Skip to content Learn about the access keys available for Aristotle.Cloud

National Healthcare Agreement: PI 18-Selected potentially preventable hospitalisations, 2014

This item has been superseded by a newer version by one or more Registration Authorities.

Definition

Admissions to hospital that could have potentially been prevented through the provision of appropriate non-hospital health services.

Indicator Summary

Numerator

Number of potentially preventable hospitalisations, divided into three groups and total:

  • vaccine-preventable conditions (e.g. tetanus, measles, mumps, rubella).
  • acute conditions (e.g. ear, nose and throat infections, perforated/bleeding ulcer, pelvic inflammatory disease) (excluding dehydration and gastroenteritis).
  • chronic conditions (e.g. diabetes (principal diagnoses only), asthma, angina, hypertension, congestive heart failure and chronic obstructive pulmonary disease).
  • all potentially preventable hospitalisations.
See more
Denominator
Total population
See more
Computation

Note that the codes below are ICD-10-AM 7th edition.

Table: ICD-10-AM codes used for identifying potentially preventable hospitalisations

Category ICD-10-AM codes
Vaccine-preventable
Influenza and pneumonia J10, J11, J13, J14, J15.3, J15.4, J15.7, J15.9, J16.8, J18.1, J18.8 in any diagnosis field, excludes cases with additional diagnosis of D57 (sickle-cell disorders) and people under 2 months
Other vaccine-preventable conditions A35, A36, A37, …
See more
Disaggregation

2007–08, 2008–09, 2009–10, 2010–11 (resupplied for updated Estimated Resident Population (ERP)) and 2011–12—Nationally (by three groups and total) by:

  • 2011 Socio-Economic Indexes for Areas (SEIFA) Index of Relative Socioeconomic Disadvantage (IRSD) deciles.
  • Sex.

2007-08, 2008-09, 2009-10, 2010-11 (revised), 2011–12—Nationally (by three groups and total), by:

  • Indigenous status by remoteness (Australian Standard Geographical Classification (ASGC) Remoteness Structure).

2007–09, 2008–09, 2009–10, 2010-11 (resupplied for updated ERP) and 2011–12—State and territory (by three groups and total), by:

  • remoteness (Australian Standard Geographical Classification Remoteness …
See more

Calculation rules

Computation Rule
Description

Note that the codes below are ICD-10-AM 7th edition.

Table: ICD-10-AM codes used for identifying potentially preventable hospitalisations

Category ICD-10-AM codes
Vaccine-preventable
Influenza and pneumonia J10, J11, J13, J14, J15.3, J15.4, J15.7, J15.9, J16.8, J18.1, J18.8 in any diagnosis field, excludes cases with additional diagnosis of D57 (sickle-cell disorders) and people under 2 months
Other vaccine-preventable conditions A35, A36, A37, A80, B05, B06, B16.1, B16.9, B18.0, B18.1, B26, G00.0, M01.4 in any diagnosis
Chronic
Asthma J45, J46 as principal diagnosis only
Congestive cardiac failure I50, I11.0, J81 as principal diagnosis only, exclude cases with the following procedure codes 33172-00, 38300-00, 38303-00, 38306-02, 38306-00, 38353-02, 38353-00, 38350-00, 38368-00, 38256-00, 38350-02, 38358-00, 38358-01, 38358-02, 38368-02, 38654-02, 38456-26, 38456-27, 38368-04, 38358-03, 38654-05, 38456-33, 38456-34, 38270-01, 38456-19, 38456-15, 38456-12, 38456-11, 38456-10, 90203-00, 38456-01, 38470-00, 38475-00, 38480-02, 38480-01, 38480-00, 38488-06, 38488-04, 38489-04, 38488-02, 38489-03, 38487-00, 38489-02, 38488-00, 38489-00, 38490-00, 38493-00, 38497-04, 38497-03, 38497-02, 38497-01, 38497-00, 38500-00, 38503-00, 38505-00, 38362-00, 90203-08, 90203-09, 38456-28, 38612-00, 38615-00, 38653-00, 38700-02, 38700-00, 38739-00, 38742-02, 38742-00, 38745-00, 38751-02, 38751-00, 38757-02, 38757-01, 38757-00, 90204-00, 90205-00, 90219-00, 90224-00
Diabetes complications E10-E14.9 as principal diagnoses
COPD J20, J41, J42, J43, J44, J47 as principal diagnosis only, J20 only with additional diagnoses of J41, J42, J43, J44, J47
Angina I20, I24.0, I24.8, I24.9 as principal diagnosis only, exlude cases with procedure codes not in blocks [1820] to [2016]
Iron deficiency anaemia D50.1, D50.8, D50.9 as principal diagnosis only.
Hypertension I10, I11.9 as principal diagnosis only, exclude cases with procedure codes according to the list of procedures excluded from the Congestive cardiac failure category above.
Nutritional deficiencies E40, E41, E42, E43, E55.0, E64.3 as principal diagnosis only.
Rheumatic heart disease I00 to I09 as principal diagnosis only. (Note: includes acute rheumatic fever)
Acute
Pyelonephritis N10, N11, N12, N13.6, N39.0 as principal diagnosis only.
Perforated/bleeding ulcer K25.0, K25.1, K25.2, K25.4, K25.5, K25.6, K26.0, K26.1, K26.2, K26.4, K26.5, K26.6, K27.0, K27.1, K27.2, K27.4, K27.5, K27.6, K28.0, K28.1, K28.2, K28.4, K28.5, K28.6 as principal diagnosis only.
Cellulitis L03, L04, L08, L88, L98.0, L98.3 as principal diagnosis only, exclude cases with any procedure except those in blocks 1820 to 2016 or if procedure is 30316-02, 30676-00, 30223-02, 30064-00, 34528-02, 39127-00, 90661-00 and this is the only listed procedure
Pelvic inflammatory disease N70, N73, N74 as principal diagnosis only.
Ear, nose and throat infections H66, H67, J02, J03, J06, J31.2 as principal diagnosis only.
Dental conditions K02, K03, K04, K05, K06, K08, K09.8, K09.9, K12, K13 as principal diagnosis only.
Appendicitis with generalised peritonitis K35.2, K35.3 in any diagnosis field
Convulsions and epilepsy G40, G41, O15, R56 as principal diagnosis only
Gangrene R02 in any diagnosis field

Rates directly age-standardised to the 2001 Australian population.

Analysis by state and territory, remoteness and SEIFA Index of Relative Socioeconomic Disadvantage (IRSD) is based on usual residence of person.

Presented as a number per 100,000 population.

Numerators

Number of potentially preventable hospitalisations, divided into three groups and total:

  • vaccine-preventable conditions (e.g. tetanus, measles, mumps, rubella).
  • acute conditions (e.g. ear, nose and throat infections, perforated/bleeding ulcer, pelvic inflammatory disease) (excluding dehydration and gastroenteritis).
  • chronic conditions (e.g. diabetes (principal diagnoses only), asthma, angina, hypertension, congestive heart failure and chronic obstructive pulmonary disease).
  • all potentially preventable hospitalisations.
Disaggregation

2007–08, 2008–09, 2009–10, 2010–11 (resupplied for updated Estimated Resident Population (ERP)) and 2011–12—Nationally (by three groups and total) by:

  • 2011 Socio-Economic Indexes for Areas (SEIFA) Index of Relative Socioeconomic Disadvantage (IRSD) deciles.
  • Sex.

2007-08, 2008-09, 2009-10, 2010-11 (revised), 2011–12—Nationally (by three groups and total), by:

  • Indigenous status by remoteness (Australian Standard Geographical Classification (ASGC) Remoteness Structure).

2007–09, 2008–09, 2009–10, 2010-11 (resupplied for updated ERP) and 2011–12—State and territory (by three groups and total), by:

  • remoteness (Australian Standard Geographical Classification Remoteness Structure).
  • 2011 SEIFA IRSD quintiles.

2011–12—State and territory (by three groups and total), by:

  • Indigenous status.

Some disaggregation may result in numbers too small for publication. National disaggregation by Indigenous status will be based on data only from jurisdictions for which the quality of Indigenous identification is considered acceptable.

References


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

Related content

Relation Count
Indicator Sets that include this Indicator 0
Data Sets that are used in this Indicator 0