial lens

 

42702-09

Other extracapsular extraction of crystalline lens with insertion of other artificial lens

 

42731-01

Extraction of crystalline lens by posterior chamber sclerotomy with removal of vitreous

 

42698-05

Other extraction of crystalline lens

 

42702-10

Other extraction of crystalline lens with insertion of foldable artificial lens

 

42702-11

Other extraction of crystalline lens with insertion of other artificial lens

 

Appendicectomy

30571-00

Appendicectomy

 

30572-00

Laparoscopic appendicectomy

Limited to public hospitals.

Denominator limited to separations with a separation date between 1 July and 19 May in the reference year.

Denominator excludes separations where the patient died in hospital.

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

Analysis by remoteness and SEIFA Index of Relative Socioeconomic Disadvantage (IRSD) is based on usual residence of person.

Presented per 1,000 separations.

Computation:Help on this term

1,000 x (Numerator ÷ Denominator)

Calculated separately for each of the specified procedures
Numerator:Help on this term

Number of separations for public hospitals which meet all of the following criteria:

  • The separation is a readmission to the same hospital following a separation in which one of the following procedures was performed: knee replacement; hip replacement; tonsillectomy and adenoidectomy; hysterectomy; prostatectomy; cataract surgery; appendicectomy (see procedure codes in computation description field)
  • The readmission occurs within 28 days of the previous date of separation
  • A principal diagnosis for the readmission has one of the following ICD10-AM codes: T80–88, T98.3, E89, G97, H59, H95, I97, J95, K91, M96 or N99
Numerator data elements:Help on this term
Data Element / Data Set

Episode of admitted patient care—admission date, DDMMYYYY

Data Source

National Hospital Morbidity Database (NHMD)

NMDS / DSS

Admitted patient care NMDS 2008-09

Guide for use

Data source type: Administrative by-product data

Data Element / Data Set

Establishment—sector, code N

Data Source

National Hospital Morbidity Database (NHMD)

NMDS / DSS

Admitted patient care NMDS 2008-09

Guide for use

Data source type: Administrative by-product data

Data Element / Data Set

Episode of admitted patient care—separation date, DDMMYYYY

Data Source

National Hospital Morbidity Database (NHMD)

NMDS / DSS

Admitted patient care NMDS 2008-09

Guide for use

Data source type: Administrative by-product data

Data Element / Data Set

Person—person identifier, XXXXXX[X(14)]

Data Source

National Hospital Morbidity Database (NHMD)

NMDS / DSS

Admitted patient care NMDS 2008-09

Guide for use

Data source type: Administrative by-product data

Data Element / Data Set

Episode of care—principal diagnosis, code (ICD-10-AM 6th edn) ANN{.N[N]}

Data Source

National Hospital Morbidity Database (NHMD)

NMDS / DSS

Admitted patient care NMDS 2008-09

Guide for use

Data source type: Administrative by-product data

Data Element / Data Set

Episode of admitted patient care—procedure, code (ACHI 6th edn) NNNNN-NN

Data Source

National Hospital Morbidity Database (NHMD)

NMDS / DSS

Admitted patient care NMDS 2008-09

Guide for use

Data source type: Administrative by-product data

Denominator:Help on this termNumber of separations in which one of the following surgical procedures was undertaken: knee replacement; hip replacement; tonsillectomy and adenoidectomy; hysterectomy; prostatectomy; cataract surgery; appendicectomy.
Denominator data elements:Help on this term
Data Element / Data Set

Episode of admitted patient care—admission date, DDMMYYYY

Data Source

National Hospital Morbidity Database (NHMD)

NMDS / DSS

Admitted patient care NMDS 2008-09

Guide for use

Data source type: Administrative by-product data

Data Element / Data Set

Establishment—sector, code N

Data Source

National Hospital Morbidity Database (NHMD)

NMDS / DSS

Admitted patient care NMDS 2008-09

Guide for use

Data source type: Administrative by-product data

Data Element / Data Set

Episode of admitted patient care—separation date, DDMMYYYY

Data Source

National Hospital Morbidity Database (NHMD)

NMDS / DSS

Admitted patient care NMDS 2008-09

Guide for use

Data source type: Administrative by-product data

Data Element / Data Set

Episode of admitted patient care—procedure, code (ACHI 6th edn) NNNNN-NN

Data Source

National Hospital Morbidity Database (NHMD)

NMDS / DSS

Admitted patient care NMDS 2008-09

Guide for use

Data source type: Administrative by-product data

Disaggregation:Help on this term

2008–09—Nationally, by specified procedures by SEIFA Index of Relative Socioeconomic Disadvantage (IRSD) deciles

2008–09—State and territory, by specified procedures (and total), by:

  • peer group
  • Indigenous status
  • remoteness
  • SEIFA IRSD quintiles

Disaggregations within individual jurisdictions are subject to data quality considerations. Some disaggregations may result in numbers too small for publication. National disaggregation by Indigenous status will be based on data only from jurisdictions for which the quality of Indigenous identification is considered acceptable.

Disaggregation data elements:Help on this term
Data Element / Data Set

Data Element

Hospital peer group

Data Source

National Hospital Morbidity Database (NHMD)

NMDS / DSS

Admitted patient care NMDS 2008-09

Guide for use

Data source type: Administrative by-product data

Data Element / Data Set

Establishment—Australian state/territory identifier, code N

Data Source

National Hospital Morbidity Database (NHMD)

NMDS / DSS

Admitted patient care NMDS 2008-09

Guide for use

Data source type: Administrative by-product data

Data Element / Data Set

Person—Indigenous status, code N

Data Source

National Hospital Morbidity Database (NHMD)

NMDS / DSS

Admitted patient care NMDS 2008-09

Guide for use

Data source type: Administrative by-product data

Data Element / Data Set

Episode of admitted patient care—procedure, code (ACHI 6th edn) NNNNN-NN

Data Source

National Hospital Morbidity Database (NHMD)

NMDS / DSS

Admitted patient care NMDS 2008-09

Guide for use

Data source type: Administrative by-product data

Data Element / Data Set

Person—area of usual residence, geographical location code (ASGC 2007) NNNNN

Data Source

National Hospital Morbidity Database (NHMD)

NMDS / DSS

Admitted patient care NMDS 2008-09

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 2011 CRC report: 2008–09

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 termN[N].N

Indicator conceptual framework

Framework and dimensions:Help on this termEffectiveness

Safety

Accessibility

Data source attributes

Data sources:Help on this term
Data Source

National Hospital Morbidity Database (NHMD)

Frequency

Annual

Data custodian

Australian Institute of Health and Welfare

Accountability attributes

Reporting requirements:Help on this termNational Healthcare Agreement
Organisation responsible for providing data:Help on this termAustralian Institute of Health and Welfare
Further data development / collection required:Help on this term

Specification: Interim

Source and reference attributes

Relational attributes

Related metadata references:Help on this term
Supersedes 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: PB 07-By 2014-15, improve the provision of primary care and reduce the proportion of potentially preventable hospital admissions by 7.6 per cent over the 2006-07 baseline to 8.5 per cent of total hospital admissions, 2011
  • Health, Superseded 30/10/2011
See also National Healthcare Agreement: PI 20-Potentially avoidable deaths, 2011
  • Health, Superseded 31/10/2011
See also National Healthcare Agreement: PI 22-Selected potentially preventable hospitalisations, 2011
  • Health, Superseded 31/10/2011
See also National Healthcare Agreement: PI 38-Adverse drug events in hospitals, 2011
  • Health, Superseded 31/10/2011
See also National Healthcare Agreement: PI 39-Healthcare-associated Staphylococcus aureus (including MRSA) bacteraemia in acute care hospitals, 2011
  • Health, Superseded 31/10/2011
See also National Healthcare Agreement: PI 41-Falls resulting in patient harm in hospitals, 2011
  • Health, Superseded 31/10/2011
See also National Healthcare Agreement: PI 42-Intentional self-harm in hospitals, 2011
  • Health, Superseded 31/10/2011
Has been superseded by National Healthcare Agreement: PI 43-Unplanned/unexpected readmissions within 28 days of selected surgical episodes of care, 2012
  • Health, Superseded 25/06/2013
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