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National Healthcare Agreement PIa: Proportion of emergency radiotherapy treatment started within the emergency timeframe

Identifying and definitional attributes

Metadata item type:Help on this termIndicator
Indicator type:Help on this termIndicator
Short name:Help on this termEmergency radiotherapy within the emergency timeframe
METeOR identifier:Help on this term595028
Registration status:Help on this termHealth, Standardisation pending 12/01/2016
Description:Help on this term

The percentage of radiotherapy patients whose treatment was clinically assessed as an emergency, who started radiotherapy within the emergency timeframe, as measured from their ready-for-care date to the beginning of treatment.

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

Computation description:Help on this term

The clinical emergency indicator describes whether the radiotherapy treatment required for a patient is clinically assessed as an emergency. An emergency is defined as treatment required within 24 hours of being determined to be ready-for-care (in the opinion of the treating clinician).

As reporting of waiting time in hours is not supported by the underlying data collection, and a patient receiving treatment on the following day may also have started treatment within 24 hours, the performance indicator reported is, therefore:

The percentage of radiotherapy patients who are ready-for-care and whose treatment was clinically assessed as an emergency, as recorded by the clinical emergency indicator, whose radiotherapy treatment began:

  • on the same day as they were ready-for-care, or
  • the day after they were ready-for-care.

The percentage of radiotherapy patients who began care on the same day or the day after they were ready-for-care will be reported as being treated within the emergency timeframe.  

The waiting time is calculated, in days, by subtracting the ready-for-care date from the radiotherapy start date.

Analysis by State and Territory is for State or Territory of treatment facility.

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

Presented as a percentage.

Computation:Help on this term

100 × (Numerator ÷ Denominator).

Numerator:Help on this term

Number of radiotherapy patients who are clinically assessed as an emergency, whose calculated waiting time is 0 days or 1 day.

Numerator data elements:Help on this term
Data Element / Data SetPatient—ready-for-care date, DDMMYYYY
Data Source
National Radiotherapy Waiting Times Database (NRWTD)
NMDS / DSS
Radiotherapy waiting times NMDS 2015-2018
Data Element / Data SetPatient—radiotherapy start date, DDMMYYYY
Data Source
National Radiotherapy Waiting Times Database (NRWTD)
NMDS / DSS
Radiotherapy waiting times NMDS 2015-2018
Data Element / Data SetPatient—clinical emergency indicator, yes/no code N
Data Source
National Radiotherapy Waiting Times Database (NRWTD)
NMDS / DSS
Radiotherapy waiting times NMDS 2015-2018
Denominator:Help on this term

Number of radiotherapy patients who are clinically assessed as an emergency.

Denominator data elements:Help on this term
Data Element / Data SetPatient—clinical emergency indicator, yes/no code N
Data Source
National Radiotherapy Waiting Times Database (NRWTD)
NMDS / DSS
Radiotherapy waiting times NMDS 2015-2018
Disaggregation:Help on this term

State and Territory, for patients whose clinical emergency indicator was recorded as ‘yes’, by:

  • Establishment sector
  • Indigenous status
  • Remoteness (Australian Statistical Geography Standard (ASGS) Remoteness structure)
  • 2011 Socio-Economic Indexes for Areas (SEIFA) Index of Relative Sociodemographic Disadvantage (IRSD) quintiles.

Nationally by sector, by:

  • 2011 SEIFA IRSD deciles.

Some disaggregations may result in numbers too small for publication.

Disaggregation data elements:Help on this term
Data Element / Data SetEstablishment—organisation identifier (Australian), NNX[X]NNNNN
Data Source
National Radiotherapy Waiting Times Database (NRWTD)
NMDS / DSS
Radiotherapy waiting times NMDS 2015-2018
Guide for use

Sector identifier at character position 2. Defined in Establishment—sector, code N.


Data Element / Data SetPerson—Indigenous status, code N
Data Source
National Radiotherapy Waiting Times Database (NRWTD)
NMDS / DSS
Radiotherapy waiting times NMDS 2015-2018
Data Element / Data SetPerson—area of usual residence, statistical area level 2 (SA2) code (ASGS 2011) N(9)
Data Source
National Radiotherapy Waiting Times Database (NRWTD)
NMDS / DSS
Radiotherapy waiting times NMDS 2015-2018
Comments:Help on this term

Most recent data available for National Healthcare Agreement (NHA) performance reporting: TBA.

Those who are deemed ready-for-care but do not receive treatment in the reporting period (including those who never go on to receive treatment) are not reported in the National Radiotherapy Waiting Times Database, and are, therefore not included in this indicator. A person may experience more than 1 wait time in the reporting period, in which case, each of their waits would be included. The clinical emergency indicator describes whether the treatment required for the patient is clinically assessed as an emergency.

Representational attributes

Representation class:Help on this termPercentage
Data type:Help on this termReal
Unit of measure:Help on this termService event

Data source attributes

Data sources:Help on this term
Data SourceNational Radiotherapy Waiting Times Database (NRWTD)
Frequency
Annual
Quality statement
National Radiotherapy Waiting Times Database, 2018–19; Quality Statement
Data custodian

Australian Institute of Health and Welfare


Accountability attributes

Reporting requirements:Help on this term

National Healthcare Agreement

Organisation responsible for providing data:Help on this term

Australian Institute of Health and Welfare

Further data development / collection required:Help on this term

Specification: Some work required to refine time measure to hours, currently days.

Source and reference attributes

Submitting organisation:Help on this term

Australian Institute of Health and Welfare

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