National Indigenous Reform Agreement: PI 11-Child under 5 hospitalisation rates by principal diagnosis, 2011

Identifying and definitional attributes

Metadata item type:Indicator
Indicator type:Indicator
Short name:PI 11-Child under 5 hospitalisation rates by principal diagnosis, 2011
METeOR identifier:425764
Registration status:Indigenous, Archived 01/07/2012
Description:

Hospital separation rates for children aged under five years by Indigenous status.

Rationale:Monitoring hospitalisation rates for different diseases so that it is understood which diseases are major contributors to morbidity among Indigenous children and where programs are succeeding and where they are not will assist in achieving the closing the gap targets.
Indicator set:National Indigenous Reform Agreement (2011) Indigenous, Archived 01/07/2012
Outcome area:Indigenous children have the same health outcomes as other Australian children Indigenous, Endorsed 21/07/2010

Collection and usage attributes

Population group age to:Children aged under 5 years.
Computation description:

Rate ratios and rate differences are calculated for Indigenous:non-Indigenous.

Presentation: Per 1,000 persons.; percentage; and causes listed from highest to lowest percentage.

Definitions:

Leading principal diagnoses (and ICD-10-AM codes) are:

• Diseases of the respiratory system (J00-J99)

• Certain conditions originating in the perinatal period (P00-P96)

• Certain infectious and parasitic diseases (A00-B99)

• Injury and poisoning and certain other consequences of external causes (S00-T98)

• Symptoms, signs and abnormal clinical and laboratory findings n.e.c. (R00-R99)

• Diseases of the digestive system (K00-K93)

• Diseases of the skin and subcutaneous tissue (L00-L99)

• Congenital malformations, deformations and chromosomal abnormalities (Q00-Q99)

• Diseases of the ear and mastoid process (H60-H95)

• Contact with health services (Z00-Z99)

• Diseases of the genitourinary system (N00-N99)

• Diseases of the nervous system (G00-G99)

• Other

• Total hospitalisations

Computation:

Crude percentage: number of separations by principal diagnosis divided by total separations.

Rate: 1,000 x (Numerator ÷ Denominator).

Numerator:Number of hospital separations for children aged under five years by leading principal diagnosis.
Numerator data elements:
Data Element / Data SetEpisode of care—principal diagnosis, code (ICD-10-AM 6th edn) ANN{.N[N]}
Data Source
National Hospital Morbidity Database (NHMD)
NMDS / DSS
Admitted patient care NMDS 2008-09
Guide for use
Data source type: Administrative by-product data
Data Element / Data SetEpisode of admitted patient care—admission date, DDMMYYYY
Data Source
National Hospital Morbidity Database (NHMD)
NMDS / DSS
Admitted patient care NMDS 2008-09
Guide for use
Data source type: Administrative by-product data
Data Element / Data SetEpisode of admitted patient care—separation date, DDMMYYYY
Data Source
National Hospital Morbidity Database (NHMD)
NMDS / DSS
Admitted patient care NMDS 2008-09
Guide for use
Data source type: Administrative by-product data
Data Element / Data SetPerson—date of birth, DDMMYYYY
Data Source
National Hospital Morbidity Database (NHMD)
NMDS / DSS
Admitted patient care NMDS 2008-09
Guide for use
Data source type: Administrative by-product data
Denominator:Total population of children aged under five years.
Denominator data elements:
Data Element / Data SetPerson—estimated resident population of Australia, total people N[N(7)]
Data Source
ABS Estimated resident population (total population)
Guide for use
Data source type: Estimated resident population (ERP) is derived from Census, post-enumeration survey (PES) and assumptions on future fertility, mortality, net migration etc.
Data Element / Data SetPerson—age, total years N[NN]
Data Source
ABS Estimated resident population (total population)
Guide for use
Data source type: ERP is derived from Census, PES and assumptions on future fertility, mortality, net migration etc.
Data Element / Data SetPerson—estimated resident population of Australia, total people N[N(7)]
Data Source
ABS Indigenous experimental estimates and projections (2001 Census-based)
Guide for use
Data source type: ERP is derived from Census, PES and assumptions on future fertility, mortality, net migration etc.
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: ERP is derived from Census, PES and assumptions on future fertility, mortality, net migration etc.
Disaggregation:

National and State and Territory by Indigenous status, by Principal diagnosis at the ICD-10-AM chapter level. 

Disaggregation data elements:
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 SetData Source
National Hospital Morbidity Database (NHMD)
Guide for use
Data source type: Administrative by-product data
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:

Most recent data available for 2011 CRC report is 2008-09.

Aggregated data (2007-08 to 2008-09) will be reported for the current reporting period.

Single year data (2007-08, 2008-09) will be reported for time series (national for total hospitalisations and for leading principal diagnoses; state/territory for total hospitalisations and for top six leading principal diagnoses (ICD-10-AM 6th edition chapter level)).

National disaggregation by Indigenous status will be based on data only from jurisdictions for which the quality of Indigenous identification is considered acceptable.

At this stage, only selected state/territories are considered of accepted quality for reporting hospitalisations of Indigenous persons: NSW, Vic, Qld, WA, SA & NT public hospitals. Tas/ACT data should be reported with caveats. National rates should include these six states and territories only.

Disaggregation by Indigenous status is to be reported using 2 years combined data for the current reporting period. Single year data is to be reported for time series.

Baseline year for this indicator is 2008; target year is 2018.

Representational attributes

Representation class:Rate
Data type:Real
Unit of measure:Person
Format:N[NN].N

Indicator conceptual framework

Framework and dimensions:Health Conditions

Data source attributes

Data sources:
Data SourceNational Hospital Morbidity Database (NHMD)
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:National Indigenous Reform Agreement.
Organisation responsible for providing data:Australian Institute of Health and Welfare.
Further data development / collection required:

Specification: Long-term.

Relational attributes

Related metadata references:

Supersedes National Indigenous Reform Agreement: P11-Child under 5 hospitalisation rates by principal diagnosis, 2010 Community Services (retired), Superseded 04/04/2011

Has been superseded by National Indigenous Reform Agreement: PI 11-Child under 5 hospitalisation rates by principal diagnosis, 2012 Indigenous, Archived 13/06/2013