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Elective surgery waiting list episode—waiting time (at removal), total days N[NNN]

Identifying and definitional attributes

Metadata item type:Help on this termData Element
Short name:Help on this termWaiting time at removal from elective surgery waiting list
METeOR identifier:Help on this term471744
Registration status:Help on this termHealth, Superseded 19/11/2015
Tasmanian Health, Draft 24/03/2014
National Health Performance Authority (retired), Retired 01/07/2016
Definition:Help on this termThe time elapsed (in days) for a patient on the elective surgery waiting list from the date they were added to the waiting list for the procedure to the date they were removed from the waiting list.
Context:Help on this termElective surgery
Data Element Concept:Elective surgery waiting list episode—waiting time

Value domain attributes

Representational attributes

Representation class:Help on this termTotal
Data type:Help on this termNumber
Format:Help on this termN[NNN]
Maximum character length:Help on this term4
Unit of measure:Help on this termDay

Data element attributes

Collection and usage attributes

Guide for use:Help on this term

The number of days is calculated by subtracting the listing date for care from the removal date, minus any days when the patient was 'not ready for care', and also minus any days the patient was waiting with a less urgent clinical urgency category than their clinical urgency category at removal.

Days when the patient was not ready for care is calculated by subtracting the date(s) the person was recorded as 'not ready for care' from the date(s) the person was subsequently recorded as again being 'ready for care'.

If, at any time since being added to the waiting list for the elective surgical procedure, the patient has had a less urgent clinical urgency category than the category at removal, then the number of days waited at the less urgent clinical urgency category should be subtracted from the total number of days waited.

In cases where there has been only one category reassignment (i.e. to the more urgent category attached to the patient at removal) the number of days at the less urgent clinical urgency category should be calculated by subtracting the listing date for care from the category reassignment date. If the patient's clinical urgency was reclassified more than once, days spent in each period of less urgent clinical urgency than the one applying at removal should be calculated by subtracting one category reassignment date from the subsequent category reassignment date, and then adding the days together.

When a patient is removed from an elective surgery waiting list, for admission on an elective basis for the procedure they were awaiting, but the surgery is cancelled and the patient remains on or is placed back on the waiting list within the same hospital, the time waited on the list should continue.

Therefore at the removal date, the patient's waiting time includes the number of days waited on an elective surgery waiting list, both before and after any cancelled surgery admission. The time waited before the cancelled surgery should be counted as part of the total time waited by the patient.

Comments:Help on this term

Elective surgery waiting times data collections include measures of waiting times at removal and at designated census dates. This metadata item is used to measure waiting times at removal whereas the metadata item waiting time at a census date measures waiting times at a designated census date.

The calculation of waiting times for patients, who are transferred from an elective surgery waiting list managed by one public acute hospital to another, will be investigated in the future. In this case, the amount of time waited on previous lists would follow the patient to the next. Therefore when the patient is removed from the waiting list (for admission or other reason), their waiting time would include the total number of days on all lists (less days not ready for care and days in lower urgency categories).

This is a critical elective surgery waiting times metadata item. It is used to determine whether patients were overdue. It is used to assist doctors and patients in makign decisions about hospital referral, to assist in the planning and management of hospitals and in health care related research.

Source and reference attributes

Submitting organisation:Help on this termAustralian Institute of Health and Welfare
Origin:Help on this termNational Health Data Committee

Relational attributes

Related metadata references:Help on this term

Is formed using Elective care waiting list episode—category reassignment date, DDMMYYYY Health, Superseded 19/11/2015

Is formed using Elective care waiting list episode—listing date for care, DDMMYYYY Health, Superseded 25/01/2018, Tasmanian Health, Endorsed 01/12/2016

Is used in the formation of Elective surgery waiting list episode—overdue patient status, code N Health, Superseded 19/11/2015

Is formed using Elective surgery waiting list episode—waiting list removal date, DDMMYYYY Health, Superseded 25/01/2018, Tasmanian Health, Endorsed 02/12/2016

Has been superseded by Elective surgery waiting list episode—waiting time (at removal), total days N[NNN] Health, Superseded 12/12/2018, Tasmanian Health, Endorsed 02/12/2016, ACT Health, Final 15/02/2019

Supersedes Elective surgery waiting list episode—waiting time (at removal), total days N[NNN] Health, Superseded 13/12/2011

Is formed using Episode of admitted patient care—admission date, DDMMYYYY Health, Superseded 06/09/2018, Tasmanian Health, Endorsed 02/09/2016, Commonwealth Department of Health, Candidate 16/07/2015, National Health Performance Authority (retired), Retired 01/07/2016, ACT Health, Final 09/08/2018

See also National Healthcare Agreement: PI 20b-Waiting times for elective surgery: proportion seen on time, 2015 Health, Superseded 08/07/2016

See also National Healthcare Agreement: PI 20b–Waiting times for elective surgery: proportion seen on time, 2016 Health, Superseded 04/08/2016

See also National Healthcare Agreement: PI 20b–Waiting times for elective surgery: proportion seen on time, 2017 Health, Superseded 30/01/2018

Implementation in Data Set Specifications:Help on this term
All attributes +

Elective surgery waiting times (removals data) DSS 1 January 2012-30 June 2012 Health, Retired 13/12/2011

DSS specific attributes +

Elective surgery waiting times (removals data) NMDS 2012-13 Health, Superseded 02/05/2013

DSS specific attributes +

Elective surgery waiting times (removals data) NMDS 2013-15 Health, Superseded 12/06/2015

DSS specific attributes +

Elective surgery waiting times (removals data) NMDS 2015-16 Health, Superseded 19/11/2015

DSS specific attributes +

Elective surgery waiting times cluster Health, Superseded 11/04/2014

Elective surgery waiting times cluster Health, Superseded 19/11/2015

Implementation in Indicators:Help on this termUsed as numerator
National Health Performance Authority, Hospital Performance: Median waiting time for elective surgery 2011-12 National Health Performance Authority (retired), Superseded 28/05/2014
National Health Performance Authority, Hospital Performance: Median waiting time for elective surgery 2012-13 National Health Performance Authority (retired), Retired 01/07/2016
National Health Performance Authority, Hospital Performance: Median waiting time for elective surgery, 2014 National Health Performance Authority (retired), Retired 01/07/2016
National Health Performance Authority, Hospital Performance: Median waiting time for elective surgery, 2015 National Health Performance Authority (retired), Retired 01/07/2016
National Health Performance Authority, Hospital Performance: Median waiting time for surgery for malignant cancer, 2011-12 National Health Performance Authority (retired), Superseded 02/10/2014
National Health Performance Authority, Hospital Performance: Median waiting time for surgery for malignant cancer, 2012-13 National Health Performance Authority (retired), Retired 01/07/2016
National Health Performance Authority, Hospital Performance: Patients who received their surgery within clinically recommended times 2011-12 National Health Performance Authority (retired), Superseded 28/05/2014
National Health Performance Authority, Hospital Performance: Patients who received their surgery within clinically recommended times 2012-13 National Health Performance Authority (retired), Retired 01/07/2016
National Health Performance Authority, Hospital Performance: Patients who waited more than 365 days for elective surgery 2011-12 National Health Performance Authority (retired), Superseded 28/05/2014
National Health Performance Authority, Hospital Performance: Patients who waited more than 365 days for elective surgery 2012-13 National Health Performance Authority (retired), Retired 01/07/2016
National Health Performance Authority, Hospital Performance: Percentage of patients who received their surgery within clinically recommended times, 2014 National Health Performance Authority (retired), Retired 01/07/2016
National Health Performance Authority, Hospital Performance: Percentage of patients who received their surgery within clinically recommended times, 2015 National Health Performance Authority (retired), Retired 01/07/2016
National Health Performance Authority, Hospital Performance: Percentage of patients who waited longer than 365 days for elective surgery, 2014 National Health Performance Authority (retired), Retired 01/07/2016
National Health Performance Authority, Hospital Performance: Percentage of patients who waited longer than 365 days for elective surgery, 2015 National Health Performance Authority (retired), Retired 01/07/2016
National Health Performance Authority, Hospital Performance: Percentage of people who received surgery for malignant cancer within 30 days, 2011-12 National Health Performance Authority (retired), Superseded 02/10/2014
National Health Performance Authority, Hospital Performance: Percentage of people who received surgery for malignant cancer within 30 days, 2012-13 National Health Performance Authority (retired), Retired 01/07/2016
National Health Performance Authority, Hospital Performance: Percentage of people who received surgery for malignant cancer within 45 days, 2011-12 National Health Performance Authority (retired), Superseded 02/10/2014
National Health Performance Authority, Hospital Performance: Percentage of people who received surgery for malignant cancer within 45 days, 2012-13 National Health Performance Authority (retired), Retired 01/07/2016
National Health Performance Authority, Hospital Performance: Percentage of people who waited longer than the clinical urgency category time for surgery for malignant cancer, 2011-12 National Health Performance Authority (retired), Retired 01/07/2016
National Healthcare Agreement: PI 20a–Waiting times for elective surgery: waiting times in days, 2016 Health, Superseded 31/01/2017
National Healthcare Agreement: PI 20a–Waiting times for elective surgery: waiting times in days, 2017 Health, Superseded 30/01/2018
National Healthcare Agreement: PI 20a–Waiting times for elective surgery: waiting times in days, 2018 Health, Superseded 19/06/2019
National Healthcare Agreement: PI 20b-Waiting times for elective surgery: proportion seen on time, 2015 Health, Superseded 08/07/2016
National Healthcare Agreement: PI 20b–Waiting times for elective surgery: proportion seen on time, 2016 Health, Superseded 04/08/2016
National Healthcare Agreement: PI 20b–Waiting times for elective surgery: proportion seen on time, 2017 Health, Superseded 30/01/2018
National Partnership Agreement on Improving Public Hospital Services: National Elective Surgery Target (Part 1) Health, Standard 21/11/2013
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