Non-Urgent Patients waiting more than 365 days for an initial specialist outpatient services
INDICATOR: SIC001, SIC102, SIC103, SIC104
Previous IDs: SSA119
Potentially Preventable Hospitalisations (Rate per 100,000)
• Vaccine-preventable conditions (SIC101)
• Chronic conditions (SIC102)
• Acute conditions (SIC103)
• All potentially preventable hospitalisations (SIC104)
Service Agreement Type Performance Area
Scope All completed admitted inpatient episodes
Goal Reduction of hospital admissions for selected conditions
Desired outcome Improved health and increased independence for people who can be kept well at home, while reducing unnecessary demand on hospital services.
Primary point of collection Patient Medical Record
Data Collection Source/System Hospital PAS systems, Admitted Patient Data Collection Primary data source for analysis Health Information Exchange (HIE) (episode_table_separations) Indicator definition The number of potentially preventable hospitalisations, expressed as a
rate per 100,000, further disaggregated by condition type.
The following are the list of ICD10AM diagnosis codes (applicable for 7th, 8th and 9th editions) that are to be used for the calculation of this service measure. They are relevant to this measure only when they are recorded as the principal diagnosis for an inpatient episode of care.
Note that any code that has a “.x” after it means that it includes all codes that have a fourth or fifth digit subdivision (eg. I20.x will include codes I20.0, I20.8 and I20.9).
Vaccine-preventable conditions (SIC101):
J10.x Influenza due to other identified influenza virus J11.x Influenza, virus not identified
J13 Pneumonia due to Streptococcus pneumoniae J14 Pneumonia due to Haemophilus influenza A08.0 Rotaviral enteritis
A35 Other tetanus A36.x Diphtheria A37.x Whooping cough A80.x Acute poliomyelitis B01.x Varicella [chicken pox]
B05.x Measles
B06.x Rubella [German measles]
B16.1 Acute hepatitis B with delta-agent (coinfection) without hepatic
coma
B16.9 Acute hepatitis B without delta-agent and without hepatic coma B18.0 Chronic viral hepatitis B with delta-agent
B18.1 Chronic viral hepatitis B without delta-agent B26.x Mumps
G00.0 Haemophilus meningitis Chronic conditions (SIC102):
J45.x Asthma
J46 Status asthmaticus I50.x Heart failure
I11.0 hypertensive heart diseased with (congestive) heart failure J81 Pulmonary oedema
E10.0x–E10.9x Type 1 diabetes mellitus E11.0x–E11.9x Type 2 diabetes mellitus E13.0x–E13.9x Other specified diabetes mellitus E14.0x–E14.9x Unspecified diabetes mellitus J20.x Acute bronchitis
J41.x Simple and mucopurulent chronic bronchitis J42 Unspecified chronic bronchitis
J43.x Emphysema
J44.x Other chronic obstructive pulmonary disease J47 Bronchiectasis
I20.x Angina pectoris
I24.0 Coronary thrombosis not resulting in myocardial infarction I24.8 Other forms of acute ischaemic heart disease
I24.9 Acute ischaemic heart disease, unspecified D50.1 Sideropenic dysphagia
D50.8 Other iron deficiency anaemias D50.9 Iron deficiency anaemia, unspecified I10 Essential (primary) hypertension
I11.9 Hypertensive heart disease without (congestive) heart failure E40 Kwashiorkor
E41 Nutritional marasmus E42 Marasmic kwashiorkor
E43 Unspecified severe protein-energy malnutrition E55.0 Rickets, active
E64.3 Sequelae of rickets
I00 Rheumatic fever without mention of heart involvement I01.x Rheumatic fever with heart involvement
I02.x Rheumatic chorea
I05.x Rheumatic mitral valve diseases I06.x Rheumatic aortic valve diseases I07.x Rheumatic tricuspid valve diseases I08.x Multiple valve diseases
N11.x Chronic tubulo-interstitial nephritis
N12 Tubulo-interstitial nephritis, not specified as acute or chronic N13.6 Pyonephrosis
N15.1 Renal and perinephric abscess
N15.9 Renal tubulo-interstitial disease, unspecified N28.9 Disorders of kidney and ureter, unspecified N39.0 Urinary tract infection, site not specified N39.9 Disorder or urinary system, unspecified K25.0 Gastric ulcer, acute with haemorrhage K25.1 Gastric ulcer, acute with perforation
K25.2 Gastric ulcer, acute with both haemorrhage and perforation K25.4 Gastric ulcer, chronic or unspecified with haemorrhage K25.5 Gastric ulcer, chronic or unspecified with perforation
K25.6 Gastric ulcer, chronic or unspecified with both haemorrhage and perforation
K26.0 Duodenal ulcer, acute with haemorrhage K26.1 Duodenal ulcer, acute with perforation
K26.2 Duodenal ulcer, acute with both haemorrhage and perforation K26.4 Duodenal ulcer, chronic or unspecified with haemorrhage K26.5 Duodenal ulcer, chronic or unspecified with perforation K26.6 Duodenal ulcer, chronic or unspecified with both haemorrhage
and perforation
K27.0 Peptic ulcer, site unspecified, acute with haemorrhage K27.1 Peptic ulcer, site unspecified, acute with perforation
K27.2 Peptic ulcer, site unspecified, acute with both haemorrhage and perforation
K27.4 Peptic ulcer, site unspecified, chronic or unspecified with haemorrhage
K27.5 Peptic ulcer, site unspecified, chronic or unspecified with perforation
K27.6 Peptic ulcer, site unspecified, chronic or unspecified with both haemorrhage and perforation
K28.0 Gastrojejunal ulcer, acute with haemorrhage K28.1 Gastrojejunal ulcer, acute with perforation
K28.2 Gastrojejunal ulcer, acute with both haemorrhage and perforation
K28.4 Gastrojejunal ulcer, chronic or unspecified with haemorrhage K28.5 Gastrojejunal ulcer, chronic or unspecified with perforation K28.6 Gastrojejunal ulcer, chronic or unspecified with both
haemorrhage and perforation
L02.x Cutaneous abscess, furuncle and carbuncle L03.x Cellulitis
L04.x Acute lymphadenitis
L08.x Other local infections of skin and subcutaneous tissue L88 Pyoderma gangrenosum
L98.0 Pyogenic granuloma L98.3 Eosinphilic cellulitis [Wells]
N70.x Salpingitis and oophoritis
N73.x Other female pelvic inflammatory diseases
N74.x Female pelvic inflammatory disorders in diseases classified elsewhere
H66.x Suppurative and unspecified otitis media J02.x Acute pharyngitis
J03.x Acute tonsillitis
J06.x Acute upper respiratory infections of multiple and unspecified sites
J31.2 Chronic pharyngitis K02.x Dental caries
K03.x Other diseases of hard tissues of teeth K04.x Diseases of pulp and periapical tissues K05.x Gingivitis and periodontal diseases
K06.x Other disorders of gingiva and edentulous alveolar ridge K08.x Other disorders of teeth and supporting structures K09.8 Other cysts of oral region, not elsewhere classified K09.9 Cyst of oral region, unspecified
K12.x Stomatitis and related lesions
K13.x Other diseases of lip and oral mucosa K14.0 Glossitis
G40.x Epilepsy
G41.x Status epilepticus
R56.x Convulsions, not elsewhere classified O15.x Eclampsia
R02 Gangrene, not elsewhere classified
I70.24 Atherosclerosis of arteries of extremities with gangrene E09.52 Intermediate hyperglycaemia with peripheral angiopathy, with
gangrene Numerator
Numerator definition Total number of completed potentially preventable inpatient episodes in a financial year, further disaggregated by condition type.
Numerator source HIE / Admitted Patient Data Collection Numerator availability Available
Denominator
Denominator definition Total estimated resident population of NSW
Denominator source ABS
Denominator availability
Inclusions See Inclusion and Exclusion rules for Potentially Avoidable Hospitalisations (2015-16)
Exclusions See Inclusion and Exclusion rules for Potentially Avoidable Hospitalisations (2015-16)
Targets
Target N/A
can be prevented by primary health care through vaccination to prevent the conditions from occurring. Hospitalisations for patients presenting with acute pharyngitis can be prevented through timely treatment in primary health care settings using antibiotics, and hospitalisations for diabetes complications can be prevented through appropriate, long-term management of diabetes by primary and community health practitioners.
The above definition excludes conditions that are preventable
predominately through population health interventions, such as those for clean air and water.
Related Policies/ Programs
Useable data available from 2000/01 Frequency of Reporting Monthly
Time lag to available data 2 months to allow for coding to be completed.
Business owners Integrated Care Branch
Contact - Policy Director, Integrated Care Branch
Contact - Data Associate Director, Health System Information and Performance Reporting
Representation
Data type Decimal
Form Number, presented as a rate per 100,000 population
Representational layout NN[NN].N
Minimum size 4
Maximum size 6
Data domain
Date effective 1 July 2015
Related National Indicator National Healthcare Agreement: PI 18-Selected potentially preventable hospitalisations, 2015
Meteor ID: 559032
http://meteor.aihw.gov.au/content/index.phtml/itemId/559032
INDICATOR: SIC105, SIC106