Identifying and definitional attributes
|Metadata item type:||Indicator|
|Indicator type:||Progress measure|
|Short name:||PI 23-Unplanned hospital readmission rates, 2013|
|Registration status:||Health, Superseded 30/04/2014|
|Description:||Unplanned and unexpected hospital readmissions to the same public hospitals within 28 days for selected surgical procedures.|
|Indicator set:||National Healthcare Agreement (2013) Health, Superseded 30/04/2014|
|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|Quality statement:||National Healthcare Agreement: PI 23-Unplanned hospital readmission rates, 2013 QS Health, Superseded 14/01/2015|
Collection and usage attributes
Unplanned/unexpected readmissions are those readmissions where the principal diagnosis indicates an adverse event.
Principal diagnoses codes
A principal diagnosis for the readmission has one of the following ICD-10-AM (7th Ed) codes: T80–88, T98.3, E89, G97, H59, H95, I97, J95, K91, M96 or N99.
Number of separations in which one of the following surgical procedures was undertaken: knee replacement; hip replacement; tonsillectomy and adenoidectomy; hysterectomy; prostatectomy; cataract surgery; appendicectomy.
The following is a list of the specific ACHI (7th Ed) procedure codes which are included in the specifications for each of the selected surgical procedures.
Limited to public hospitals.
Denominator limited to separations with a separation date between 1 July and 19 May in the reference year.
Denominator excludes separations where the patient died in hospital.
Analysis by state and territory is based on location of service.
Analysis by remoteness and Socio-Economic Indexes for Areas (SEIFA) Index of Relative Socio-Economic Disadvantage (IRSD) is based on usual residence of person.
Presented per 1,000 separations.
1,000 x (Numerator ÷ Denominator)Calculated separately for each of the specified procedures
Number of separations for public hospitals which meet all of the following criteria:
|Numerator data elements:|
|Denominator:||Number of separations in which one of the following surgical procedures was undertaken: knee replacement; hip replacement; tonsillectomy and adenoidectomy; hysterectomy; prostatectomy; cataract surgery; appendicectomy.|
|Denominator data elements:|
2010–11—Nationally, by specified procedures by SEIFA Index of Relative Socio-Economic Disadvantage (IRSD) deciles
2010–11—State and territory, by specified procedures, by:
Some disaggregations 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:|
Most recent data available for 2013 Council of Australian Governments (COAG) Reform Council (CRC) report: 2010–11.
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.
The title of this indicator was changed in the 2012 NHISSC specifications from Unplanned/unexpected readmissions within 28 days of selected surgical admissions to Unplanned/unexpected readmissions within 28 days of selected surgical episodes of care to better reflect how the indicator is calculated. Readmissions for this indicator are defined within 28 days from the end of the patient’s surgical episode of care.
|Unit of measure:||Person|
Indicator conceptual framework
|Framework and dimensions:||Effectiveness|
Data source attributes
|Reporting requirements:||National Healthcare Agreement|
|Organisation responsible for providing data:||Australian Institute of Health and Welfare|
|Further data development / collection required:|
Specification: Substantial work required, the measure requires significant work to be undertaken.
|Related metadata references:|
See also National Healthcare Agreement: PI 16-Potentially avoidable deaths, 2013 Health, Superseded 30/04/2014
See also National Healthcare Agreement: PI 18-Selected potentially preventable hospitalisations, 2013 Health, Superseded 30/04/2014
See also National Healthcare Agreement: PI 22-Healthcare associated infections, 2013 Health, Superseded 25/11/2013
Has been superseded by National Healthcare Agreement: PI 23-Unplanned hospital readmission rates, 2014 Health, Superseded 14/01/2015
Supersedes National Healthcare Agreement: PI 43-Unplanned/unexpected readmissions within 28 days of selected surgical episodes of care, 2012 Health, Superseded 25/06/2013