Non-admitted patient emergency department care NMDS 2021–22
Identifying and definitional attributes
|Metadata item type:||Data Set Specification|
|Registration status:||Health, Standardisation pending 10/09/2020|
|DSS type:||National Minimum Data Set (NMDS)|
The scope of the Non-admitted patient emergency department care national minimum data set (NAPEDC NMDS) is patients registered for care in emergency departments in public hospitals where the emergency department meets the following criteria:
Patients who were dead on arrival are in scope if an emergency department clinician certified the death of the patient. Patients who leave the emergency department after being registered to receive care and then advised of alternative treatment options are in scope.
The scope includes only physical presentations to emergency departments. Advice provided by telephone or videoconferencing is not in scope, although it is recognised that advice received by telehealth may form part of the care provided to patients physically receiving care in the emergency department.
The care provided to patients in emergency departments is, in most instances, recognised as being provided to non-admitted patients. Patients being treated in emergency departments may subsequently become admitted (including admission in the emergency department, admission to another hospital ward, including a short stay unit, or admission to hospital-in-the-home). All patients remain in-scope for this collection until they are recorded as having physically departed the emergency department, regardless of whether they have been admitted. For this reason there is an overlap in the scope of this NMDS and the Admitted patient care national minimum data set (APC NMDS).
Excluded from the scope of the NMDS are:
Collection and usage attributes
|Guide for use:|
The definition of a 'short stay unit' is as per clause C48 of the National Health Reform Agreement—National Partnership Agreement on Improving Public Hospital Services (NPA IPHS), as follows:
a) Designated and designed for the short term treatment, observation, assessment and reassessment of patients initially triaged and assessed in the emergency department (ED);
b) Have specific admission and discharge criteria and policies;
c) Designed for short term stays no longer than 24 hours;
d) Physically separated from the ED acute assessment area;
e) Have a static number of beds with oxygen, suction, patient ablution facilities; and
f) Not a temporary ED overflow area nor used to keep patients solely awaiting an inpatient bed nor awaiting treatment in the ED.
National reporting arrangements
State and territory health authorities provide the data to the Australian Institute of Health and Welfare for national collation, on a six-monthly basis within one month of the end of a reporting period and an annual basis within three months of the reporting period.
State and territory health authorities provide the data to the Independent Hospital Pricing Authority for national collation, on a quarterly basis before the last working day of the end of the following reporting period.
The Institute and the Commonwealth Department of Health will agree on a data quality and timeliness protocol. Once cleaned, a copy of the data and a record of the changes made will be forwarded by the Institute to the Commonwealth Department of Health. A copy of the cleaned data for each jurisdiction should also be returned to that jurisdiction on request.
Periods for which data are collected and nationally collated
Quarterly, six-monthly and financial year. Extraction of data for each three, six months or year should be based on the date of the end of the emergency department stay. For example, a presentation that commences at 11pm on 31 December and ends at 2am 1 January is not in scope for reporting in the second quarter or the July to December six-monthly period.
|Implementation start date:||01/07/2021|
|Implementation end date:||30/06/2022|
Scope links with other metadata sets
Episodes of care for admitted patients are reported through the Admitted patient care NMDS.
Mental health care provided in emergency departments is in scope for the NAPEDC NMDS.
Glossary terms that are relevant to this National minimum data set include:
Source and reference attributes
Independent Hospital Pricing Authority
|Related metadata references:|
See also Emergency service care NBEDS 2021-22 Health, Standardisation pending 10/09/2020
Supersedes Non-admitted patient emergency department care NMDS 2020–21 Health, Standard 18/12/2019
See also Statistical Area Level 1 of usual residence NBEDS 2021–22 Health, Standardisation pending 10/09/2020