National Healthcare Agreement: PI 19–Selected potentially avoidable GP-type presentations to emergency departments, 2022

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, 2022
METeOR identifier:740847
Registration status:Health, Standard 24/09/2021
Description:

Presentations 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 (2022) Health, Standard 24/09/2021
Outcome area:Primary and Community Health Health, Standard 07/07/2010

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 with:

  • a triage category of 4 (Semi-urgent: within 60 minutes) or 5 (Non-urgent: within 120 minutes), and
  • transport mode on arrival was not ambulance, or police or correctional vehicle

and

  • episode end status was not:
    • admitted to this hospital
    • referred to another hospital, or
    • died in emergency department.

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) 2020–21 and the NAPEDC National Best Endeavours Data Set (NBEDS) 2020–21.

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 the 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 2020–21
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 2020–21
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 2020–21
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 2020–21
Guide for use

Data source type: Administrative by-product data


Disaggregation:

2020–21—State and territory.

Nationally by 2016 SEIFA IRSD deciles (not reported this cycle).

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

  • Indigenous status
  • remoteness (Australian Statistical Geography Standard (ASGS) 2016)
  • 2016 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 2016) N(9)
Data Source
National non-admitted patient emergency department care database
NMDS / DSS
Non-admitted patient emergency department care NMDS 2020–21
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 2020–21
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 2020–21
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 2020–21
Guide for use

Data source type: Administrative by-product data

Used to derive hospital peer group


Comments:

Most recent data available for 2022 National Healthcare Agreement performance reporting: 2020–21.

This definition of ‘potentially avoidable GP-type presentation’ is a refinement of the definition of a primary care patient in an emergency department, as discussed in the Booz Allen Hamilton study of emergency department care in NSW.

Note that for the 2016 and previous reports 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.

Data for the Albury Base Hospital in NSW are reported in Victorian hospital statistics.

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.

Source and reference attributes

Reference documents:

Australian Institute of Health and Welfare 2012. Australian hospital statistics 2010–11. Health Services Series No. 43. Cat. no. HSE 117. Canberra: AIHW. Viewed 28 May 2020, https://www.aihw.gov.au/reports/hospitals/australian-
hospital-statistics-2010-11
/contents/table-of-contents

Booz Allen Hamilton 2007. Key Drivers of Demand in the Emergency Department. Sydney: New South Wales Department of Health. Viewed 29 May 2020, https://webarchive.nla.gov.au/awa/20080627063427/http:/
pandora.nla.gov.au/pan/86401/20080627-1631/
www.health.nsw.gov.au/pubs/2007/pdf/booz_allen_report.pdf

Relational attributes

Related metadata references:

See also National Healthcare Agreement: PI 12–Waiting times for GPs, 2022 Health, Standard 24/09/2021

Supersedes National Healthcare Agreement: PI 19–Selected potentially avoidable GP-type presentations to emergency departments, 2021 Health, Standard 16/09/2020

See also National Healthcare Agreement: PI 21a–Waiting times for emergency hospital care: proportion seen on time, 2022 Health, Standard 24/09/2021

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, 2022 Health, Standard 24/09/2021