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Activity based funding: Emergency department care DSS 2013-2014

Definition

The scope of this DSS is emergency care provided in emergency departments in activity based funded hospitals.

These emergency departments must meet the following criteria:

  • Purposely designed and equipped area with designated assessment, treatment and resuscitation areas.
  • Ability to provide resuscitation, stabilisation and initial management of all emergencies.
  • Availability of medical staff in the hospital 24 hours a day
  • Designated emergency department nursing staff and nursing unit manager 24 hours per day 7 days per week.

The scope also includes services where a patient is awaiting transit, had a pre-arranged admission, did not wait or died on arrival. Patients with Department of Veterans' Affairs or compensable funding source are also included in the scope of the collection.

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. The care provided to non-admitted patients who are treated in the emergency department prior to being admitted is included in this DSS.

Excluded from scope are:

  • Care provided to patients who are being treated in an emergency department site as an admitted patient (e.g. in an observation unit, short-stay unit, emergency department ward or awaiting a bed in an admitted patient ward of the hospital).
  • Care provided to patients in General Practitioner co-located units.

Scope links with other metadata sets

Episodes of care for admitted patients are reported through the Admitted patient care NMDS.

Some previous data element concepts are available in the METeOR glossary. Glossary items are available online through links in the relevant metadata items. In addition, links to the glossary terms that are relevant to this data set specification are listed below.

Activity based funding

Emergency department

Urgency related groups

Metadata items in this Data Set Specification

Below is a list of all the components within this Dataset Specification.
Each entry includes the item name, whether the item is optional, mandatory or conditional and the maximum times the item can occur in a dataset.
If the items must occur in a particular order in the dataset, the sequence number is included before the item name.

Data Elements
Reference Data Element Data Type Length Inclusion #
Address: Australian Postcode, (Postcode datafile) NNNN Number 4 mandatory 1
Emergency department stay—additional diagnosis, code X[X(8)]
Conditional Inclusion:

Only required to be reported when at least one additional diagnosis is present for the emergency department stay.

 - - conditional 2
Emergency department stay—diagnosis classification type, code N.N
Conditional Inclusion:

Only required to be reported when a principal diagnosis and/or at least one additional diagnosis has been reported

 - - conditional 1
Emergency department stay—physical departure date, DDMMYYYY Date/Time 8 mandatory 1
Emergency department stay—physical departure time, hhmm Date/Time 4 mandatory 1
Emergency department stay—presentation date, DDMMYYYY Date/Time 8 mandatory 1
Emergency department stay—presentation time, hhmm Date/Time 4 mandatory 1
Emergency department stay—transport mode (arrival), code N Number 1 mandatory 1
Emergency department stay—type of visit to emergency department, code N - - mandatory 1
Emergency department stay—waiting time (to commencement of clinical care), total minutes NNNNN
Conditional Inclusion:

This data item is to be recorded if the patient has one of the following non-admitted patient emergency department service episode - episode end status values reported:

  • 1 - Admitted to this hospital (either short stay unit, hospital in the home or non-emergency department hospital ward);
  • 2 - Non-admitted patient emergency department service episode completed—departed without being admitted or referred to another hospital;
  • 3 - Non-admitted patient emergency department service episode completed—referred to another hospital for admission;
  • 5 - Left at own risk after being attended by a health care professional but before the non-admitted patient emergency department service episode was completed;
  • 6 - Died in emergency department as a non-admitted patient;
  • 7 - Dead on arrival, emergency department clinician certified the death of the patient.
 Number 5 conditional 1
Episode of care—funding eligibility indicator (Department of Veterans' Affairs), code N - - mandatory 1
Establishment—organisation identifier (Australian), NNX[X]NNNNN - - mandatory 1
Non-admitted patient emergency department service episode—episode end status, code N - - mandatory 1
Non-admitted patient emergency department service episode—service episode length, total minutes NNNNN Number 5 mandatory 1
Non-admitted patient emergency department service episode—triage category, code N
Conditional Inclusion:

This data item is to be recorded if the patient has one of the following nonemergency department stay - type of visit to emergency department values reported:

  • 1 - Emergency department presentation;
  • 2 - Return visit, planned;
  • 3 - Pre-arranged admission;
  • 4 - Patient in transit.
 Number 1 conditional 1
Non-admitted patient emergency department service episode—triage date, DDMMYYYY
Conditional Inclusion:

This data item is to be recorded if the patient has one of the following nonemergency department stay - type of visit to emergency department values reported:

  • 1 - Emergency department presentation;
  • 2 - Return visit, planned;
  • 3 - Pre-arranged admission;
  • 4 - Patient in transit.
 Date/Time 8 conditional 1
Non-admitted patient emergency department service episode—triage time, hhmm
Conditional Inclusion:

This data item is to be recorded if the patient has one of the following nonemergency department stay - type of visit to emergency department values reported:

  • 1 - Emergency department presentation;
  • 2 - Return visit, planned;
  • 3 - Pre-arranged admission;
  • 4 - Patient in transit.
 Date/Time 4 conditional 1
Patient—compensable status, code N Number 1 mandatory 1
Person—area of usual residence, geographical location code (ASGC 2011) NNNNN - - mandatory 1
Person—area of usual residence, statistical area level 2 (SA2) code (ASGS 2011) N(9) String 9 mandatory 1
Person: Country of Birth, Code (SACC 2011) NNNN Number 4 mandatory 1
Person: Date of Birth, DDMMYYYY Date/Time 8 mandatory 1
Person—Indigenous status, code N Number 1 mandatory 1
Person—person identifier, XXXXXX[X(14)] - - mandatory 1
Person: Sex, Code N Number 1 mandatory 1

Comments

Comments:

Scope links with other metadata sets

Episodes of care for admitted patients are reported through the Admitted patient care NMDS.

Some previous data element concepts are available in the METeOR glossary. Glossary items are available online through links in the relevant metadata items. In addition, links to the glossary terms that are relevant to this data set specification are listed below.

Activity based funding

Emergency department

Urgency related groups

References


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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Relation Count
As a numerator in an Indicator 0
As a denominator in an Indicator 0
As a disaggregation in an Indicator 0