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National Healthcare Agreement: P52-Falls resulting in patient harm in residential aged care, 2010

Identifying and definitional attributes

Metadata item type:Help on this termIndicator
Indicator type:Help on this termIndicator
Short name:Help on this termFalls resulting in patient harm in residential aged care, 2010
METeOR identifier:Help on this term400209
Registration status:Help on this termHealth, Superseded 08/06/2011
Description:Help on this termFall occurring in residential aged care and resulting in patient harm treated in hospital.
Indicator set:Help on this termNational Healthcare Agreement (2010) Health, Superseded 08/06/2011
Outcome area:Help on this termAged Care Health, Standard 07/07/2010
Quality statement:Help on this termNational Healthcare Agreement: P52-Falls resulting in patient harm in residential aged care, 2010 QS Health, Superseded 08/06/2011

Collection and usage attributes

Computation description:Help on this term

Numerator only.

Injury resulting from fall is defined by ICD-10-AM external cause codes of W00–W19.

Events occurring in residential aged care are defined by a place of occurrence code of Y92.14 (Aged Care Facility).

Numerator:Help on this termNumber of hospital separations with a diagnosis of injury resulting from fall, where event occurred in residential aged care
Numerator data elements:Help on this term
Data Element / Data SetEpisode of admitted patient care—admission date, DDMMYYYY
Data Source
Admitted Patient Care National Minimum Data Set (APC NMDS)
NMDS / DSS
Admitted patient care NMDS 2007-08
Guide for use
Data source type: Administrative by-product data
Data Element / Data SetEpisode of admitted patient care—separation date, DDMMYYYY
Data Source
Admitted Patient Care National Minimum Data Set (APC NMDS)
NMDS / DSS
Admitted patient care NMDS 2007-08
Guide for use
Data source type: Administrative by-product data
Data Element / Data SetInjury event—external cause, code (ICD-10-AM 5th edn) ANN{.N[N]}
Data Source
Admitted Patient Care National Minimum Data Set (APC NMDS)
NMDS / DSS
Admitted patient care NMDS 2007-08
Guide for use
Data source type: Administrative by-product data
Data Element / Data SetInjury event—place of occurrence, code (ICD-10-AM 5th edn) ANN{.N[N]}
Data Source
Admitted Patient Care National Minimum Data Set (APC NMDS)
NMDS / DSS
Admitted patient care NMDS 2007-08
Guide for use
Data source type: Administrative by-product data
Disaggregation data elements:Help on this term
Data Element / Data SetEstablishment—organisation identifier (state/territory), NNNNN
Data Source
Admitted Patient Care National Minimum Data Set (APC NMDS)
NMDS / DSS
Admitted patient care NMDS 2007-08
Guide for use
Data source type: Administrative by-product data
Used for disaggregation by state/territory
Data Element / Data SetPerson—Indigenous status, code N
Data Source
Admitted Patient Care National Minimum Data Set (APC NMDS)
NMDS / DSS
Admitted patient care NMDS 2007-08
Guide for use
Data source type: Administrative by-product data
Data Element / Data SetPerson—area of usual residence, geographical location code (ASGC 2006) NNNNN
Data Source
Admitted Patient Care National Minimum Data Set (APC NMDS)
NMDS / DSS
Admitted patient care NMDS 2007-08
Guide for use
Data source type: Administrative by-product data
Used for disaggregation by remoteness area and SEIFA of residence
Comments:Help on this term

Specified disaggregation: Nationally and by state/territory (of hospital location): by Indigenous status, remoteness area and SEIFA of residence.

Available disaggregation: Nationally and by state/territory (of hospital location): by Indigenous status, remoteness area and SEIFA of residence.

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

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

Representational attributes

Representation class:Help on this termCount
Data type:Help on this termReal
Unit of measure:Help on this termEpisode
Format:Help on this termN[NNNN]

Indicator conceptual framework

Framework and dimensions:Help on this termSafety

Data source attributes

Data sources:Help on this term
Data SourceAdmitted Patient Care National Minimum Data Set (APC NMDS)
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

Work is required to improve the identification of Indigenous Australians within this data.

Refinement of ICD-10-AM codes to ensure correct identification of cases occurring in residential aged care.

Separate data collections could be undertaken in residential aged care facilities to collect information on falls that did not lead to hospitalisation.
Other issues caveats:Help on this term

Disaggregation by Indigenous status, remoteness area and SEIFA of residence within individual states/territories is subject to data quality considerations.

Some disaggregation could result in numbers too small for publication.

This indicator is presented as a count only. Analysis of changes in the number over time would need to be interpreted taking into consideration changing care needs and comorbidities of people in residential aged care as well as the increasing resident population.

Note that while this calculation differs to the calculation of adverse events in hospitals (which will be calculated as a rate based on separations), a comparison of the two rates would not be instructive as the two populations (residential care and hospitals) have very different dynamics.

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

Relational attributes

Related metadata references:Help on this term

See also National Healthcare Agreement: P41-Falls resulting in patient harm in hospitals, 2010 Health, Superseded 08/06/2011

See also National Healthcare Agreement: P50-Staphylococcus aureus (including MRSA) bacteraemia in residential aged care, 2010 Health, Superseded 08/06/2011

See also National Healthcare Agreement: P51-Pressure ulcers in residential aged care, 2010 Health, Superseded 08/06/2011

Has been superseded by National Healthcare Agreement: PI 52-Falls in residential aged care resulting in patient harm and treated in hospital, 2011 Health, Superseded 31/10/2011

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