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National Health Performance Authority, Hospital Performance: Percentage of patients who received their surgery within clinically recommended times, 2014

Identifying and definitional attributes

Metadata item type:Help on this termIndicator
Indicator type:Help on this termProgress measure
Short name:Help on this termPatients who received their surgery within clinically recommended times, 2014
METeOR identifier:Help on this term558300
Registration status:Help on this termNational Health Performance Authority (retired), Retired 01/07/2016
Description:Help on this term

The percentage of patients who received their surgery within the clinically recommended time.

Indicator set:Help on this termNational Health Performance Authority: Hospital performance: 2011-16 National Health Performance Authority (retired), Retired 01/07/2016

Collection and usage attributes

Computation description:Help on this term

The percentage of patients who received surgery within the clinically recommended time. 

Waiting times are calculated for patients whose reason for removal was:

  • Admitted as an elective patient for awaited procedure by or on behalf of this hospital or the state/territory or
  • Admitted as emergency patient for awaited procedure by or on behalf of this hospital or the state/territory.

For the purposes of reporting, patients are reported as the final urgency category recorded when they were removed from the list.

Exclusions

The calculation of waiting time excludes:

  1. All days the patient was waiting with a less urgent surgery urgency category than their urgency category when removed from the list. When a patient's urgency category changes, existing NMDS business rules will apply.
  2. All patients who:
    • Transferred to another hospital’s elective surgery waiting list
    • Were treated elsewhere but not on behalf of the hospital
    • Were not contactable for booking the surgery or at booked time of surgery
    • Died prior to surgery
    • Declined surgery.

Data suppression

Results are not shown if the number of surgeries is fewer than 10.

If one or more quarter is suppressed then the next smallest quarter will be suppressed; annual totals are reported including all suppressed values.  

 

Annual data are sourced from National Elective Surgery Waiting Time Data Collection and quarterly data from National Elective Surgery Target Data Collection.

 

Computation:Help on this term

100 x (Numerator ÷ Denominator)

Numerator:Help on this termNumber of patients who received elective surgery within the clinically recommended time.
Numerator data elements:Help on this term
Data Element / Data SetElective surgery waiting list episode—waiting time (at removal), total days N[NNN]
Data Source
National Elective Surgery Waiting Times Data Collection
NMDS / DSS
Elective surgery waiting times (removals data) NMDS 2012-13
Data Element / Data SetElective surgery waiting list episode—reason for removal from a waiting list, code N
Data Source
National Elective Surgery Waiting Times Data Collection
NMDS / DSS
Elective surgery waiting times (removals data) NMDS 2012-13
Denominator:Help on this termNumber of elective surgery.
Denominator data elements:Help on this term
Data Element / Data SetElective surgery waiting list episode—reason for removal from a waiting list, code N
Data Source
National Elective Surgery Waiting Times Data Collection
NMDS / DSS
Elective surgery waiting times (removals data) NMDS 2012-13
Disaggregation:Help on this term

Hospital and elective surgery urgency category

Disaggregation data elements:Help on this term
Data Element / Data SetEstablishment—organisation identifier (Australian), NNX[X]NNNNN
Data Source
National Elective Surgery Waiting Times Data Collection
NMDS / DSS
Elective surgery waiting times (removals data) NMDS 2012-13
Data Element / Data SetElective surgery waiting list episode—clinical urgency, code N
Data Source
National Elective Surgery Waiting Times Data Collection
NMDS / DSS
Elective surgery waiting times (removals data) NMDS 2012-13
Comments:Help on this term

The National Elective Surgery Target commenced in January 2012 with the requirement that 100% of all patients in all urgency categories will receive their surgery within clinically recommended times by 2015 for NSW, VIC, QLD, WA, and SA and by 2016 for TAS, ACT and NT. Each state and territory has a different starting point for each urgency category and, accordingly, a different target for each category for December of each year leading up to 2015 (or 2016). These targets are shown in the Table below.

 

  NSW VIC QLD WA SA TAS ACT NT
URGENCY CATEGORY 1 (%)
 Target period 92.3 100.0 83.0 87.4 87.5 75.4 91.8 79.1
 1 Jan 2012 to 31 Dec 2012   96.0 100.0 89.0 94.0 94.0 84.0 95.0 83.0
 1 Jan 2013 to 31 Dec 2013 100.0 100.0 100.0 100.0 100.0 92.0 97.0 90.0
 1 Jan 2014 to 31 Dec 2014 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0
 1 Jan 2015 to 31 Dec 2015 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0
 1 Jan 2016 to 31 Dec 2016           100.0 100.0 100.0
URGENCY CATEGORY 2 (%)
 Baseline 86.6 72.5 74.8 79.2 87.6 59.3 44.1 56.9
 1 Jan 2012 to 31 Dec 2012 90.0 75.0 81.0 84.0 91.0 67.0 55.0 59.0
 1 Jan 2013 to 31 Dec 2013 93.0 80.0 87.0 88.0 94.0 76.0 66.0 69.0
 1 Jan 2014 to 31 Dec 2014 97.0 88.0 94.0 95.0 97.0 84.0 78.0 77.0
 1 Jan 2015 to 31 Dec 2015 100.0 100.0 100.0 100.0 100.0 92.0 89.0 88.0
 1 Jan 2016 to 31 Dec 2016           100.0 100.0 100.0
URGENCY CATEGORY 3 (%)
 Baseline 89.4 91.9 88.1 97.2 95.5 76.8 76.9 81.6
 1 Jan 2012 to 31 Dec 2012 92.0 93.0 91.0 98.0 97.0 81.0 82.0 84.0
 1 Jan 2013 to 31 Dec 2013 95.0 94.5 94.0 98.0 98.0 86.0 86.0 87.0
 1 Jan 2014 to 31 Dec 2014 97.0 97.0 97.0 98.5 99.0 91.0 91.0 89.0
 1 Jan 2015 to 31 Dec 2015 100.0 100.0 100.0 100.0 100.0 95.0 95.0 91.0
 1 Jan 2016 to 31 Dec 2016           100.0 100.0 100.0

Source: COAG Reform Council. February 2013. Matrix of performance information: National Partnership on Improving Public Hospital Services. Updated February 2014 based on information provided by email from DOH.

Representational attributes

Representation class:Help on this termPercentage
Data type:Help on this termReal
Unit of measure:Help on this termService contact
Format:Help on this termNN.N

Indicator conceptual framework

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

Data source attributes

Data sources:Help on this term
Data SourceNational Elective Surgery Waiting Times Data Collection
Frequency
Annual
Data custodian

Australian Institute of Health and Welfare


Accountability attributes

Reporting requirements:Help on this termNational Health Performance Authority - Performance and Accountability Framework
Organisation responsible for providing data:Help on this termAustralian Institute of Health Welfare
Other issues caveats:Help on this term

Waiting time is calculated by states and territories by subtracting the listing date for care from the removal date, minus any days the patient was not ready for care and/or waiting with a less urgent clinical urgency category than their clinical urgency category at removal.

There are inconsistencies in application of urgency categories between and within states and territories which impact on the comparability of results.

Source and reference attributes

Submitting organisation:Help on this termNational Health Performance Authority
Origin:Help on this termHospital Performance
Reference documents:Help on this termNational Health Performance Authority - Performance and Accountability Framework

Relational attributes

Related metadata references:Help on this term

Supersedes National Health Performance Authority, Hospital Performance: Patients who received their surgery within clinically recommended times 2012-13 National Health Performance Authority (retired), Retired 01/07/2016

Has been superseded by National Health Performance Authority, Hospital Performance: Percentage of patients who received their surgery within clinically recommended times, 2015 National Health Performance Authority (retired), Retired 01/07/2016

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