National Healthcare Agreement: PI 19–Selected potentially avoidable GP-type presentations to emergency departments, 2016

Identifying and definitional attributes

Metadata item type:Indicator
Indicator type:Progress measure
Short name:PI 19–Selected potentially avoidable GP-type presentations to emergency departments, 2016
METeOR identifier:598744
Registration status:Health, Superseded 31/01/2017
Description:

Attendances at public hospital emergency departments that could have potentially been avoided through the provision of appropriate non-hospital services in the community.

Indicator set:National Healthcare Agreement (2016) Health, Superseded 31/01/2017
Outcome area:Primary and Community Health Health, Standard 07/07/2010
Quality statement:National Healthcare Agreement: PI 19-Selected potentially avoidable GP-type presentations to emergency departments, 2016 QS Health, Superseded 31/01/2017

Collection and usage attributes

Computation description:

Potentially avoidable general practitioner (GP)-type presentations are defined as presentations to public hospital emergency departments with a Type of visit of Emergency presentation where the patient:

  • was allocated a Triage category of 4 (Semi-urgent: within 60 minutes) or 5 (Non-urgent: within 120 minutes) 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.

The scope for calculation of this indicator is all hospitals reporting to the Non-admitted patient emergency department care (NAPEDC) National Minimum Data Set (NMDS) 2014–15.

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:

Numerator only.

Numerator:

Number of potentially avoidable GP-type presentations to emergency departments.

Numerator data elements:
Data Element / Data SetEmergency department stay—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 2014-15
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 2014-15
Guide for use

Data source type: Administrative by-product data


Data Element / Data SetEmergency department stay—transport mode (arrival), code N
Data Source
National non-admitted patient emergency department care database
NMDS / DSS
Non-admitted patient emergency department care NMDS 2014-15
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 2014-15
Guide for use

Data source type: Administrative by-product data


Data Element / Data SetEstablishment—organisation identifier (Australian), NNX[X]NNNNN
Data Source
National non-admitted patient emergency department care database
NMDS / DSS
Non-admitted patient emergency department care NMDS 2014-15
Guide for use

Data source type: Administrative by-product data

Used to derive hospital peer group


Disaggregation:

Nationally by SEIFA IRSD deciles (not reported this cycle).

2013–14 (updated for new scope), 2014–15—State and territory.

State and territory, by (all not reported this cycle):

  • Indigenous status
  • remoteness (Australian Statistical Geography Standard (ASGS))
  • SEIFA IRSD quintiles
  • peer group and triage category.

Some disaggregations may result in numbers too small for publication.

Disaggregation data elements:
Data Element / Data SetPerson—area of usual residence, statistical area level 2 (SA2) code (ASGS 2011) N(9)
Data Source
National non-admitted patient emergency department care database
NMDS / DSS
Non-admitted patient emergency department care NMDS 2014-15
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 2014-15
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 2014-15
Guide for use

Data source type: Administrative by-product data


Data Element / Data SetEstablishment—organisation identifier (Australian), NNX[X]NNNNN
Data Source
National non-admitted patient emergency department care database
NMDS / DSS
Non-admitted patient emergency department care NMDS 2014-15
Guide for use

Data source type: Administrative by-product data

Used to derive hospital peer group


Comments:

Most recent data available for 2016 National Healthcare Agreement performance reporting: 2014–15.

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.

Note that previously the scope for the calculation of this indicator was limited to public hospitals in Peer groups A and B, using the peer group classification method as reported in Australian hospital statistics 2010–11, with the addition of emergency department activity at the Mersey Community Hospital.

Representational attributes

Representation class:Count
Data type:Real
Unit of measure:Episode
Format:

NN[NNNNN]

Indicator conceptual framework

Framework and dimensions:Accessibility

Data source attributes

Data sources:
Data SourceNational non-admitted patient emergency department care database
Data custodian

 Australian Institute of Health and Welfare


Accountability attributes

Reporting requirements:

National Healthcare Agreement

Organisation responsible for providing data:

Australian Institute of Health and Welfare

Further data development / collection required:

Specification: Substantial work required, the measure requires significant work to be undertaken.

Relational attributes

Related metadata references:

See also National Healthcare Agreement: PI 12–Waiting times for GPs, 2016 Health, Superseded 31/01/2017

Supersedes National Healthcare Agreement: PI 19-Selected potentially avoidable GP-type presentations to emergency departments, 2015 Health, Superseded 08/07/2016

Has been superseded by National Healthcare Agreement: PI 19–Selected potentially avoidable GP-type presentations to emergency departments, 2017 Health, Superseded 30/01/2018

See also National Healthcare Agreement: PI 21a–Waiting times for emergency hospital care: Proportion seen on time, 2016 Health, Superseded 31/01/2017

See also National Healthcare Agreement: PI 21b–Waiting times for emergency hospital care: proportion of patients whose length of emergency department stay is less than or equal to four hours, 2016 Health, Superseded 04/08/2016