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National Healthcare Agreement: P22-Selected potentially preventable hospitalisations, 2010

Identifying and definitional attributes

Metadata item type:Help on this termIndicator
Indicator type:Help on this termIndicator
Short name:Help on this termSelected potentially preventable hospitalisations, 2010
METeOR identifier:Help on this term394719
Registration status:Help on this termHealth, Superseded 08/06/2011
Description:Help on this termAdmissions to hospital that could have potentially been prevented through the provision of appropriate non-hospital health services.
Indicator set:Help on this termNational Healthcare Agreement (2010) Health, Superseded 08/06/2011
Outcome area:Help on this termPrimary and Community Health Health, Standard 07/07/2010
Quality statement:Help on this termNational Healthcare Agreement: P22-Selected potentially preventable hospitalisations, 2010 QS Health, Superseded 08/06/2011

Collection and usage attributes

Computation description:Help on this termSee Appendix 1 of Australian hospital statistics 2007–08 for ICD-10-AM codes in scope for each category of potentially preventable hospitalisations.
Rates are directly age-standardised to the Australian population as at 30 June 2001.
Computation:Help on this term100,000 x (Numerator ÷ Denominator)

Calculated separately for each of the 3 subcategories, and as a single measure.

Presented per 100,000.
Numerator:Help on this termNumber of potentially preventable hospitalisations, divided into three groups:
  • vaccine-preventable conditions (e.g. tetanus, measles, mumps, rubella)
  • acute conditions (e.g. ear, nose and throat infections, dehydration/gastroenteritis)
  • chronic conditions (e.g. diabetes complications, asthma, angina, hypertension, congestive heart failure and chronic obstructive pulmonary disease)
  • Numerator data elements:Help on this term
    Data Element / Data SetEpisode of admitted patient care—admission date, DDMMYYYY
    Data Source
    National Hospital Morbidity Database (NHMD)
    Guide for use
    Data source type: Administrative by-product data
    Data Element / Data SetEpisode of care—principal diagnosis, code (ICD-10-AM 5th edn) ANN{.N[N]}
    Data Source
    National Hospital Morbidity Database (NHMD)
    Guide for use
    Data source type: Administrative by-product data
    Data Element / Data SetEpisode of care—additional diagnosis, code (ICD-10-AM 5th edn) ANN{.N[N]}
    Data Source
    National Hospital Morbidity Database (NHMD)
    Guide for use
    Data source type: Administrative by-product data
    Data Element / Data SetEpisode of admitted patient care—condition onset flag, code N
    Data Source
    National Hospital Morbidity Database (NHMD)
    Guide for use
    Data source type: Administrative by-product data
    Denominator:Help on this termTotal population
    Denominator data elements:Help on this term
    Data Element / Data SetData Element
    Person—estimated resident population of Australia
    Data Source
    ABS Estimated resident population (total population)
    Guide for use
    Data source type: Census-based plus administrative by-product data
    Data Element / Data SetData Element
    Person—estimated resident population of Australia
    Data Source
    ABS Indigenous experimental estimates and projections (2001 Census-based)
    Guide for use
    Data source type: Census-based plus administrative by-product data
    Disaggregation data elements:Help on this term
    Data Element / Data SetPerson—area of usual residence, geographical location code (ASGC 2006) NNNNN
    Data Source
    National Hospital Morbidity Database (NHMD)
    Guide for use
    Data source type: Administrative by-product data
    Used for disaggregation by state/territory, remoteness area and SEIFA of residence
    Data Element / Data SetPerson—Indigenous status, code N
    Data Source
    National Hospital Morbidity Database (NHMD)
    Guide for use
    Data source type: Administrative by-product data
    Comments:Help on this termSpecified Disaggregation: Nationally and by state/territory: by Indigenous status, remoteness area and SEIFA of residence.

    Available Disaggregation: Nationally and by state/territory: by Indigenous status, remoteness area and SEIFA of residence.

    Most recent data available for 2010 CRC baseline report: 2007-08

    Data for 2008-09 will be available by June 2010.

    Representational attributes

    Representation class:Help on this termRate
    Data type:Help on this termReal
    Unit of measure:Help on this termEpisode
    Format:Help on this termNN[NN].N

    Indicator conceptual framework

    Framework and dimensions:Help on this termAccessibility

    Effectiveness

    Safety

    Data source attributes

    Data sources:Help on this term
    Data SourceNational Hospital Morbidity Database (NHMD)
    Frequency
    Annual
    Quality statement
    Data quality statement: National Hospital Morbidity Database 2013–14
    Data custodian

    Australian Institute of Health and Welfare



    Data SourceABS Estimated resident population (total population)
    Frequency
    Quarterly
    Quality statement
    ABS Estimated resident population (total population), QS
    Data custodian
    Australian Bureau of Statistics

    Data SourceABS Indigenous experimental estimates and projections (2001 Census-based)
    Frequency
    Periodic
    Quality statement
    ABS Indigenous experimental estimates and projections, QS
    Data custodian
    Australian Bureau of Statistics

    Accountability attributes

    Organisation responsible for providing data:Help on this termAustralian Institute of Health and Welfare
    Benchmark:Help on this termRelated National Partnership Agreement benchmark/target:

    National Healthcare Agreement

    By 2014–15, improve the provision of primary care and reduce the proportion of potentially preventable hospitalisations by 7.6 per cent over the 2006–07 baseline to 8.5 per cent of total hospital admissions.
    Further data development / collection required:Help on this termSpecification: Long-term

    The Coding Standards Advisory Committee (CSAC) and the National Centre for Classification in Health (NCCH) are currently reviewing the coding of conditions in scope, including diabetes in the context of the revised coding standard for additional diagnoses. The coding of diabetes varies by jurisdiction and has also varied over time. The indicator can be recalculated in future to allow retrospective trend analysis if changes are made to included codes.

    Specification of potentially preventable hospitalisations should be reviewed to ensure it reflects current needs, and is standardised across Australia.

    Work is required to improve the identification of Indigenous Australians within this data.
    Other issues caveats:Help on this termDisaggregations within individual jurisdictions are subject to data quality considerations.

    Some disaggregations may result in numbers too small for publication.

    Potentially preventable hospitalisations are called ‘ambulatory care sensitive hospitalisations’ in some jurisdictions.

    The quality of Indigenous status data is not considered to be adequate for analysis purposes for the ACT and Tasmania.

    Different practices across jurisdictions in the way additional diagnoses are reported (around diabetes/dialysis) can affect the comparability of this indicator across jurisdictions. The data quality statement should reflect variations in the coding of diabetes in hospital data.

    Relational attributes

    Related metadata references:Help on this term

    See also National Healthcare Agreement: P09-Immunisation rates for vaccines in the national schedule, 2010 Health, Superseded 08/06/2011

    See also National Healthcare Agreement: P17-Proportion of diabetics with HbA1c below 7%, 2010 Health, Superseded 08/06/2011

    See also National Healthcare Agreement: P20-Potentially avoidable deaths, 2010 Health, Superseded 08/06/2011

    See also National Healthcare Agreement: P30-Proportion of people with diabetes who have a GP annual cycle of care, 2010 Health, Superseded 08/06/2011

    See also National Healthcare Agreement: P31-Proportion of people with asthma with a written asthma plan, 2010 Health, Superseded 08/06/2011

    See also 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: P45-Rates of services: Overnight separations, 2010 Health, Superseded 08/06/2011

    See also National Healthcare Agreement: P47-Rates of services: Non-acute care separations, 2010 Health, Superseded 08/06/2011

    Has been superseded by National Healthcare Agreement: PI 22-Selected potentially preventable hospitalisations, 2011 Health, Superseded 31/10/2011

    See also National Indigenous Reform Agreement: P03-Hospitalisation rates by principal diagnosis, 2010 Community Services (retired), Superseded 04/04/2011

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