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National Healthcare Agreement: P46-Rates of services: Outpatient occasions of service, 2010

Identifying and definitional attributes

Metadata item type:Help on this termIndicator
Indicator type:Help on this termOutput measure
Short name:Help on this termRates of Services: Outpatient occasions of service, 2010
METeOR identifier:Help on this term395091
Registration status:Help on this termHealth, Superseded 08/06/2011
Description:Help on this termNumber of hospital outpatient occasions of service per 1,000 population.
Indicator set:Help on this termNational Healthcare Agreement (2010) Health, Superseded 08/06/2011
Outcome area:Help on this termHospital and Related Care Health, Standard 07/07/2010
National Health Performance Authority (retired), Retired 01/07/2016
Quality statement:Help on this termNational Healthcare Agreement: P46-Rates of services: Outpatient occasions of service, 2010 QS Health, Superseded 08/06/2011

Collection and usage attributes

Computation description:Help on this termLimited 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:Help on this term1,000 x (Numerator ÷ Denominator)
Numerator:Help on this termNumber of outpatient occasions of service in hospitals
Numerator data elements:Help on this term
Data Element / Data SetEstablishment—number of group session occasions of service for non-admitted patients (alcohol and drug), total N[NNNNN]
Data Source
National Public Hospital Establishment Database (NPHED)
Guide for use
Data source type: Administrative by-product data
Data Element / Data SetEstablishment—number of group session occasions of service for non-admitted patients (dialysis), total N[NNNNN]
Data Source
National Public Hospital Establishment Database (NPHED)
Guide for use
Data source type: Administrative by-product data
Data Element / Data SetEstablishment—number of group session occasions of service for non-admitted patients (allied health services), total N[NNNNN]
Data Source
National Public Hospital Establishment Database (NPHED)
Guide for use
Data source type: Administrative by-product data
Data Element / Data SetEstablishment—number of group session occasions of service for non-admitted patients (endoscopy and related procedures), total N[NNNNN]
Data Source
National Public Hospital Establishment Database (NPHED)
Guide for use
Data source type: Administrative by-product data
Data Element / Data SetEstablishment—number of group session occasions of service for non-admitted patients (other medical/surgical/diagnostic), total N[NNNNN]
Data Source
National Public Hospital Establishment Database (NPHED)
Guide for use
Data source type: Administrative by-product data
Data Element / Data SetEstablishment—number of group session occasions of service for non-admitted patients (dental), total N[NNNNN]
Data Source
National Public Hospital Establishment Database (NPHED)
Guide for use
Data source type: Administrative by-product data
Data Element / Data SetEstablishment—number of group session occasions of service for non-admitted patients (mental health), total N[NNNNN]
Data Source
National Public Hospital Establishment Database (NPHED)
Guide for use
Data source type: Administrative by-product data
Data Element / Data SetEstablishment—number of individual session occasions of service for non-admitted patients (alcohol and drug), total N[NNNNNN]
Data Source
National Public Hospital Establishment Database (NPHED)
Guide for use
Data source type: Administrative by-product data
Data Element / Data SetEstablishment—number of individual session occasions of service for non-admitted patients (allied health services), total N[NNNNNN]
Data Source
National Public Hospital Establishment Database (NPHED)
Guide for use
Data source type: Administrative by-product data
Data Element / Data SetEstablishment—number of individual session occasions of service for non-admitted patients (dialysis), total N[NNNNNN]
Data Source
National Public Hospital Establishment Database (NPHED)
Guide for use
Data source type: Administrative by-product data
Data Element / Data SetEstablishment—number of individual session occasions of service for non-admitted patients (mental health), total N[NNNNNN]
Data Source
National Public Hospital Establishment Database (NPHED)
Guide for use
Data source type: Administrative by-product data
Data Element / Data SetEstablishment—number of individual session occasions of service for non-admitted patients (endoscopy and related procedures), total N[NNNNNN]
Data Source
National Public Hospital Establishment Database (NPHED)
Guide for use
Data source type: Administrative by-product data
Data Element / Data SetEstablishment—number of individual session occasions of service for non-admitted patients (other medical/surgical/diagnostic), total N[NNNNNN]
Data Source
National Public Hospital Establishment Database (NPHED)
Guide for use
Data source type: Administrative by-product data
Data Element / Data SetEstablishment—number of individual session occasions of service for non-admitted patients (dental), total N[NNNNNN]
Data Source
National Public Hospital Establishment Database (NPHED)
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 SetEstablishment—organisation identifier (state/territory), NNNNN
Data Source
National Public Hospital Establishment Database (NPHED)
Guide for use
Data source type: Administrative by-product data
First character of organisation identifier is the state/territory identifier
Data Element / Data SetEstablishment—number of group session occasions of service for non-admitted patients (alcohol and drug), total N[NNNNN]
Data Source
National Public Hospital Establishment Database (NPHED)
Guide for use
Data source type: Administrative by-product data
Data Element / Data SetEstablishment—number of group session occasions of service for non-admitted patients (dialysis), total N[NNNNN]
Data Source
National Public Hospital Establishment Database (NPHED)
Guide for use
Data source type: Administrative by-product data
Data Element / Data SetEstablishment—number of group session occasions of service for non-admitted patients (allied health services), total N[NNNNN]
Data Source
National Public Hospital Establishment Database (NPHED)
Guide for use
Data source type: Administrative by-product data
Data Element / Data SetEstablishment—number of group session occasions of service for non-admitted patients (endoscopy and related procedures), total N[NNNNN]
Data Source
National Public Hospital Establishment Database (NPHED)
Guide for use
Data source type: Administrative by-product data
Data Element / Data SetEstablishment—number of group session occasions of service for non-admitted patients (dental), total N[NNNNN]
Data Source
National Public Hospital Establishment Database (NPHED)
Guide for use
Data source type: Administrative by-product data
Data Element / Data SetEstablishment—number of group session occasions of service for non-admitted patients (mental health), total N[NNNNN]
Data Source
National Public Hospital Establishment Database (NPHED)
Guide for use
Data source type: Administrative by-product data
Data Element / Data SetEstablishment—number of individual session occasions of service for non-admitted patients (alcohol and drug), total N[NNNNNN]
Data Source
National Public Hospital Establishment Database (NPHED)
Guide for use
Data source type: Administrative by-product data
Data Element / Data SetEstablishment—number of individual session occasions of service for non-admitted patients (allied health services), total N[NNNNNN]
Data Source
National Public Hospital Establishment Database (NPHED)
Guide for use
Data source type: Administrative by-product data
Data Element / Data SetEstablishment—number of individual session occasions of service for non-admitted patients (dialysis), total N[NNNNNN]
Data Source
National Public Hospital Establishment Database (NPHED)
Guide for use
Data source type: Administrative by-product data
Data Element / Data SetEstablishment—number of individual session occasions of service for non-admitted patients (mental health), total N[NNNNNN]
Data Source
National Public Hospital Establishment Database (NPHED)
Guide for use
Data source type: Administrative by-product data
Data Element / Data SetEstablishment—number of individual session occasions of service for non-admitted patients (endoscopy and related procedures), total N[NNNNNN]
Data Source
National Public Hospital Establishment Database (NPHED)
Guide for use
Data source type: Administrative by-product data
Data Element / Data SetEstablishment—number of individual session occasions of service for non-admitted patients (dental), total N[NNNNNN]
Data Source
National Public Hospital Establishment Database (NPHED)
Guide for use
Data source type: Administrative by-product data
Data Element / Data SetEstablishment—number of group session occasions of service for non-admitted patients (other medical/surgical/diagnostic), total N[NNNNN]
Data Source
National Public Hospital Establishment Database (NPHED)
Guide for use
Data source type: Administrative by-product data
Data Element / Data SetEstablishment—number of individual session occasions of service for non-admitted patients (other medical/surgical/diagnostic), total N[NNNNNN]
Data Source
National Public Hospital Establishment Database (NPHED)
Guide for use
Data source type: Administrative by-product data
Comments:Help on this termSpecified 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.

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 termN[NN].N

Indicator conceptual framework

Framework and dimensions:Help on this termAccessibility

Data source attributes

Data sources:Help on this term
Data SourceNational Public Hospital Establishment Database (NPHED)
Frequency
Annual
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

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 termSpecification: 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:Help on this termOutpatient 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.

Relational attributes

Related metadata references:Help on this term

See also National Healthcare Agreement: P25-Specialist services claimed through Medicare, 2010 Health, Superseded 08/06/2011

See also National Healthcare Agreement: P35-Waiting times for emergency department care, 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

See also National Healthcare Agreement: P48-Rates of services: Hospital procedures, 2010 Health, Superseded 08/06/2011

See also National Healthcare Agreement: P60-Access to services by type of service compared to need, 2010 Health, Superseded 08/06/2011

Has been superseded by National Healthcare Agreement: PI 46-Rates of services: Outpatient occasions of service, 2011 Health, Superseded 31/10/2011

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