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Service Agreement - Department of Health and Human Services Tasmania: 2016, ACC 1-2, Emergency Department , Percentage of triage 1 and all emergency department presentations seen within the recommended triage time, 2016

Identifying and definitional attributes

Metadata item type:Help on this termIndicator
Indicator type:Help on this termIndicator
Short name:Help on this termTriage 1 and all emergency department patients seen within national benchmarks (percentage)
METeOR identifier:Help on this term645376
Registration status:Help on this termTasmanian Health, Endorsed 08/12/2016
Description:Help on this term

This indicator measures the percentage of patients that are treated within the national recommended benchmark for waiting times for triage category 1 and all triage categories in public hospital emergency departments.

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 termEmergency Department 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 Hospital and Health Workforce Reform. The definitions include presentations that have been assigned a triage category between 1 and 5.  Presentations that are ‘did not wait’, ‘dead on arrival’ or the waiting time to service delivery is invalid are excluded for the purpose of calculating this indicator. See Australasian Triage Scale from the Australasian College for Emergency Medicine for a description of each triage category, including indicative clinical descriptors.

Time to treatment is calculated by subtracting the date and time the patient presented to the emergency department from the date and time treatment commenced. The time to treatment is then compared to the recommended treatment time for the allocated initial triage category.

The indicator is calculated for triage category 1 and all triage categories and presented as a percentage.

Computation:Help on this term

100 x (Numerator ÷ Denominator)

Calculated separately for triage category 1 and all triage categories.

Numerator:Help on this term

Total number of presentations to emergency departments that were treated within benchmarks for triage category 1:

  • Triage category 1: seen within seconds, calculated as less than 2 minutes (being a waiting time of 2 or below, which allows for 2:59 seconds*).

* This is in line with the national reporting standards.

Numerator data elements:Help on this term
Data Element / Data SetEmergency department stay—waiting time (to commencement of clinical care), total minutes NNNNN
Guide for use

Calculated by subtracting date and time the patient presents at the emergency department from date and time of commencement of service event.  Although triage category 1 is measured in seconds, it is recognised that the data will not be collected with this precision.

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


Data Element / Data SetNon-admitted patient emergency department service episode—triage category, (Tasmanian) code N
Guide for use

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


Data Element / Data SetNon-admitted patient emergency department service episode—episode end status, (Tasmanian) code N[NN]
Guide for use

Data is obtained from the [DepartureMethodRefId] field in Health Central and excludes records with the Episode end status indicate they departed to the following:

 

Value Meaning
4 Did not wait to be seen by a medical officer
7 Dead on arrival and not treated
9 Did not wait - patient elected to access GP/other

Data Element / Data SetEstablishment—organisation identifier, (Tasmanian) identifier NNNN
Data Element / Data SetEpisode of care—episode identifier, N[NNNNNN]
Guide for use

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


Data Element / Data SetEmergency department stay—physical departure date, DDMMYYYY
Guide for use

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


Data Element / Data SetEmergency department stay—physical departure time, hhmm
Guide for use

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


Denominator:Help on this term

Total number of triage category 1 and all triage categories presentations to emergency departments

Denominator data elements:Help on this term
Data Element / Data SetNon-admitted patient emergency department service episode—triage category, (Tasmanian) code N
Guide for use

Data is obtained from the [TriageCategoryRefId] field in Health Central and includes records with the triage category 1 and all triage categories.


Data Element / Data SetNon-admitted patient emergency department service episode—episode end status, (Tasmanian) code N[NN]
Guide for use

Data is obtained from the [DepartureMethodRefId] field in Health Central and excludes records with the Episode end status indicate they departed to the following:

 

Value Meaning
4 Did not wait to be seen by a medical officer
7 Dead on arrival and not treated
9 Did not wait - patient elected to access GP/other

Data Element / Data SetEstablishment—organisation identifier, (Tasmanian) identifier NNNN
Data Element / Data SetEpisode of care—episode identifier, N[NNNNNN]
Guide for use

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


Data Element / Data SetEmergency department stay—physical departure date, DDMMYYYY
Guide for use

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


Data Element / Data SetEmergency department stay—physical departure time, hhmm
Guide for use

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


Disaggregation:Help on this term
Specified disaggregation: Hospital, triage category and reporting month based on the date of the end of the emergency department stay
Disaggregation data elements:Help on this term
Data Element / Data SetNon-admitted patient emergency department service episode—triage category, (Tasmanian) code N
Data Element / Data SetEstablishment—organisation identifier, (Tasmanian) identifier NNNN
Data Element / Data SetEmergency department stay—physical departure date, DDMMYYYY
Guide for use

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


Data Element / Data SetEmergency department stay—physical departure time, hhmm
Guide for use

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


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
  • 2015-16 Service Agreement
  • 2016-17 Service Agreement

Relational attributes

Related metadata references:Help on this term

Supersedes Service Agreement - Department of Health and Human Services Tasmania: 2013, KPI??-Percentage of triage 1 emergency department presentations seen within the recommended triage time, 2013 Tasmanian Health, Archived 09/12/2016

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