National Healthcare Agreement: PI 48-Rates of services: Hospital procedures, 2012

Identifying and definitional attributes

Metadata item type:Indicator
Indicator type:Output measure
Short name:PI 48-Rates of services: Hospital procedures, 2012
METeOR identifier:444872
Registration status:Health, Retired 25/06/2013
Description:Rates at which selected hospital procedures are performed for different population groups and in public and private hospital sectors.
Indicator set:National Healthcare Agreement (2012) Health, Superseded 25/06/2013
Outcome area:Hospital and Related Care Health, Standard 07/07/2010
National Health Performance Authority (retired), Retired 01/07/2016
Quality statement:National Healthcare Agreement: PI 48-Rates of services: hospital procedures, 2012 QS Health, Retired 14/01/2015

Collection and usage attributes

Population group age from:All ages, for all procedure types except for Hysterectomy; 15 years of age, for Hysterectomy only
Population group age to:All ages, for all procedure types except for Hysterectomy; 69 years of age, for Hysterectomy only
Computation description:

ICD-10-AM selected surgical procedure codes
Number of separations in which one of the following surgical procedures was undertaken: cataract extraction; cholecystectomy; coronary artery bypass graft; coronary angioplasty; cystoscopy; haemorrhoidectomy; hip replacement; inguinal herniorrhaphy; knee replacement; myringotomy; tonsillectomy; varicose veins stripping and ligation; septoplasty; prostatectomy; hysterectomy.

ACHI (6th Edition) procedure codes

The following is a list of the specific ACHI (6th Ed) procedure codes which are included in the specifications for each of the selected surgical procedures.

 

Procedure

Procedure Codes

Description

Cataract extraction

42698-00

Intracapsular extraction of crystalline lens

 

42702-00

Intracapsular extraction of crystalline lens with insertion of foldable artificial lens

 

42702-01

Intracapsular extraction of crystalline lens with insertion of other artificial lens

 

42698-01

Extracapsular extraction of crystalline lens by simple aspiration (and irrigation) technique

 

42702-02

Extracapsular extraction of crystalline lens by simple aspiration (and irrigation) technique with insertion of foldable artificial lens

 

42702-03

Extracapsular extraction of crystalline lens by simple aspiration (and irrigation) technique with insertion of other artificial lens

 

42698-02

Extracapsular extraction of crystalline lens by phacoemulsification and aspiration of cataract

 

42702-04

Extracapsular extraction of crystalline lens by phacoemulsification and aspiration of cataract with insertion of foldable artificial lens

 

42702-05

Extracapsular extraction of crystalline lens by phacoemulsification and aspiration of cataract with insertion of other artificial lens

 

42698-03

Extracapsular extraction of crystalline lens by mechanical phacofragmentation and aspiration of cataract

 

42702-06

Extracapsular extraction of crystalline lens by mechanical phacofragmentation and aspiration of cataract with insertion of foldable artificial lens

 

42702-07

Extracapsular extraction of crystalline lens by mechanical phacofragmentation and aspiration of cataract with insertion of other artificial lens

 

42698-04

Other extracapsular extraction of crystalline lens

 

42702-08

Other extracapsular extraction of crystalline lens with insertion of foldable artificial lens

 

42702-09

Other extracapsular extraction of crystalline lens with insertion of other artificial lens

 

42731-01

Extraction of crystalline lens by posterior chamber sclerotomy with removal of vitreous

 

42698-05

Other extraction of crystalline lens

 

42702-10

Other extraction of crystalline lens with insertion of foldable artificial lens

 

42734-00

Capsulotomy of lens

 

42788-00

Capsulotomy of lens by laser

 

42719-00

Capsulectomy of lens

 

42731-00

Capsulectomy of lens by posterior chamber sclerotomy with removal of vitreous

 

42719-02

Mechanical fragmentation of secondary membrane

 

42716-00

Removal of juvenile cataract

 

42702-11

Other extraction of crystalline lens with insertion of other artificial lens

 

42722-00

Capsulectomy of lens by posterior chamber sclerotomy

Cholecystectomy

30443-00

Cholecystectomy

 

30454-01

Cholecystectomy with choledochotomy

 

30455-00

Cholecystectomy with choledochotomy and biliary intestinal anastomosis

 

30445-00

Laparoscopic cholecystectomy

 

30446-00

Laparoscopic cholecystectomy proceeding to open cholecystectomy

 

30448-00

Laparoscopic cholecystectomy with removal of common bile duct calculus via cystic duct

 

30449-00

Laparoscopic cholecystectomy with removal of common bile duct calculus via laparoscopic choledochotomy

Coronary artery bypass graft

38497-00 

Coronary artery bypass, using 1 saphenous vein graft

 

38497-01

Coronary artery bypass, using 2 saphenous vein grafts

 

38497-02 

Coronary artery bypass, using 3 saphenous vein grafts

 

38497-03 

Coronary artery bypass, using ≥ 4 saphenous vein grafts

 

38497-04

Coronary artery bypass, using 1 other venous graft

 

38497-05 

Coronary artery bypass, using 2 other venous grafts

 

38497-06

Coronary artery bypass, using 3 other venous grafts

 

39497-07

Coronary artery bypass, using ≥ 4 other venous grafts

 

38500-00 

Coronary artery bypass, using 1 LIMA graft

 

38503-00 

Coronary artery bypass, using ≥ 2 LIMA grafts

 

38500-01 

Coronary artery bypass, using 1 RIMA graft

 

38503-01 

Coronary artery bypass, using ≥ 2 RIMA grafts

 

38500-02 

Coronary artery bypass, using 1 radial artery graft

 

38503-02 

Coronary artery bypass, using ≥ 2 radial artery grafts

 

38500-03 

Coronary artery bypass, using 1 epigastric artery graft

 

38503-03 

Coronary artery bypass, using ≥ 2 epigastric artery grafts

 

38500-04 

Coronary artery bypass, using 1 other arterial graft

 

38503-04 

Coronary artery bypass, using ≥ 2 other arterial grafts

 

90201-00 

Coronary artery bypass, using 1 other material graft, not elsewhere classified

 

90201-01 

Coronary artery bypass, using 2 other material grafts, not elsewhere classified

 

90201-02 

Coronary artery bypass, using 3 other material grafts, not elsewhere classified

 

90201-03 

Coronary artery bypass, using ≥ 4 other material grafts, not elsewhere classified

Coronary angioplasty

38300-00 

Percutaneous transluminal balloon angioplasty of 1 coronary artery

 

38303-00 

Percutaneous transluminal balloon angioplasty of ≥ 2 coronary arteries

 

38300-01

Open transluminal balloon angioplasty of 1 coronary artery

 

38303-01

Open transluminal balloon angioplasty of ≥ 2 coronary arteries

 

38306-00

Percutaneous insertion of 1 transluminal stent into single coronary artery

 

38306-01

Percutaneous insertion of ≥ 2 transluminal stents into single coronary artery

 

38306-02

Percutaneous insertion of ≥ 2 transluminal stents into multiple coronary arteries

 

38306-03

Open insertion of 1 transluminal stent into single coronary artery

 

38306-04

Open insertion of ≥ 2 transluminal stents into single coronary artery

 

38306-05

Open insertion of ≥ 2 transluminal stents into multiple coronary arteries

Cystoscopy

36812-00 

Cystoscopy

 

36812-01

Cystoscopy through artificial stoma

 

36836-00 

Endoscopic biopsy of bladder

Haemorrhoidectomy

32138-00 

Haemorrhoidectomy

 

32132-00 

Sclerotherapy for haemorrhoids

 

32135-00 

Rubber band ligation of haemorrhoids

 

32135-01 

Destruction of haemorrhoids

Hip replacement

47522-00 

Hemiarthroplasty of femur

 

49315-00

Partial arthroplasty of hip

 

49318-00

Total arthroplasty of hip, unilateral

 

49319-00

Total arthroplasty of hip, bilateral

 

49324-00

Revision of total arthroplasty of hip

 

49327-00

Revision of total arthroplasty of hip with bone graft to acetabulum

 

49330-00

Revision of total arthroplasty of hip with bone graft to femur

 

49333-00

Revision of total arthroplasty of hip with bone graft to acetabulum and femur

 

49339-00

Revision of total arthroplasty of hip with anatomic specific allograft to acetabulum

 

49342-00

Revision of total arthroplasty of hip with anatomic specific allograft to femur

 

49345-00

Revision of total arthroplasty of hip with anatomic specific allograft to acetabulum and femur

 

49346-00

Revision of partial arthroplasty of hip

Inguinal herniorrhaphy

30614-03 

Repair of inguinal hernia, bilateral

 

30615-00 

Repair of incarcerated, obstructed or strangulated hernia

 

30609-03 

Laparoscopic repair of inguinal hernia, bilateral

 

30614-02

Repair of inguinal hernia, unilateral

 

30609-02 

Laparoscopic repair of inguinal hernia, unilateral

Knee replacement

49527-00

Revision of total arthroplasty of knee

 

49517-00

Hemiarthroplasty of knee

 

49518-00

Total arthroplasty of knee, unilateral

 

49519-00

Total arthroplasty of knee, bilateral

 

49534-01

Total replacement arthroplasty of patellofemoral joint of knee

 

49521-00

Total arthroplasty of knee with bone graft to femur, unilateral

 

49521-01

Total arthroplasty to knee with bone graft to femur, bilateral

 

49521-02

Total arthroplasty to knee with bone graft to tibia, unilateral

 

49521-03

Total arthroplasty to knee with bone graft to tibia, bilateral

 

49524-00

Total arthroplasty of knee with bone graft to femur and tibia, unilateral

 

49524-01

Total arthroplasty of knee with bone graft to femur and tibia, bilateral

 

49530-00

Revision of total arthroplasty of knee with bone graft to femur

 

49530-01

Revision of total arthroplasty of knee with bone graft to tibia

 

49533-00

Revision of total arthroplasty of knee with bone graft to femur and tibia

 

49554-00

Revision of total arthroplasty of knee with anatomic specific allograft

Myringotomy

41626-00

Myringotomy, unilateral

 

41626-01 

Myringotomy, bilateral

 

41632-00

Myringotomy with insertion of tube, unilateral

 

41632-01 

Myringotomy with insertion of tube, bilateral

Tonsillectomy

41789-00 

Tonsillectomy without adenoidectomy

 

41789-01

Tonsillectomy with adenoidectomy

Varicose veins stripping and ligation

32508-00 

Interruption of sapheno-femoral junction varicose veins

 

32508-01 

Interruption of sapheno-popliteal junction varicose veins

 

32511-00 

Interruption of sapheno-femoral and sapheno-popliteal junction varicose veins

 

32504-01 

Interruption of multiple tributaries of varicose veins

 

32507-00 

Subfascial interruption of one or more perforating varicose veins

 

32514-00 

Reoperation for varicose veins

Septoplasty

41671-02 

Septoplasty

 

41671-03 

Septoplasty with submucous resection of nasal septum

Prostatectomy

37200-03 

Suprapubic prostatectomy

 

37200-04 

Retropubic prostatectomy

 

37200-05 

Other open prostatectomy

 

37201-00 

Transurethral needle ablation of prostate [TUNA]

 

37203-00 

Transurethral resection of prostate [TURP]

 

37203-02

Transurethral electrical vaporisation of prostate

 

37203-03 

Cryoablation of prostate

 

37203-04 

Microwave thermotherapy of prostate

 

37203-05 

High intensity focused ultrasound [HIFUS] (transrectal) of prostate

 

37203-06 

Other closed prostatectomy

 

37207-00 

Endoscopic laser ablation of prostate

 

37207-01 

Endoscopic laser excision of prostate

 

37209-00 

Radical prostatectomy

 

37209-01

Laparoscopic radical prostatectomy

 

37210-00

Radical prostatectomy with bladder neck reconstruction

 

37210-01

Laparoscopic radical prostatectomy with bladder neck reconstruction

 

37211-00 

Radical prostatectomy with bladder neck reconstruction and pelvic lymphadenectomy

 

37211-01

Laparoscopic radical prostatectomy with bladder neck reconstruction and pelvic lymphadenectomy

 

37224-01 

Endoscopic resection of lesion of prostate

 

37224-00 

Endoscopic destruction of lesion of prostate

 

90407-00 

Excision of other lesion of prostate

Hysterectomy

35653-00 

Subtotal abdominal hysterectomy

 

35653-01 

Total abdominal hysterectomy

 

35653-04

Total abdominal hysterectomy with removal of adnexa

 

35661-00 

Abdominal hysterectomy with extensive retroperitoneal dissection

 

35670-00 

Abdominal hysterectomy with radical excision of pelvic lymph nodes

 

35667-00 

Radical abdominal hysterectomy            

 

35664-00 

Radical abdominal hysterectomy with radical excision of pelvic lymph nodes           

 

90448-00

Subtotal laparoscopic abdominal hysterectomy

 

90448-01

Total laparoscopic abdominal hysterectomy

 

90448-02

Total laparoscopic abdominal hysterectomy with removal of adnexa

 

35657-00 

Vaginal hysterectomy

 

35750-00 

Laparoscopically assisted vaginal hysterectomy     

 

35756-00     

Laparoscopically assisted vaginal hysterectomy proceeding to abdominal hysterectomy

 

35673-02

Vaginal hysterectomy with removal of adnexa

 

35753-02

Laparoscopically assisted vaginal hysterectomy with removal of adnexa

 

35756-03

Laparoscopically assisted vaginal hysterectomy proceeding to abdominal hysterectomy with removal of adnexa

 

35667-01 

Radical vaginal hysterectomy

 

35664-01

Radical vaginal hysterectomy with radical excision of pelvic lymph nodes

 

90450-00 

Anterior pelvic exenteration

 

90450-01 

Posterior pelvic exenteration

 

90450-02 

Total pelvic exenteration

 

Numerator excludes multiple procedures for the same separation within the same procedure group; separations with care type newborn with no qualified days, hospital boarders and posthumous organ procurement.

Rates directly age-standardised to the 2001 Australian population. Hysterectomy limited to female patients aged 15–69 years. Prostatectomy limited to males.

Analysis by state and territory is based on location of service.

Analysis by remoteness and SEIFA Index of Relative Socioeconomic Disadvantage (IRSD) is based on usual residence of person.

Presented as:

  • number, and
  • per 1,000. 
Computation:

1,000 × (Numerator ÷ Denominator)

Calculated separately for each procedure.
Numerator:

Number of hospital separations involving the following procedures:

(a) Cataract extraction

(b) Cholecystectomy

(c) Coronary artery bypass graft

(d) Coronary angioplasty

(e) Cytoscopy

(f) Haemorrhoidectomy

(g)  Hip replacement

(h) Inguinal herniorrhaphy

(i) Knee replacement

(j) Myringotomy

(k) Tonsillectomy

(l) Varicose veins stripping and ligation

(m) Septoplasty

(n) Prostatectomy

(o) Hysterectomy (limited to patients aged 15-69 years)

Numerator data elements:
Data Element / Data SetEpisode of admitted patient care—procedure, code (ACHI 6th edn) NNNNN-NN
Data Source
National Hospital Morbidity Database (NHMD)
NMDS / DSS
Admitted patient care NMDS 2009-10
Guide for use
Data source type: Administrative by-product
Data Element / Data SetHospital service—care type, code N[N].N
Data Source
National Hospital Morbidity Database (NHMD)
NMDS / DSS
Admitted patient care NMDS 2009-10
Guide for use
Data source type: Administrative by-product data
Data Element / Data SetPerson—age, total years N[NN]
Data Source
National Hospital Morbidity Database (NHMD)
NMDS / DSS
Admitted patient care NMDS 2009-10
Guide for use
Data source type: Administrative by-product data
Data Element / Data SetPerson—sex, code N
Data Source
National Hospital Morbidity Database (NHMD)
NMDS / DSS
Admitted patient care NMDS 2009-10
Guide for use
Data source type: Administrative by-product data
Denominator:

For procedures (a) to (m): Total population

For procedure (n): Male population

For procedure (o): Female population aged 15–69 years

Denominator data elements:
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 SetPerson—sex, code N
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 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—sex, code N
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 Indigenous experimental estimates and projections (2001 Census-based)
Guide for use
Data source type: Census-based plus administrative by-product data
Disaggregation:

2009-10—Nationally, by procedure type, by SEIFA Index of Relative Socioeconomic Disadvantage (IRSD) deciles

2009-10—State and territory, by procedure type (and total), by:

  • age groups (50–64 years, 65 years and over)
  • hospital sector
  • Indigenous status
  • remoteness (Australian Standard Geographical Classification Remoteness Structure)
  • SEIFA IRSD quintiles.

2007–08 and 2008–09 (requested by COAG Reform Council)—State and territory, by procedure type (and total), by:

  • age groups (50–64 years, 65 years and over)

Some disaggregation may result in numbers too small for publication. National 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:
Data Element / Data SetEstablishment—organisation identifier (state/territory), NNNNN
Data Source
National Hospital Morbidity Database (NHMD)
NMDS / DSS
Admitted patient care NMDS 2009-10
Guide for use
Data source type: Administrative by-product
Data Element / Data SetEstablishment—sector, code N
Data Source
National Hospital Morbidity Database (NHMD)
NMDS / DSS
Admitted patient care NMDS 2009-10
Guide for use
Data source type: Administrative by-product
Data Element / Data SetPerson—Indigenous status, code N
Data Source
National Hospital Morbidity Database (NHMD)
NMDS / DSS
Admitted patient care NMDS 2009-10
Guide for use
Data source type: Administrative by-product
Data Element / Data SetPerson—area of usual residence, geographical location code (ASGC 2008) NNNNN
Data Source
National Hospital Morbidity Database (NHMD)
NMDS / DSS
Admitted patient care NMDS 2009-10
Guide for use
Data source type: Administrative by-product
Used for disaggregation by remoteness and SEIFA IRSD
Data Element / Data SetEpisode of admitted patient care—procedure, code (ACHI 6th edn) NNNNN-NN
Data Source
National Hospital Morbidity Database (NHMD)
NMDS / DSS
Admitted patient care NMDS 2009-10
Guide for use
Data source type: Administrative by-product
Comments:

Most recent data available for 2012 CRC report: 2009–10

The scope of the National Hospital Morbidity Database (NHMD) is episodes of care for admitted patients in essentially all hospitals in Australia, including public and private acute and psychiatric hospitals, free-standing day hospital facilities, alcohol and drug treatment hospitals and dental hospitals.

Representational attributes

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

Indicator conceptual framework

Framework and dimensions:Accessibility

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 Healthcare 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:

See also National Healthcare Agreement: PI 45-Rates of services: Overnight separations, 2012 Health, Retired 25/06/2013

See also National Healthcare Agreement: PI 46-Rates of services: Outpatient occasions of service, 2012 Health, Retired 25/06/2013

See also National Healthcare Agreement: PI 47-Rates of services: Non-acute care separations, 2012 Health, Retired 25/06/2013

Supersedes National Healthcare Agreement: PI 48-Rates of services: Hospital procedures, 2011 Health, Superseded 31/10/2011

See also National Healthcare Agreement: PI 60-Access to services by type of service compared to need, 2012 Health, Retired 25/06/2013