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Definition

Attendances at public hospital emergency departments that could have potentially been avoided through the provision of appropriate non-hospital services in the community.

Indicator Summary

Numerator
Number of potentially avoidable GP-type presentations to emergency departments.
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Denominator
No description available
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Computation

Potentially avoidable general practitioner (GP)-type presentations are defined as presentations to public hospital emergency departments with a Type of visit of 'Emergency presentation' (or for South Australia only, and only for data from 2009-10 and previous years, Type of visit can be 'Emergency presentation' or 'Not reported') where the patient:

  • was allocated a Triage category of 4 or 5 and …
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Disaggregation

2008-09, 2009-10, 2010-11 (updated for peer group) and 2011–12—Nationally by SEIFA Index of Relative Socio-Economic Disadvantage (IRSD) deciles.

2008-09, 2009-10, 2010-11 (updated for peer group) and 2011–12—State and territory, by:

  • Indigenous status
  • remoteness (Australian Standard Geographical Classification Remoteness Structure)
  • SEIFA IRSD quintiles
  • peer group and triage category

Some disaggregations may result in numbers too small for publication.

Disaggregation by peer group is limited to Peer Groups A and B, as this is the scope of the collection, and coverage varies …

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Calculation rules

Computation Rule
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' (or for South Australia only, and only for data from 2009-10 and previous years, Type of visit can be 'Emergency presentation' or 'Not reported') where the patient:

  • was allocated a Triage category of 4 or 5 and
  • did not arrive by ambulance or police or correctional vehicle and
  • was not admitted to the hospital, not referred to another hospital, or did not die.

Limited to public hospitals in Peer Groups A and B.

To ensure comparability over time, emergency department activity at the Mersey Community Hospital is reported with Peer Group B hospitals for National Healthcare Agreement purposes. Whilst it is currently not a Peer Group A or B hospital, in the baseline year (2007-08) Mersey was a campus of the Peer Group B North West Regional Hospital and its emergency department activity was included in the baseline.

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 person.

Presented as a number.

Disaggregation

2008-09, 2009-10, 2010-11 (updated for peer group) and 2011–12—Nationally by SEIFA Index of Relative Socio-Economic Disadvantage (IRSD) deciles.

2008-09, 2009-10, 2010-11 (updated for peer group) and 2011–12—State and territory, by:

  • Indigenous status
  • remoteness (Australian Standard Geographical Classification Remoteness Structure)
  • SEIFA IRSD quintiles
  • peer group and triage category

Some disaggregations may result in numbers too small for publication.

Disaggregation by peer group is limited to Peer Groups A and B, as this is the scope of the collection, and coverage varies for other hospitals by state and territory.

References

NSW Ministry of Health 2007. Booz Allen Hamilton study: Key Drivers of Demand in the Emergency Department. Viewed 22 April 2013, <www0.health.nsw.gov.au/pubs/2007/booz_allen_report.html>.


This content Based on Australian Institute of Health and Welfare material. Attribution provided as required under the AIHW CC-BY licence.

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