Service Plan - Department of Health Tasmania: 2018, Elective Surgery - Number of pre-admission hospital initiated postponements due to no beds for Elective Surgery procedures, 2018

Identifying and definitional attributes
Metadata item type:	Indicator
Indicator type:	Indicator
Short name:	Hospital Initiated Postponements
METEOR identifier:	704425
Registration status:	Tasmanian Health, Superseded 24/07/2019
Description:	This KPI measures the number of pre-admission hospital initiated postponements due to no beds for elective surgery procedures and is expressed as a percentage (result).
Rationale:	A higher number of postponements might indicate an issue with service planning at the site, or that unplanned emergency surgery has taken precedence.
Indicator set:	Service Plan - Department of Health Tasmania: 2018 Tasmanian Health, Superseded 24/07/2019
Outcome area:	Elective surgery access Tasmanian Health, Standard 07/12/2016

Collection and usage attributes
Computation description:	Determine the number of patients that are postponed due to no beds by the hospital pre-admission. Include only those patients identified as postponed 'Pre-Admission'. This can be determined by looking for a matching inpatient episode. If no inpatient episode is found the postponement occurred pre-admission. Otherwise if there is a matching inpatient episode then this is evidence the patient was admitted and the postponement occurred "Post-Admission".
Computation:	100 x (Numerator ÷ Denominator)
Numerator:	Count the total number of pre-admission Hospital Initiated Postponements due to no beds for patients waiting on the Elective Surgery Waiting List.
Numerator data elements:	Data Element / Data Set Hospital census (of elective surgery waitlist patients)—census date, DDMMYYYY Guide for use Select All records from FactWaitingList where this field contains a date value within the reporting range and where the [ArchiveFlag] is set to 0. Data Element / Data Set Person—person identifier, identifier (Tasmanian) N(9) Data Element / Data Set Establishment—organisation identifier, (Tasmanian) identifier NNNN Data Element / Data Set Establishment—region identifier, code (Tasmanian) N Data Element / Data Set Elective surgery waiting list episode—reason for removal from a waiting list, code (Tasmanian) X[AAAAAA] Guide for use Select All records from WaitingListOfferOfOutcome where Removal Reason is identified as 'no beds'. Count the booking record where the Waiting List Name is ‘IP Elective Surgery’ and the removal reason code is 'no beds'. Data Element / Data Set Elective care waiting list episode—waiting list name type, text X[X(39)] Guide for use Select All records from FactWaitingList where WaitingListName is identified as: 'IP Elective Surgery'.
Denominator:	Total number of bookings made, excluding booking cancellations listed to be excluded.
Denominator data elements:	Data Element / Data Set Hospital census (of elective surgery waitlist patients)—census date, DDMMYYYY Guide for use Select All records from FactWaitingList where this field contains a date value within the reporting range and where the [ArchiveFlag] is set to 0. Data Element / Data Set Establishment—organisation identifier, (Tasmanian) identifier NNNN Data Element / Data Set Establishment—region identifier, code (Tasmanian) N Data Element / Data Set Elective surgery waiting list episode—reason for removal from a waiting list, code (Tasmanian) X[AAAAAA] Guide for use Select All records from WaitingListOfferOfOutcome except where Removal Reason is identified as one of the following Hospital Initiated Postponement Reasons: Admitted as Emergency Error Standby Transferred to another Wait List Earlier Booking Made Other Count the booking record where the Waiting List Name is ‘IP Elective Surgery’ and the removal reason code is NOT listed above. Data Element / Data Set Elective care waiting list episode—waiting list name type, text X[X(39)] Guide for use Select All records from FactWaitingList where WaitingListName is identified as: 'IP Elective Surgery'
Disaggregation:	Specified disaggregation: Hospital and region.
Disaggregation data elements:	Data Element / Data Set Hospital census (of elective surgery waitlist patients)—census date, DDMMYYYY Guide for use This date value is the census snapshot period Data Element / Data Set Establishment—organisation identifier, (Tasmanian) identifier NNNN Data Element / Data Set Establishment—region identifier, code (Tasmanian) N
Representational attributes
Representation class:	Percentage
Data type:	Real
Unit of measure:	Person
Format:	NN[N]
Accountability attributes
Reporting requirements:	2018-19 Service Plan
Relational attributes
Related metadata references:	Supersedes Service Agreement - Department of Health and Human Services Tasmania: 2016, EFF5 - Elective Surgery - Number of Hospital initiated postponements for pre and post admission for Elective Surgery procedures, 2016 Tasmanian Health, Superseded 28/03/2019

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