Service Agreement - Department of Health and Human Services Tasmania: 2014, Percentage of patients with transfer of care completed within 15 and 30 minutes, 2014
Identifying and definitional attributes
|Metadata item type:||Indicator|
|Short name:||Ambulance offload delay (percentage)|
|Synonymous names:||Ambulance offload delay|
|Registration status:||Tasmanian Health, Archived 09/12/2016|
This KPI measures the percentage of Ambulance Tasmania presentations to an emergency department for which transfer of clinical care to the emergency department occurs within the Australasian College for Emergency Medicine recommended target times.
Timely transfer of ambulance patients into hospital emergency departments is an important access issue. Ambulance offload delay is often symptomatic of the wider health system’s failure to effectively manage demand. The Australasian College for Emergency Medicine released a Position Statement on Ambulance Ramping in November 2013, which recommends that in a well-functioning system, the interval between ambulance arrival and clinical handover should routinely occur within 15 minutes and never more than 30 minutes.
This indicator indirectly measures the incidence of Ambulance Offload Delay (AOD) at 15 minutes and 30 minutes from presentation time.
|Indicator set:||Service Agreement - Department of Health and Human Services Tasmania: 2014 Tasmanian Health, Archived 12/12/2016|
|Outcome area:||Emergency Department access Tasmanian Health, Endorsed 07/12/2016|
Collection and usage attributes
The definitions applied were recommended by the Australasian College for Emergency Medicine. The definitions include presentations that have been assigned a triage category between 1 and 5. Presentations that are 'dead on arrival' are excluded for the purpose of calculating this indicator. The definition includes presentations that arrive by Ambulance Tasmania (arrival modes such as police, non-emergency patient transport are out of scope).
See Position Statement on Ambulance Ramping (S347) from the Australasian College for Emergency Medicine for key definitions for data collection.
Total number of presentations to public hospital emergency departments with arrival mode of Ambulance Tasmania minus those not transferred to ED staff care within the following benchmarks:
|Numerator data elements:|
|Denominator:||Total number of ambulance presentations with the arrival mode of Ambulance Tasmania|
|Denominator data elements:|
|Disaggregation:||Specified disaggregation: Hospital, triage category and reporting month based on the date of the end of the emergency department stay|
|Disaggregation data elements:|
|Unit of measure:||Time (e.g. days, hours)|