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Service Agreement - Department of Health and Human Services Tasmania: 2016, ACC9-11 - Elective Surgery - Percentage of elective surgery patients seen within the clinically recommended time by urgency category, 2016

Identifying and definitional attributes

Metadata item type:Help on this termIndicator
Indicator type:Help on this termIndicator
Short name:Help on this termElective surgery patients seen within the clinically recommended time by urgency category (percentage)
METeOR identifier:Help on this term645320
Registration status:Help on this termTasmanian Health, Endorsed 09/12/2016
Description:Help on this term

This indicator measures the percentage of elective surgery patients who are admitted to the hospital (or contracting hospital) and received their waiting list procedure within national benchmark waiting times for each urgency category.

Indicator set:Help on this termService Agreement - Department of Health and Human Services Tasmania: 2016 Tasmanian Health, Endorsed 12/12/2016
Outcome area:Help on this termElective surgery access Tasmanian Health, Endorsed 07/12/2016

Collection and usage attributes

Computation description:Help on this term

The definitions applied are consistent with the national definitions used for reporting against the National Partnership Agreement on Improving Public Hospital Services. The definitions include admission from the elective surgery waiting list where the planned procedure was completed. This also includes patients admitted for the waiting list as an emergency.

The number of waiting time days is calculated by subtracting the listing date for care from the removal date, minus any days the patient was 'not ready for care', and minus any days the patient was waiting with a less urgent clinical urgency category than their clinical urgency category at removal.

Indicator procedures as defined in the Tasmanian wait list procedure code (TWLPC) set and specify which procedures are included in the calculation of this indicator in accordance with national definitions.

The indicator is calculated separately for each of the three urgency categories and presented as a percentage.

Computation:Help on this term

100 x (Numerator ÷ Denominator)

Calculated separately for each urgency category

Numerator:Help on this term

Total number of admissions from the elective surgery waiting list to the hospital (or contracting hospital) within benchmarks for each urgency category (this includes admissions from the waiting list as an emergency):

 

Clinical urgency category National standards (desirable treatment times)
Category 1 - Urgent Admission within 30 days (i.e. <= 30 days)
Category 2 - Semi-urgent Admission within 90 days (i.e. <= 90 days)
Category 3 - Non-urgent

Admission sometime in the future

There is no national standard but 365 days is used as a guide  (i.e. <= 365 days)

Numerator data elements:Help on this term
Data Element / Data SetElective surgery waiting list episode—waiting time (at removal), total days N[NNN]
Guide for use

Data is obtained from the [TotalWaitingDays] field in Health Central.

The number of days is calculated by subtracting the listing date for care from the removal date, minus any days when the patient was 'not ready for care', and also minus any days the patient was waiting with a less urgent clinical urgency category than their clinical urgency category at removal.

Days when the patient was not ready for care is calculated by subtracting the date(s) the person was recorded as 'not ready for care' from the date(s) the person was subsequently recorded as again being 'ready for care'.

If, at any time since being added to the waiting list for the elective surgical procedure, the patient has had a less urgent clinical urgency category than the category at removal, then the number of days waited at the less urgent clinical urgency category should be subtracted from the total number of days waited.

In cases where there has been only one category reassignment (i.e. to the more urgent category attached to the patient at removal) the number of days at the less urgent clinical urgency category should be calculated by subtracting the listing date for care from the category reassignment date. If the patient's clinical urgency was reclassified more than once, days spent in each period of less urgent clinical urgency than the one applying at removal should be calculated by subtracting one category reassignment date from the subsequent category reassignment date, and then adding the days together.

When a patient is removed from an elective surgery waiting list, for admission on an elective basis for the procedure they were awaiting, but the surgery is cancelled and the patient remains on or is placed back on the waiting list within the same hospital, the time waited on the list should continue.

Therefore at the removal date, the patient's waiting time includes the number of days waited on an elective surgery waiting list, both before and after any cancelled surgery admission. The time waited before the cancelled surgery should be counted as part of the total time waited by the patient.


Data Element / Data SetElective surgery waiting list episode—reason for removal from a waiting list, code (Tasmanian) X[AAAAAA]
Guide for use

Data is obtained from the [RemovalReasonRefId] field in Health Central where the reason for removal was Planned procedure completed or Admitted as emergency.


Data Element / Data SetElective care waiting list episode—clinical urgency, code X[AXAA]
Guide for use

Data is obtained from the [CurrentPriorityRefId] field in Health Central and patients who have the following clinical urgency status recorded will be included:

 

Value Meaning
1 1 - Urgent
2 2 - Semi-urgent
3 3 - Non-urgent

Data Element / Data SetElective surgery waiting list episode—waiting list removal date, DDMMYYYY
Guide for use

Data is obtained from the [RemovalDateTime] field in Health Central.


Data Element / Data SetElective surgery waiting list episode—intended procedure, waiting list procedure (Tasmanian TWLPC) code NN[N]
Guide for use

Data is obtained from the [PlannedPrimaryProcedureCodeId] field in Health Central.

Patients awaiting the following procedures are out of the scope for elective surgery reporting:

 

Code Description
32 Colonoscopy (non surgical)
88 Cosmetic including - circumcision, varicose veins, mammoplasty, tattoo removal, abdominoplasty, wher
113 Bronchoscopy
128 Wisdom teeth removal
129 Other dental procedures
320 Colonoscopy (Bowel Cancer Screening Program)
321 Direct access colonoscopy (Bowel Cancer Screening Program)
322 Direct access colonoscopy non surgical
323 Direct access upper GI endoscopy
324 Direct access gastroscopy and colonoscopy
325 EUS Endoscopy ultrasound
326 Chemotherapy
327 Endoscopic retrograde cholangiopancreatography (ERCP)
328 In fusion
505 LUSCS
506 Other obstetrics
777 Emergency surgery
990 Gastroscopy & colonoscopy
998 Upper GI endoscopy
999 Non surgical treatment

Data Element / Data SetPerson—person identifier, identifier (Tasmanian) N(9)
Data Element / Data SetEstablishment—organisation identifier, (Tasmanian) identifier NNNN
Data Element / Data SetElective surgery waiting list episode—outcome of offer, (Tasmanian) code X[XXXX]
Guide for use

Data is obtained from the [OfferOutcomeRefId] field in Health Central and only includes records with the 'Offer to come in' code of Patient admitted - treatment complete.


Denominator:Help on this term

Total number of admissions from the elective surgery waiting list to the hospital (or contracting hospital) for each urgency category (this includes admissions from the waiting list as an emergency)

Denominator data elements:Help on this term
Data Element / Data SetElective care waiting list episode—clinical urgency, code X[AXAA]
Guide for use

Data is obtained from the [CurrentPriorityRefId] field in Health Central and patients who have the following clinical urgency status recorded will be included:

 

Value Meaning
1 1 - Urgent
2 2 - Semi-urgent
3 3 - Non-urgent

Data Element / Data SetElective surgery waiting list episode—reason for removal from a waiting list, code (Tasmanian) X[AAAAAA]
Guide for use
Data is obtained from the [RemovalReasonRefId] field in Health Central where the reason for removal was Planned procedure completed or Admitted as emergency.

Data Element / Data SetElective surgery waiting list episode—waiting list removal date, DDMMYYYY
Guide for use

Data is obtained from the [RemovalDateTime] field in Health Central.


Data Element / Data SetPerson—person identifier, identifier (Tasmanian) N(9)
Data Element / Data SetEstablishment—organisation identifier, (Tasmanian) identifier NNNN
Data Element / Data SetElective surgery waiting list episode—outcome of offer, (Tasmanian) code X[XXXX]
Guide for use

Data is obtained from the [OfferOutcomeRefId] field in Health Central and only includes records with the 'Offer to come in' code of Patient admitted - treatment complete.


Disaggregation:Help on this term

Specified disaggregation: Hospital and clinical urgency.

Disaggregation data elements:Help on this term
Data Element / Data SetEstablishment—organisation identifier, (Tasmanian) identifier NNNN
Data Element / Data SetElective care waiting list episode—clinical urgency, code X[AXAA]

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 term

NN[N]

Accountability attributes

Reporting requirements:Help on this term
  • 2016-17 Service Agreement
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