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National Partnership Agreement on Improving Public Hospital Services: Proportion of patients discharged from emergency department short stay units

Identifying and definitional attributes

Metadata item type:Help on this termIndicator
Indicator type:Help on this termIndicator
Short name:Help on this termProportion of patients discharged from emergency department short stay units
METeOR identifier:Help on this term545872
Registration status:Help on this termHealth, Standard 04/09/2014
Description:Help on this termThe percentage of patients provided with care in an emergency department short stay unit who are discharged from hospital on their physical departure from the unit.
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

The numerator is calculated by counting the number of episodes of admitted patient care where the patient is discharged from the hospital when they physically depart from the emergency department short stay unit, using the patient’s Emergency department short stay unit departure destination and Mode of separation.

Episodes of admitted patient care where the patient is assigned the following data values are excluded from the numerator calculation:

  • an Emergency department short stay unit departure destination of 'Another location in the same hospital'; or
  • a Mode of separation of 'Statistical discharge - type change' or 'Statistical discharge from leave'.

The denominator is calculated using the total number of episodes of admitted patient care where the patient is assigned an Emergency department short stay unit departure destination, which is a count of the total number of patients provided with care in an emergency department short stay unit.

Where a patient has been assigned an Emergency department short stay unit departure destination of 'Other' in an episode of admitted patient care, their Mode of separation should be used to determine their departure destination from an emergency department short stay unit.

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

Presented as a percentage.

Computation:Help on this term100 x (Numerator ÷ Denominator)
Numerator:Help on this term

The number of episodes of admitted patient care where the patient is discharged from the hospital when they physically depart from the emergency department short stay unit.

Numerator data elements:Help on this term
Data Element / Data SetEpisode of admitted patient care—emergency department short stay unit departure destination, code N
Data Source
National Hospital Morbidity Database (NHMD)
NMDS / DSS
Admitted patient care NMDS 2014-15
Data Element / Data SetEpisode of admitted patient care—separation mode, code N
Data Source
National Hospital Morbidity Database (NHMD)
NMDS / DSS
Admitted patient care NMDS 2014-15
Denominator:Help on this termThe number of episodes of admitted patient care where the patient physically departs from an emergency department short stay unit.
Denominator data elements:Help on this term
Data Element / Data SetEpisode of admitted patient care—emergency department short stay unit departure destination, code N
Data Source
National Hospital Morbidity Database (NHMD)
NMDS / DSS
Admitted patient care NMDS 2014-15
Disaggregation:Help on this termDisaggregation is by state/territory and hospital.
Disaggregation data elements:Help on this term
Data Element / Data SetEstablishment—organisation identifier (state/territory), NNNNN
Data Source
National Hospital Morbidity Database (NHMD)
NMDS / DSS
Admitted patient care NMDS 2014-15
Comments:Help on this term

‘Discharge’ refers to the formal separation of a patient, as defined in the National Health Data Dictionary.

The scope of this indicator is all hospitals for which the National Emergency Access Target applies, that is, all hospitals reporting to the Non-admitted patient emergency department care (NAPEDC) NMDS (Peer Groups A, B and other) as at August 2011. The scope has been recommended by the Expert Panel's Review of Elective Surgery and Emergency Access Targets under the National Partnership Agreement on Improving Public Hospital Services (Recommendation 9) and agreed by the Council of Australian Governments in the National Health Reform Agreement - National Partnership Agreement on Improving Public Hospital Services (Clause 5).

Representational attributes

Representation class:Help on this termPercentage
Data type:Help on this termReal
Unit of measure:Help on this termEpisode
Format:Help on this termNN[N].N

Data source attributes

Data sources:Help on this term
Data SourceNational Hospital Morbidity Database (NHMD)
Frequency
Annual
Quality statement
Data quality statement: National Hospital Morbidity Database 2013–14
Data custodian

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

Source and reference attributes

Submitting organisation:Help on this termNational Health Information Standards and Statistics Committee - Emergency Data Development Working Group
Reference documents:Help on this term

Council of Australian Governments, 2011. Expert Panel Review of Elective Surgery and Emergency Access Targets under the National Partnership Agreement on Improving Public Hospital Services. Council of Australian Governments, Canberra. Viewed 7 February 2014, http://www.coag.gov.au/sites/default/files/Expert_Panel_Report%20D0490.pdf

Standing Council on Federal Financial Relations, 2011. National Partnership Agreement on Improving Public Hospital Services. Standing Council on Federal Financial Relations, Canberra. Viewed 7 February 2014, http://www.federalfinancialrelations.gov.au/content/npa/health_reform/national-workforce-reform/national_partnership.pdf

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