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National Partnership Agreement on Improving Public Hospital Services: National Elective Surgery Target (Part 2)

Identifying and definitional attributes

Metadata item type:Help on this termIndicator
Indicator type:Help on this termIndicator
Short name:Help on this termNational Elective Surgery Target (NEST) Part 2
METeOR identifier:Help on this term489708
Registration status:Help on this termHealth, Standard 21/11/2013
Description:Help on this termThe average overdue wait time (in days) for those who are still waiting for their elective surgery and are ready for care, and have waited beyond the recommended time.
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

Elective surgery is as defined in the Elective surgery waiting times (removals and census) NMDSs.

Waiting time is as defined in Waiting time at a census date. It is calculated by jurisdictions by subtracting the Listing date for care from the Census 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 the census date.

Overdue wait times are calculated using data from the Elective surgery waiting times (census) NMDS for patients who are ready for care, have waited beyond the clinically recommended time, and are still waiting at the census date.

Overdue wait times is as defined in Overdue patient. A patient is classified as overdue if ready for care and waiting time at a census date is longer than 30 days for patients in Clinical urgency category 1, 90 days for patients in clinical urgency category 2, or 365 days for patients in clinical urgency category 3.

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

Presented as days.
Computation:Help on this termNumerator ÷ Denominator (in each urgency category)
Numerator:Help on this termTotal number of overdue days in the urgency category at the census date
Numerator data elements:Help on this term
Data Element / Data SetElective surgery waiting list episode—clinical urgency, code N
Data Source
National Elective Surgery Target data
Guide for use
Data source type: Administrative by-product data
Data Element / Data SetElective surgery waiting list episode—waiting time (at a census date), total days N[NNN]
Data Source
National Elective Surgery Target data
Guide for use
Data source type: Administrative by-product data
Denominator:Help on this termTotal number of overdue patients in the urgency category at the census date
Denominator data elements:Help on this term
Data Element / Data SetElective surgery waiting list episode—clinical urgency, code N
Data Source
National Elective Surgery Target data
Guide for use
Data source type: Administrative by-product data
Data Element / Data SetElective surgery waiting list episode—waiting time (at a census date), total days N[NNN]
Data Source
National Elective Surgery Target data
Guide for use
Data source type: Administrative by-product data
Disaggregation:Help on this termBy state/territory
Disaggregation data elements:Help on this term
Data Element / Data SetEstablishment—organisation identifier (Australian), NNX[X]NNNNN
Data Source
National Elective Surgery Target data
Guide for use
Data source type: Administrative by-product data
Comments:Help on this term

The scope of the indicator is all hospitals providing data under Schedule A of the National Partnership Agreement on Improving Public Hospital Services (NPA IPHS).

Performance by states and territories for the purposes of the NPA IPHS will be measured against the schedule of improvement agreed in Table A8 in Schedule A.

As per clause A26(c) of the NPA IPHS, jurisdictions must ensure in each calendar year that the 10 per cent of overdue patients who have waited the longest in each urgency category must have their surgery, or appropriate alternative treatment options identified (clause A38(c) of the NPA IPHS).

The 10 per cent of overdue patients who have waited the longest are known as the 'tail'. The agreed process for calculating the 'tail' is described below, but does not form part of the NEST Part 2 indicator for reporting purposes:

National Elective Surgery Target (NEST) - Calculating overdue patients with the longest waits

Representational attributes

Representation class:Help on this termMean (average)
Data type:Help on this termReal
Unit of measure:Help on this termTime (e.g. days, hours)
Format:Help on this termN[NN]

Data source attributes

Data sources:Help on this term
Data SourceNational Elective Surgery 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

Reference documents:Help on this term

Standing Council on Federal Financial Relations. National Partnership Agreement on Improving Public Hospital Services. 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 Elective surgery waiting times (census data) NMDS 2012-13 Health, Superseded 02/05/2013

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

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

See also Elective surgery waiting times (census data) NMDS 2016-17 Health, Superseded 29/06/2016

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

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

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

See also Elective surgery waiting times (removals data) NMDS 2016-17 Health, Superseded 29/06/2016

See also National Partnership Agreement on Improving Public Hospital Services: National Elective Surgery Target (Part 1) Health, Standard 21/11/2013

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