National Healthcare Agreement: PI 19–Selected potentially avoidable GP-type presentations to emergency departments, 2021

Identifying and definitional attributes
Metadata item type:	Indicator
Indicator type:	Progress measure
Short name:	PI 19–Selected potentially avoidable GP-type presentations to emergency departments, 2021
METEOR identifier:	725791
Registration status:	Health, Standard 16/09/2020
Description:	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:	National Healthcare Agreement (2021) Health, Standard 19/11/2020
Outcome area:	Primary and Community Health Health, Standard 07/07/2010

Collection and usage attributes
Computation description:	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) 2019–20 and the NAPEDC National Best Endeavours Data Set (NBEDS) 2019–20. 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:	Numerator only.
Numerator:	Number of potentially avoidable GP-type presentations to emergency departments.
Numerator data elements:	Data Element / Data Set Emergency 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 2019–20 Guide for use Data source type: Administrative by-product data Data Element / Data Set Emergency 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 NBEDS 2019–20 Guide for use Data source type: Administrative by-product data Data Element / Data Set Non-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 2019–20 Guide for use Data source type: Administrative by-product data Data Element / Data Set Non-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 NBEDS 2019–20 Guide for use Data source type: Administrative by-product data Data Element / Data Set Emergency 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 2019–20 Guide for use Data source type: Administrative by-product data Data Element / Data Set Emergency 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 NBEDS 2019–20 Guide for use Data source type: Administrative by-product data Data Element / Data Set Non-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 2019–20 Guide for use Data source type: Administrative by-product data Data Element / Data Set Non-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 NBEDS 2019–20 Guide for use Data source type: Administrative by-product data
Disaggregation:	2019–20—State and territory. Nationally by 2016 SEIFA IRSD deciles (not reported this cycle). State and territory, by (all not reported this cycle): Indigenous status remoteness (Australian Statistical Geography Standard (ASGS) 2016) 2016 SEIFA IRSD quintiles peer group and triage category. Some disaggregations may result in numbers too small for publication.
Disaggregation data elements:	Data Element / Data Set Establishment—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 2019–20 Guide for use Data source type: Administrative by-product data Used to derive hospital peer group Data Element / Data Set Establishment—organisation identifier (Australian), NNX[X]NNNNN Data Source National non-admitted patient emergency department care database NMDS / DSS Non-admitted patient emergency department care NBEDS 2019–20 Guide for use Data source type: Administrative by-product data Used for disaggregation by state/territory, remoteness and SEIFA IRSD Data Element / Data Set Person—Indigenous status, code N Data Source National non-admitted patient emergency department care database NMDS / DSS Non-admitted patient emergency department care NMDS 2019–20 Guide for use Data source type: Administrative by-product data Data Element / Data Set Person—Indigenous status, code N Data Source National non-admitted patient emergency department care database NMDS / DSS Non-admitted patient emergency department care NBEDS 2019–20 Guide for use Data source type: Administrative by-product data Data Element / Data Set Person—area of usual residence, statistical area level 2 (SA2) code (ASGS 2016) N(9) Data Source National non-admitted patient emergency department care database NMDS / DSS Non-admitted patient emergency department care NMDS 2019–20 Guide for use Data source type: Administrative by-product data Used for disaggregation by state/territory, remoteness and SEIFA IRSD Data Element / Data Set Person—area of usual residence, statistical area level 2 (SA2) code (ASGS 2016) N(9) Data Source National non-admitted patient emergency department care database NMDS / DSS Non-admitted patient emergency department care NBEDS 2019–20 Guide for use Data source type: Administrative by-product data Used for disaggregation by state/territory, remoteness and SEIFA IRSD Data Element / Data Set Non-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 2019–20 Guide for use Data source type: Administrative by-product data Data Element / Data Set Non-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 NBEDS 2019–20 Guide for use Data source type: Administrative by-product data
Comments:	Most recent data available for 2021 National Healthcare Agreement performance reporting: 2019–20. This definition of ‘potentially avoidable GP-type presentation’ is a refinement of the definition of a primary care patient in an emergency department, as discussed in the Booz Allen Hamilton study of emergency department care in NSW. 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:	Count
Data type:	Real
Unit of measure:	Episode
Format:	NN[NNNNN]
Indicator conceptual framework
Framework and dimensions:	Accessibility
Data source attributes
Data sources:	Data Source National non-admitted patient emergency department care database Data custodian Australian Institute of Health and Welfare
Accountability attributes
Reporting requirements:	National Healthcare Agreement
Organisation responsible for providing data:	Australian Institute of Health and Welfare
Further data development / collection required:	Specification: Substantial work required, the measure requires significant work to be undertaken.
Source and reference attributes
Reference documents:	Australian Institute of Health and Welfare 2012. Australian hospital statistics 2010–11. Health Services Series No. 43. Cat. no. HSE 117. Canberra: AIHW. Viewed 28 May 2020, https://www.aihw.gov.au/reports/hospitals/australian- hospital-statistics-2010-11 /contents/table-of-contents Booz Allen Hamilton 2007. Key Drivers of Demand in the Emergency Department. Sydney: New South Wales Department of Health. Viewed 29 May 2020, https://webarchive.nla.gov.au/awa/20080627063427/http:/ pandora.nla.gov.au/pan/86401/20080627-1631/ www.health.nsw.gov.au/pubs/2007/pdf/booz_allen_report.pdf
Relational attributes
Related metadata references:	Supersedes National Healthcare Agreement: PI 19–Selected potentially avoidable GP-type presentations to emergency departments, 2020 Health, Standard 13/03/2020 Has been superseded by National Healthcare Agreement: PI 19–Selected potentially avoidable GP-type presentations to emergency departments, 2022 Health, Standard 24/09/2021 See also National Healthcare Agreement: PI 12–Waiting times for GPs, 2021 Health, Standard 03/07/2020 See also National Healthcare Agreement: PI 21a–Waiting times for emergency hospital care: proportion seen on time, 2021 Health, Standard 16/09/2020 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, 2021 Health, Standard 16/09/2020

National Healthcare Agreement: PI 19–Selected potentially avoidable GP-type presentations to emergency departments, 2021

Identifying and definitional attributes

Collection and usage attributes

Representational attributes

Indicator conceptual framework

Data source attributes

Accountability attributes

Source and reference attributes

Relational attributes

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