Identifying and definitional attributes
|Metadata item type:||Indicator|
|Short name:||AHPF PI 2.4.1–Unplanned hospital readmission rates, 2019|
|Registration status:||Health, Standard 09/04/2020|
Unplanned and unexpected hospital readmissions to the same public hospitals within 28 days for selected surgical procedures.
|Indicator set:||Australian Health Performance Framework, 2019 Health, Standard 09/04/2020|
Collection and usage attributes
Unplanned/unexpected hospital readmissions are those readmissions where the principal diagnosis indicates an adverse event.
Principal diagnoses codes
A principal diagnosis for the readmission has one of the following ICD-10-AM (10th edn.) codes: T80–88, E89, G97, H59, H95, I97, J95, K91, M96 or N99.
Number of separations in which 1 of the following surgical procedures was undertaken: knee replacement; hip replacement; tonsillectomy and adenoidectomy; hysterectomy; prostatectomy; cataract surgery; or appendicectomy.
The following is a list of the specific Australian Classification of Health Interventions (10th edn) procedure codes which are included in the specifications for each of the selected surgical procedures.
Limited to public hospitals.
Denominator limited to separations with a separation date between 1 July and 19 May in the reference year.
Denominator excludes separations where the patient died in hospital.
Analysis by state and territory is based on location of the service.
Analysis by remoteness and Socio-Economic Indexes for Areas (SEIFA) Index of Relative Socio-Economic Disadvantage (IRSD) is based on usual residence of the person.
Presented per 1,000 separations.
1,000 x (Numerator ÷ Denominator)
Calculated separately for each of the specified procedures
Number of separations for public hospitals which meet all of the following criteria:
|Numerator data elements:|
Number of separations in which one of the following surgical procedures was undertaken: knee replacement; hip replacement; tonsillectomy and adenoidectomy; hysterectomy; prostatectomy; cataract surgery; appendicectomy.
|Denominator data elements:|
2013–14, 2014–15, 2015–16, 2016–17, 2017–18—Nationally, by specified procedures.
Nationally, by specified procedures, by (all not reported):
2013–14, 2014–15, 2015–16, 2016–17, 2017–18—State and territory, by specified procedures.
Disaggregation by peer group used the peer group classification as described in the AIHW publication Australian hospital peer groups.
Some disaggregations may result in numbers too small for publication.
|Disaggregation data elements:|
Most recent data available for 2019 Australian Health Performance Framework reporting: 2017–18.
The scope of the National Hospital Morbidity Database is episodes of care for admitted patients in essentially all hospitals in Australia, including public and private acute and psychiatric hospitals, free-standing day hospital facilities, alcohol and drug treatment hospitals and dental hospitals.
For 2017–18 data, the 2016 SEIFA IRSD quintile and decile data will be produced using the Australian Statistical Geography Standard 2016 geographical unit of Statistical Area Level 2.
|Unit of measure:||Person|
Indicator conceptual framework
|Framework and dimensions:||4. Continuity of care|
Data source attributes
Australian Health Performance Framework
|Organisation responsible for providing data:|
Australian Institute of Health and Welfare
Source and reference attributes
AIHW 2015. Australian hospital peer groups. Health services series no. 66. Cat. no. HSE 170. Canberra: AIHW. Viewed 7 November 2019, https://www.aihw.gov.au/reports/hospitals/australian-hospital-peer-groups/contents/table-of-contents.
|Related metadata references:|
See also Australian Health Performance Framework: PI 2.1.4–Selected potentially preventable hospitalisations, 2019 Health, Standard 09/04/2020
See also Australian Health Performance Framework: PI 2.1.6–Potentially avoidable deaths, 2019 Health, Standard 09/04/2020
See also National Healthcare Agreement: PI 18–Selected potentially preventable hospitalisations, 2020 Health, Standard 13/03/2020
See also National Healthcare Agreement: PI 18–Selected potentially preventable hospitalisations, 2021 Health, Standard 16/09/2020
See also National Healthcare Agreement: PI 23–Unplanned hospital readmission rates, 2020 Health, Standard 13/03/2020
See also National Healthcare Agreement: PI 23–Unplanned hospital readmission rates, 2021 Health, Standardisation pending 06/10/2020