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National Health Performance Authority, Hospital Performance: Waiting times for emergency hospital care: Percentage completed within four hours, 2014

Identifying and definitional attributes

Metadata item type:Help on this termIndicator
Indicator type:Help on this termProgress measure
Common name:Help on this termNEAT
Short name:Help on this termWaiting times for emergency hospital care: Percentage completed within four hours, 2014
METeOR identifier:Help on this term558277
Registration status:Help on this termNational Health Performance Authority (retired), Retired 01/07/2016
Description:Help on this term

For all patients presenting to a public hospital emergency department (including publicly funded emergency departments), the percentage of presentations where the time from presentation to physical departure, i.e. the length of the emergency department stay, is within four hours.   

Indicator set:Help on this termNational Health Performance Authority: Hospital performance: 2011-16 National Health Performance Authority (retired), Retired 01/07/2016
Outcome area:Help on this termHospital and Related Care Health, Standard 07/07/2010
National Health Performance Authority (retired), Retired 01/07/2016

Collection and usage attributes

Population group age from:Help on this termAll ages
Computation description:Help on this term

Data are provided as per the Non-admitted patient emergency department care (NAPEDC) National Minimum Data Set (NMDS) 2012-13.

The scope for calculation of the National Emergency Access Target (NEAT) is all hospitals reporting to the NAPEDC NMDS (Peer Group A, B and other) as at August 2012 (when the National Health Reform Agreement - National Partnership Agreement on Improving Public Hospital Services was signed). For the duration of the agreement, hospitals that have not previously reported to the NAPEDC NMDS can come into scope, subject to agreement between the jurisdiction and the Commonwealth.

Calculation includes all presentations with a physical departure date/time in the reporting period, including records where the presentation date/time is prior to the reporting period. Invalid records are excluded from the numerator and denominator. Invalid records are records for which:

Length of stay is less than zero

Presentation date or time missing

Physical departure date or time missing

Calculation includes presentations with any type of visit to emergency department.

Emergency department (ED) stay length is calculated by subtracting Time patient presents and Date patient presents from Emergency department physical departure time and date respectively, as per the business rules included in the NAPEDC NMDS 2012-13:

If the patient is subsequently admitted to this hospital (either short stay unit, hospital-in-the-home or non-emergency department hospital ward), record the time the patient leaves the emergency department to go to the admitted patient facility. Patients admitted to any other ward or bed within the emergency department have not physically departed the emergency department until they leave the emergency department

If the patient is admitted and subsequently dies before leaving the emergency department, then record the time the body was removed from the emergency department.

If the service episode is completed without the patient being admitted, then the time the patient's emergency department non-admitted clinical care ended.

If the service episode is completed and the patient is referred to another hospital for admission, then record the time the patient leaves the emergency department.

 If the patient did not wait, then record the time the patient leaves the emergency department or was first noticed as having left.

If the patient leaves at their own risk, then record the time the patient leaves the emergency department or was first notices as having left.

 If the patient died in the emergency department, then record the time the body was removed from the emergency department.

If an emergency department physician certified the death of the patient outside the emergency department, then record the time the patient was certified dead.

If the patient was dead on arrival, then record the time the body was removed from the emergency department.

Presentation time and date are the time and date of the first recorded contact with an emergency department staff member. The first recorded contact can be the commencement of the clerical registration or triage process, whichever happens first.  

 

Computation:Help on this term100 × (Numerator ÷ Denominator)
Numerator:Help on this termNumber of emergency department presentations where Emergency Department stay length is less than or equal to four hours..
Numerator data elements:Help on this term
Data Element / Data SetEmergency department stay—presentation time, hhmm
Data Source
National Emergency Access Target data
Guide for use
Data source type: Administrative by-product data
Data Element / Data SetEmergency department stay—presentation date, DDMMYYYY
Data Source
National Emergency Access Target data
Guide for use
Data source type: Administrative by-product data
Data Element / Data SetEmergency department stay—physical departure time, hhmm
Data Source
National Emergency Access Target data
Guide for use
Data source type: Administrative by-product data
Data Element / Data SetEmergency department stay—physical departure date, DDMMYYYY
Data Source
National Non-admitted Patient Emergency Department Care Database
Guide for use
Data source type: Administrative by-product data
Denominator:Help on this termNumber of emergency department presentations.
Denominator data elements:Help on this term
Data Element / Data SetPerson—person identifier, XXXXXX[X(14)]
Data Source
National Emergency Access Target data
Guide for use
Data source type: Administrative by-product data
Data Element / Data SetEstablishment—organisation identifier (Australian), NNX[X]NNNNN
Data Source
National Emergency Access Target data
Guide for use
Data source type: Administrative by-product data
Disaggregation:Help on this termHospital, triage categories, admitted and discharged patients, peer groups.
Disaggregation data elements:Help on this term
Data Element / Data SetEstablishment—organisation identifier (Australian), NNX[X]NNNNN
Data Source
National Emergency Access Target data
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 Emergency Access Target data
Data Element / Data SetAdministrative health region—Medicare Local peer group, code N
Data Source
National Emergency Access Target data
Comments:Help on this term

The scope for calculation of the National Emergency Access Target (NEAT) is all hospitals reporting to the NAPEDC NMDS (Peer Group A, B and other) as at August 2012 (when the National Health Reform Agreement - National Partnership Agreement on Improving Public Hospital Services was signed). For the duration of the agreement, hospitals that have not previously reported to the NAPEDC NMDS can come into scope, subject to agreement between the jurisdiction and the Commonwealth.

These results are reported across Australia using a hospital peer classification system refined by the Authority for the purposes of reporting the NEAT indicator in a comparable fashion. A revised version of AIHW Revision 1 method of peer classification was used for more information see page 6 in the, Technical Supplement: Time patients spent in emergency departments in 2011-12. http://www.myhospitals.gov.au/Content/Reports/time-in-emergency-department/2012-12/pdf/Technical_Supplement-Time_in_ED-2011-12.pdf

Representational attributes

Representation class:Help on this termPercentage
Data type:Help on this termReal
Unit of measure:Help on this termPerson
Format:Help on this termN[NN]

Indicator conceptual framework

Framework and dimensions:Help on this termPAF-Effectiveness of access

PAF-Equity of access

Data source attributes

Data sources:Help on this term
Data SourceNational Emergency Access Target data
Frequency
Quarterly
Data custodian
Department of Health and Ageing; Australian Institute of Health and Welfare

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 Health Performance Agreement - Performance and Accountability Framework
Organisation responsible for providing data:Help on this termAustralian Institute of Health and Welfare; Department of Health and Ageing

Source and reference attributes

Submitting organisation:Help on this termNational Health Performance Authority
Reference documents:Help on this term

 Technical Supplement: Time patients spent in emergency departments in 2011-12.

http://www.myhospitals.gov.au/Content/Reports/time-in-emergency-department/2012-12/pdf/Technical_Supplement-Time_in_ED-2011-12.pdf

 

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