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National Healthcare Agreement: PI 19-Selected potentially avoidable GP-type presentations to emergency departments, 2013

Identifying and definitional attributes

Metadata item type:Help on this termIndicator
Indicator type:Help on this termProgress measure
Short name:Help on this termPI 19-Selected potentially avoidable GP-type presentations to emergency departments, 2013
METeOR identifier:Help on this term497222
Registration status:Help on this termHealth, Superseded 30/04/2014
Description:Help on this termAttendances at public hospital emergency departments that could have potentially been avoided through the provision of appropriate non-hospital services in the community.
Indicator set:Help on this termNational Healthcare Agreement (2013) Health, Superseded 30/04/2014
Outcome area:Help on this termPrimary and Community Health Health, Standard 07/07/2010
Quality statement:Help on this termNational Healthcare Agreement: PI 19-Selected potentially avoidable GP-type presentations to emergency departments, 2013 QS Health, Superseded 14/01/2015

Collection and usage attributes

Computation description:Help on this term

Potentially avoidable general practitioner (GP)-type presentations are defined as presentations to public hospital emergency departments with a Type of visit of 'Emergency presentation' (or for South Australia only, and only for data from 2009-10 and previous years, Type of visit can be 'Emergency presentation' or 'Not reported') where the patient:

  • was allocated a Triage category of 4 or 5 and
  • did not arrive by ambulance or police or correctional vehicle and
  • was not admitted to the hospital, not referred to another hospital, or did not die.

Limited to public hospitals in Peer Groups A and B.

To ensure comparability over time, emergency department activity at the Mersey Community Hospital is reported with Peer Group B hospitals for National Healthcare Agreement purposes. Whilst it is currently not a Peer Group A or B hospital, in the baseline year (2007-08) Mersey was a campus of the Peer Group B North West Regional Hospital and its emergency department activity was included in the baseline.

Analysis by state and territory, remoteness and Socio-Economic Indexes for Areas (SEIFA) Index of Relative Socio-Economic Disadvantage (IRSD) is based on usual residence of person.

Presented as a number.

Computation:Help on this termNumerator only.
Numerator:Help on this termNumber of potentially avoidable GP-type presentations to emergency departments.
Numerator data elements:Help on this term
Data Element / Data SetNon-admitted patient emergency department service episode—type of visit to emergency department, code N
Data Source
National Non-admitted Patient Emergency Department Care Database
NMDS / DSS
Non-admitted patient emergency department care NMDS 2010-11
Guide for use
Data source type: Administrative by-product data
Data Element / Data SetNon-admitted patient emergency department service episode—triage category, code N
Data Source
National Non-admitted Patient Emergency Department Care Database
NMDS / DSS
Non-admitted patient emergency department care NMDS 2010-11
Guide for use
Data source type: Administrative by-product data
Data Element / Data SetNon-admitted patient emergency department service episode—transport mode (arrival), code N
Data Source
National Non-admitted Patient Emergency Department Care Database
NMDS / DSS
Non-admitted patient emergency department care NMDS 2010-11
Guide for use
Data source type: Administrative by-product data
Data Element / Data SetNon-admitted patient emergency department service episode—episode end status, code N
Data Source
National Non-admitted Patient Emergency Department Care Database
NMDS / DSS
Non-admitted patient emergency department care NMDS 2010-11
Guide for use
Data source type: Administrative by-product data
Data Element / Data SetData Element
Hospital peer group
Data Source
National Non-admitted Patient Emergency Department Care Database
NMDS / DSS
Non-admitted patient emergency department care NMDS 2010-11
Guide for use
Data source type: Administrative by-product data
Disaggregation:Help on this term

2008-09, 2009-10, 2010-11 (updated for peer group) and 2011–12—Nationally by SEIFA Index of Relative Socio-Economic Disadvantage (IRSD) deciles.

2008-09, 2009-10, 2010-11 (updated for peer group) and 2011–12—State and territory, by:

  • Indigenous status
  • remoteness (Australian Standard Geographical Classification Remoteness Structure)
  • SEIFA IRSD quintiles
  • peer group and triage category

Some disaggregations may result in numbers too small for publication.

Disaggregation by peer group is limited to Peer Groups A and B, as this is the scope of the collection, and coverage varies for other hospitals by state and territory.

Disaggregation data elements:Help on this term
Data Element / Data SetPerson—area of usual residence, geographical location code (ASGC 2010) NNNNN
Data Source
National Non-admitted Patient Emergency Department Care Database
NMDS / DSS
Non-admitted patient emergency department care NMDS 2010-11
Guide for use
Data source type: Administrative by-product data
Used for disaggregation by state/territory, remoteness and SEIFA IRSD
Data Element / Data SetPerson—Indigenous status, code N
Data Source
National Non-admitted Patient Emergency Department Care Database
NMDS / DSS
Non-admitted patient emergency department care NMDS 2010-11
Guide for use
Data source type: Administrative by-product data
Data Element / Data SetNon-admitted patient emergency department service episode—triage category, code N
Data Source
National Non-admitted Patient Emergency Department Care Database
NMDS / DSS
Non-admitted patient emergency department care NMDS 2010-11
Guide for use
Data source type: Administrative by-product data
Data Element / Data SetData Element
Hospital peer group
Data Source
National Non-admitted Patient Emergency Department Care Database
NMDS / DSS
Non-admitted patient emergency department care NMDS 2010-11
Guide for use
Data source type: Administrative by-product data
Comments:Help on this term

Most recent data available for 2013 Council of Australian Governments (COAG) Reform Council (CRC) report: 2011–12.

This definition of ‘potentially avoidable GP-type presentation’ was used in the Booz Allen Hamilton study of emergency department care in NSW, and is considered to be a reasonable starting approximation of the population that should be receiving service in the primary care sector.

The AIHW and states and territories will investigate the consistency of this indicator over time with regards to the movement of hospitals into and out of Peer Group A and B, with respect to the base year.

Representational attributes

Representation class:Help on this termCount
Data type:Help on this termReal
Unit of measure:Help on this termEpisode
Format:Help on this termNN[NNNNN]

Indicator conceptual framework

Framework and dimensions:Help on this termAccessibility

Data source attributes

Data sources:Help on this term
Data SourceNational Non-admitted Patient Emergency Department Care Database
Frequency
Annual
Data custodian

Australian Institute of Health and Welfare


Accountability attributes

Reporting requirements:Help on this termNational Healthcare Agreement
Organisation responsible for providing data:Help on this termAustralian Institute of Health and Welfare
Benchmark:Help on this term

National Healthcare Agreement performance benchmark and National Partnership on Taking Pressure Off Public Hospitals performance benchmark:

By 2012–13, 80 percent of emergency department presentations are seen within clinically recommended triage times as recommended by the Australian College of Emergency Medicine.

National Partnership on Taking Pressure Off Public Hospitals performance benchmark:

By 2013–14, 95 per cent of hospitals with an ED report to the non-admitted emergency care national minimum data set collection.

National Partnership Agreement on Taking Pressure Off Public Hospitals output measures:

Output: A nationally accepted definition of what a non emergency GP type presentation is based on emergency department DRGs by June 2012.

Joint Roles: D10 Commonwealth and States to develop a nationally consistent DRG based definition of a non emergency primary care presentation.

Further data development / collection required:Help on this termSpecification: Substantial work required, the measure requires significant work to be undertaken.

Source and reference attributes

Reference documents:Help on this term

NSW Ministry of Health 2007. Booz Allen Hamilton study: Key Drivers of Demand in the Emergency Department. Viewed 22 April 2013, <www0.health.nsw.gov.au/pubs/2007/booz_allen_report.html>.

Relational attributes

Related metadata references:Help on this term

See also National Healthcare Agreement: PI 12-Waiting times for GPs, 2013 Health, Superseded 30/04/2014

Has been superseded by National Healthcare Agreement: PI 19-Selected potentially avoidable GP-type presentations to emergency departments, 2014 Health, Superseded 14/01/2015

See also National Healthcare Agreement: PI 21a-Waiting times for emergency hospital care: Proportion seen on time, 2013 Health, Superseded 30/04/2014

See also National Healthcare Agreement: PI 21b-Waiting times for emergency hospital care: Proportion completed within four hours, 2013 Health, Superseded 30/04/2014

Supersedes National Healthcare Agreement: PI 23-Selected potentially avoidable GP-type presentations to emergency departments, 2012 Health, Superseded 25/06/2013

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