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Definition

For all patients presenting to a public hospital emergency department (including publicly funded privately operated hospitals) who are subsequently admitted to the same hospital, the:

(a) percentage of presentations where the time from presentation to physical departure (i.e. the emergency department stay length) is ≤4 hours (i.e. ≤240 minutes); and

(b) emergency department stay length at the 90th percentile.

Indicator Summary

Numerator

(a) Number of ED presentations with an Episode end status of 1, where ED stay length is ≤4 hours (i.e. ≤240 minutes)

(b) Not applicable

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Denominator

(a) Number of ED presentations with an Episode end status of 1

(b) Not applicable
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Computation

Data are provided as per the Non-admitted patient emergency department care (NAPEDC) NMDS 2012-13.

The scope for calculation of access block measures is all hospitals reporting to the NAPEDC NMDS (Peer Groups A, B and other) as at August 2011, when the National Health Reform Agreement - National Partnership Agreement on Improving Public Hospital Services (NPA IPHS) was signed. For …

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Disaggregation
Disaggregation is by state/territory
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Calculation rules

Computation Rule
Description

Data are provided as per the Non-admitted patient emergency department care (NAPEDC) NMDS 2012-13.

The scope for calculation of access block measures is all hospitals reporting to the NAPEDC NMDS (Peer Groups A, B and other) as at August 2011, when the National Health Reform Agreement - National Partnership Agreement on Improving Public Hospital Services (NPA IPHS) was signed. For the duration of the NPA IPHS, hospitals that have not previously reported to the NAPEDC NMDS can come into scope, subject to agreement between the jurisdiction and the Commonwealth.

Calculation includes presentations with any Type of visit to emergency department.

Calculation includes presentations with an Episode end status of:

(1) Admitted to hospital (either short stay unit, hospital-in-the-home or non-emergency department hospital ward)

Emergency department stay (ED stay) length is calculated by subtracting the Date patient presents and Time patient presents from the Emergency department physical departure date and Emergency department physical departure time as per the business rules included in the NAPEDC NMDS 2012-13, as follows:

Presentation date and time are the date and time of the first recorded contact with an emergency department staff member. The first recorded contact can be the commencement of the clerical registration or triage process, whichever happens first.

Physical departure date and time is:

  • For patients subsequently admitted to this hospital (either in a short stay unit, hospital-in-the-home or non-emergency department hospital ward), then record the time the patient leaves the emergency department to go to the admitted patient facility.
    • Patients admitted to any other ward or bed within the emergency department have not physically departed the emergency department until they leave the emergency department.
    • If the patient is admitted and subsequently dies before leaving the emergency department, then record the time the body was removed from the emergency department.
Denominators

(a) Number of ED presentations with an Episode end status of 1

(b) Not applicable
Disaggregation
Disaggregation is by state/territory

References

Standing Council on Federal Financial Relations. National Partnership Agreement on Improving Public Hospital Services. Standing Council on Federal Financial Relations, Canberra. Viewed 10 April 2013,
<http://www.federalfinancialrelations.gov.au/content/npa/health_reform/
national-workforce-reform/national_partnership.pdf
>

Expert Panel. Review of Elective Surgery and Emergency Access Targets under the National Partnership Agreement on Improving Public Hospital Services: Report to the Council of Australian Government. Canberra: Commonwealth of Australia. Viewed 10 April 2013,
<http://www.yourhealth.gov.au/internet/yourhealth/publishing.nsf/
Content/Expert-Panel-Report/$File/Expert%20Panel%20Report-D0490.pdf
>


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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