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National Healthcare Agreement: PI 20-Potentially avoidable deaths, 2011

Identifying and definitional attributes

Metadata item type:Help on this termIndicator
Indicator type:Help on this termProgress measure
Short name:Help on this termPI 20-Potentially avoidable deaths, 2011
METeOR identifier:Help on this term421653
Registration status:Help on this termHealth, Superseded 30/10/2011
Description:Help on this termDeaths that are potentially avoidable within the present health system:
• potentially preventable deaths are those amenable to screening and primary prevention such as immunisation
• deaths from potentially treatable conditions are those amenable to therapeutic interventions
Indicator set:Help on this termNational Healthcare Agreement (2011) Health, Superseded 31/10/2011
Outcome area:Help on this termPrimary and Community Health Health, Standard 07/07/2010
Quality statement:Help on this termNational Healthcare Agreement: PI 20-Potentially avoidable deaths, 2011 QS Health, Superseded 04/12/2012

Collection and usage attributes

Population group age to:Help on this termLess than 75 years
Computation description:Help on this term

Deaths are defined as avoidable in the context of the present health system.

ICD-10 codes in scope are as specified below:

Cause of death group

ICD-10 Codes

Limits (age, sex) Treatable Preventable
Infections
Tuberculosis A15–A19, B90  

X

 
Selected invasive bacterial and protozoal infections A38–A41, A46, A48.1 B50–B54, G00,G03, J02.0, J13–J15, J18, L03  

X

 
Hepatitis B15–B19    

X

HIV/AIDS B20–B24    

X

Viral pneumonia and influenza J10, J12, J17.1, J21    

X

Enteritis and other diarrhoeal disease A00–A09    

X

Childhood vaccine-preventable diseases A35–A37, A49.1, A49.2, A80, B01, B05–B06, J11

0–14

 

X

Sexually transmitted diseases, except HIV/AIDS A50–A64, M02.3, N34.1, N70–N73, N75.0, N75.1, N76.4, N76.6, O00    

X

Ear infections—otitis media and mastoiditis H65–H70  

X

 

Upper respiratory tract infection J00–J06  

X

 
Cancer
Lip, oral cavity and pharynx C00–C14    

X

Oesophagus C15    

X

Stomach C16    

X

Colorectal C18–C21  

X

  
Liver C22    

X

Lung C33, C34    

X

Melanoma of skin C43  

X

 
Non-melanocytic skin C44  

X

 
Breast C50 Female

X

 
Cervix C53  

X

 
Uterus C54, C55  

X

 
Bladder C67  

X

 
Thyroid C73  

X

 
Hodgkin’s disease C81  

X

 
Lymphoid leukaemia—acute/chronic C91.0, C91.1  

X

 
Benign cancers D10–D36  

X

 
Malignant neoplasm of testis C62    

X

Malignant neoplasm of eye and adnexa C69    

X

Diabetes E10–E14  

X (0.5)

X (0.5)

Drug use disorders
Alcohol related disease F10, I42.6, K29.2, K70    

X

Illicit drug use disorders F11–F16, F18, F19    

X

Epilepsy G40, G41  

X

 
Diseases of the circulatory system
Rheumatic and other valvular heart disease I01–I09  

X

 
Hypertensive heart disease I11  

X

 
Ischaemic heart disease I20–I25  

X (0.5)

X (0.5)

Cerebrovascular diseases I60–I69  

X (0.5)

X (0.5)

Aortic aneurysm I71    

X

Phlebitis and thrombophlebitis of other deep vessels of lower extremities I80.2    

X

Pulmonary embolism I26    

X

Diseases of the genitourinary system
Nephritis and nephrosis I12, I13, N00–N09, N17–N19  

X

 
Obstructive uropathy & prostatic hyperplasia N13, N20, N21, N35, N40

 

X

 
Diseases of the respiratory system
COPD J40–J44 45–74 years  

X

Asthma J45, J46 0–44 years

X

 
Diseases of the digestive system
Peptic ulcer disease K25–K28  

X

 
Diseases of appendix; hernia; disorders of gallbladder, biliary tract, and pancreas K35–K38, K40–K46, K80–K83, K85, K86  

X

 
Chronic liver disease (excluding alcohol-related disease) K73, K74    

X

Maternal & infant causes
Birth defects H31.1, P00, P04, Q00–Q99  

X

 

Complications of perinatal period

P03, P05–P95

 

X

 

Unintentional injuries

Road traffic injuries

V01–V04, V06, V09–V80, V87, V89, V99

   

X

Falls W00-W19    

X

Fires, burns X00-X09    

X

Accidental poisonings

X40-X49    

X

Drownings

W65-W74    

X

War Y36    

X

Intentional injuries
Suicide and self-inflicted injuries X60-X84, Y87.0, Y10-Y34    

X

Violence X85-Y09, Y87.1    

X

Other conditions

Nutritional deficiency anaemia

D50–D53

   

X

Thyroid disorders

E00–E07

 

X

 

Adrenal disorders

E24, E27

 

X

 

Congenital metabolic disorders

E25, E70.0, E74.2

 

X

 

Osteomyelitis and other osteopathies of bone

M86, M89–M90

   

X

Complications of pregnancy, labour or the puerperium

O01–O99

   

X

Misadventures to patients during surgical and medical care

Y60–Y69

   

X

Medical devices associated with adverse incidents in diagnostic & therapeutic use

Y70–Y82

   

X

Surgical and other medical procedures as the cause of abnormal reaction of the patient, or of later complication, without mention of misadventure at the time of the procedure

Y83–Y84

   

X

Rates are age-standardised

Presented per 100,000 population.

Computation:Help on this term

100,000 x (Numerator ÷ Denominator)

Calculated separately for ‘preventable’ and ‘treatable’ categories.

Numerator:Help on this termNumber of deaths of persons aged less than 75 categorised as potentially avoidable
Numerator data elements:Help on this term
Data Element / Data SetPerson—underlying cause of death, code (ICD-10 2nd edn) ANN-ANN
Data Source
ABS Causes of Death Collection
Guide for use
Data source type: Registry
Denominator:Help on this termPopulation aged less than 75 years
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
Data Element / Data SetPerson—age, total years N[NN]
Data Source
ABS Estimated resident population (total population)
Guide for use
Data source type: Census-based plus administrative by-product data
Data Element / Data SetPerson—age, total years N[NN]
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:Help on this term

2007 and 2008— Nationally, by Indigenous status

2003–2007 and 2004–2008—State and territory, by Indigenous status

Disaggregations within individual jurisdictions are subject to data quality considerations. Some disaggregations may result in numbers too small for publication. Disaggregation by Indigenous status will be based on data only from jurisdictions for which the quality of Indigenous identification is considered acceptable.

Disaggregation data elements:Help on this term
Data Element / Data SetPerson—area of usual residence, geographical location code (ASGC 2007) NNNNN
Data Source
ABS Causes of Death Collection
Guide for use
Data source type: Registry
Used for disaggregation by state/territory
Data Element / Data SetPerson—Indigenous status, code N
Data Source
ABS Causes of Death Collection
Guide for use
Data source type: Registry
Comments:Help on this term

Theoretically, this indicator could be adjusted for levels of community morbidity and risk factor prevalence. Or, information on risk factor prevalence and community morbidity could be used to assist interpretation of the indicator. There are currently no methods developed to undertake such adjustments.

The 75 years age cut-off is somewhat arbitrary, and will have different effects on different causes of death. For example, most car accident deaths will be included, but many hip fracture deaths will not be included.

Interpreting a change or difference in a mortality rate is problematic, as the change or difference could reflect variation in disease incidence, survival (case fatality) or both.

Due to small number of Indigenous deaths reported each year, 5 year combined data will be reported for the current reporting period.

Most recent data available for 2011 CRC report:

2007 (updated for national total with only 5 jurisdictions and ABS revised cause of death data) and 2008 (Total population)

Aggregated data (2003–2007) and (2004–2008) (Indigenous status)

Representational attributes

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

Indicator conceptual framework

Framework and dimensions:Help on this termDeaths

Data source attributes

Data sources:Help on this term
Data SourceABS Causes of Death Collection
Frequency
Annual
Quality statement
ABS causes of death collection, QS
Data custodian

Australian Bureau of Statistics



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 Bureau of Statistics (ABS).
Benchmark:Help on this term

National Healthcare Agreement: PB 02—By 2018, reduce the national smoking rate to 10 per cent of the population and halve the Indigenous smoking rate (Baseline specification), 2011

Further data development / collection required:Help on this termSpecification: Interim

Relational attributes

Related metadata references:Help on this term

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

See also National Healthcare Agreement: PB 02-By 2018, reduce the national smoking rate to 10 per cent of the population and halve the Indigenous smoking rate (Baseline specification), 2011 Health, Superseded 30/10/2011

See also National Healthcare Agreement: PB 03-By 2017, increase by five percentage points the proportion of Australian adults and children at a healthy body weight, over the 2009 baseline (Baseline specification), 2011 Health, Superseded 30/10/2011

See also National Healthcare Agreement: PB 08-Close the life expectancy gap for Indigenous Australians within a generation, 2011 Health, Superseded 30/10/2011

See also National Healthcare Agreement: PB 09-Halve the mortality gap for Indigenous children under five within a decade, 2011 Health, Superseded 30/10/2011

See also National Healthcare Agreement: PI 05-Proportion of persons obese, 2011 Health, Superseded 30/10/2011

See also National Healthcare Agreement: PI 06-Proportion of adults who are daily smokers, 2011 Health, Superseded 30/10/2011

See also National Healthcare Agreement: PI 07-Proportion of adults at risk of long-term harm from alcohol, 2011 Health, Superseded 30/10/2011

See also National Healthcare Agreement: PI 09-Immunisation rates for vaccines in the national schedule, 2011 Health, Superseded 30/10/2011

See also National Healthcare Agreement: PI 18-Life expectancy, 2011 Health, Superseded 30/10/2011

See also National Healthcare Agreement: PI 19-Infant and young child mortality rate, 2011 Health, Superseded 30/10/2011

Has been superseded by National Healthcare Agreement: PI 20-Potentially avoidable deaths, 2012 Health, Superseded 25/06/2013

See also National Healthcare Agreement: PI 22-Selected potentially preventable hospitalisations, 2011 Health, Superseded 31/10/2011

See also National Healthcare Agreement: PI 43-Unplanned/unexpected readmissions within 28 days of selected surgical admissions, 2011 Health, Superseded 31/10/2011

See also National Healthcare Agreement: PI 59-Age-standardised mortality by major cause of death, 2011 Health, Superseded 31/10/2011

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