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National Partnership Agreement on Improving Public Hospital Services: National Emergency Access Target

Identifying and definitional attributes

Metadata item type:Help on this termIndicator
Indicator type:Help on this termIndicator
Short name:Help on this termNational Emergency Access Target (NEAT)
METeOR identifier:Help on this term489630
Registration status:Help on this termHealth, Standard 21/11/2013
Description:Help on this termFor all patients presenting to a public hospital emergency department (including publicly funded privately operated hospitals), the percentage of presentations where the time from presentation to physical departure, i.e. the length of the emergency department stay, is ≤ 4 hours, i.e. ≤ 240 minutes.
Indicator set:Help on this termPerformance Indicators for the National Partnership Agreement on Improving Public Hospital Services Health, Standard 21/11/2013

Collection and usage attributes

Computation description:Help on this term

Data are provided as per the Non-admitted patient emergency department care (NAPEDC) NMDS 2012-13.

The scope for calculation of the National Emergency Access Target (NEAT) is all hospitals reporting to the NAPEDC NMDS (Peer Groups A, B and other) as at August 2011 (when the National Health Reform Agreement—National Partnership Agreement on Improving Public Hospital Services was signed). For the duration of the agreement, hospitals that have not previously reported to the NAPEDC NMDS can come into scope, subject to agreement between the jurisdiction and the Commonwealth.

Calculation includes all presentations with a physical departure date/time in the reporting period, including records where the presentation date/time is prior to the reporting period. Invalid records are excluded from the numerator and denominator. Invalid records are records for which:

  • Length of stay is less than zero 
  • Presentation date or time are missing
  • Physical departure date or time are missing

Calculation includes presentations with any Type of visit to emergency department.

Emergency department (ED) stay length is calculated by subtracting Time patient presents and Date patient presents from Emergency department physical departure time and Emergency department physical departure date respectively, as per the business rules included in the NAPEDC NMDS 2012-13:

  • If the patient is subsequently admitted to this hospital (either short stay unit, hospital-in-the-home or non-emergency department hospital ward), then record the time the patient leaves the emergency department to go to the admitted patient facility.
    • Patients admitted to any other ward or bed within the emergency department have not physically departed the emergency department until they leave the emergency department.
    • If the patient is admitted and subsequently dies before leaving the emergency department, then record the time the body was removed from the emergency department.
  • If the service episode is completed without the patient being admitted, then record the time the patient's emergency department non-admitted clinical care ended.
  • If the service episode is completed and the patient is referred to another hospital for admission, then record the time the patient leaves the emergency department.
  • If the patient did not wait, then record the time the patient leaves the emergency department or was first noticed as having left.
  • If the patient leaves at their own risk, then record the time the patient leaves the emergency department or was first noticed as having left.
  • If the patient died in the emergency department, then record the time the body was removed from the emergency department.
  • If the patient was dead on arrival, then record the time the body was removed from the emergency department. If an emergency department physician certified the death of the patient outside the emergency department, then record the time the patient was certified dead.
Presentation time and date are the time and date of the first recorded contact with an emergency department staff member. The first recorded contact can be the commencement of the clerical registration or triage process, whichever happens first.
Computation:Help on this term100 × (Numerator ÷ Denominator)
Numerator:Help on this termNumber of emergency department presentations where ED stay length is ≤ 4 hours (i.e. ≤ 240 minutes).
Numerator data elements:Help on this term
Data Element / Data SetEmergency department stay—presentation time, hhmm
Data Source
National Emergency Access Target data
Guide for use
Data source type: Administrative by-product data
Data Element / Data SetEmergency department stay—presentation date, DDMMYYYY
Data Source
National Emergency Access Target data
Guide for use
Data source type: Administrative by-product data
Data Element / Data SetEmergency department stay—physical departure time, hhmm
Data Source
National Emergency Access Target data
Guide for use
Data source type: Administrative by-product data
Data Element / Data SetEmergency department stay—physical departure date, DDMMYYYY
Data Source
National Emergency Access Target data
Guide for use
Data source type: Administrative by-product data
Denominator:Help on this termNumber of emergency department presentations
Denominator data elements:Help on this term
Data Element / Data SetPerson—person identifier, XXXXXX[X(14)]
Data Source
National Emergency Access Target data
Guide for use
Data source type: Administrative by-product data
Disaggregation:Help on this termBy state/territory and hospital
Disaggregation data elements:Help on this term
Data Element / Data SetEstablishment—organisation identifier (Australian), NNX[X]NNNNN
Data Source
National Emergency Access Target data
Guide for use
Data source type: Administrative by-product data
Comments:Help on this term

Performance by states and territories will be measured against the schedule of improvement agreed in the National Health Reform Agreement—National Partnership Agreement on Improving Public Hospital Services Schedule C (National Emergency Access Target–Facilitation and Reward Funding), Table C5.

Information about the volume of invalid records will be included in data quality statements.

Representational attributes

Representation class:Help on this termPercentage
Data type:Help on this termReal
Unit of measure:Help on this termService event
Format:Help on this termN[NN]

Data source attributes

Data sources:Help on this term
Data SourceNational Emergency Access Target data
Frequency
Quarterly
Data custodian
Department of Health and Ageing; Australian Institute of Health and Welfare

Accountability attributes

Reporting requirements:Help on this termNational Partnership Agreement on Improving Public Hospital Services
Organisation responsible for providing data:Help on this termAustralian Institute of Health and Welfare; Department of Health and Ageing

Source and reference attributes

Submitting organisation:Help on this termAustralian Institute of Health and Welfare
Reference documents:Help on this term

Standing Council on Federal Financial Relations. National Partnership Agreement on Improving Public Hospital Services, Schedule C. Standing Council on Federal Financial Relations, Canberra. Viewed 15 February 2013,

http://www.federalfinancialrelations.gov.au/content/npa/
health_reform/national-workforce-reform/national_partnership.pdf

Relational attributes

Related metadata references:Help on this term

See also National Partnership Agreement on Improving Public Hospital Services: Admission to hospital from emergency departments Health, Standard 15/06/2012

See also Non-admitted patient emergency department care NMDS 2012-13 Health, Superseded 07/02/2013

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