National Partnership Agreement on Improving Public Hospital Services: National Elective Surgery Target (Part 2)
Indicator Attributes
Identifying and definitional attributes | |
Metadata item type: | Indicator |
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Indicator type: | Indicator |
Short name: | National Elective Surgery Target (NEST) Part 2 |
METEOR identifier: | 489708 |
Registration status: | Health!, Standard 21/11/2013 |
Description: | The average overdue wait time (in days) for those who are still waiting for their elective surgery and are ready for care, and have waited beyond the recommended time. |
Indicator set: |
Collection and usage attributes | |
Computation description: | Elective surgery is as defined in the Elective surgery waiting times (removals and census) NMDSs. Waiting time is as defined in Waiting time at a census date. It is calculated by jurisdictions by subtracting the Listing date for care from the Census date, minus any days when the patient was 'not ready for care', and also minus any days the patient was waiting with a less urgent clinical urgency category than their clinical urgency category at the census date. Overdue wait times are calculated using data from the Elective surgery waiting times (census) NMDS for patients who are ready for care, have waited beyond the clinically recommended time, and are still waiting at the census date. Overdue wait times is as defined in Overdue patient. A patient is classified as overdue if ready for care and waiting time at a census date is longer than 30 days for patients in Clinical urgency category 1, 90 days for patients in clinical urgency category 2, or 365 days for patients in clinical urgency category 3. Analysis by state and territory is based on location of service. Presented as days. |
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Computation: | Numerator ÷ Denominator (in each urgency category) |
Numerator: | Total number of overdue days in the urgency category at the census date |
Numerator data elements: | |
Denominator: | Total number of overdue patients in the urgency category at the census date |
Denominator data elements: | |
Disaggregation: | By state/territory |
Disaggregation data elements: | |
Comments: | The scope of the indicator is all hospitals providing data under Schedule A of the National Partnership Agreement on Improving Public Hospital Services (NPA IPHS). Performance by states and territories for the purposes of the NPA IPHS will be measured against the schedule of improvement agreed in Table A8 in Schedule A. As per clause A26(c) of the NPA IPHS, jurisdictions must ensure in each calendar year that the 10 per cent of overdue patients who have waited the longest in each urgency category must have their surgery, or appropriate alternative treatment options identified (clause A38(c) of the NPA IPHS). The 10 per cent of overdue patients who have waited the longest are known as the 'tail'. The agreed process for calculating the 'tail' is described below, but does not form part of the NEST Part 2 indicator for reporting purposes: National Elective Surgery Target (NEST) - Calculating overdue patients with the longest waits |
Representational attributes | |
Representation class: | Mean (average) |
Data type: | Real |
Unit of measure: | Time (e.g. days, hours) |
Format: | N[NN] |
Data source attributes | |
Data sources: | |
Accountability attributes | |
Reporting requirements: | National Partnership Agreement on Improving Public Hospital Services |
Organisation responsible for providing data: | Australian Institute of Health and Welfare; Department of Health and Ageing |
Source and reference attributes | |
Reference documents: | Standing Council on Federal Financial Relations. National Partnership Agreement on Improving Public Hospital Services. Standing Council on Federal Financial Relations, Canberra. Viewed 15 February 2013, |
Relational attributes | |
Related metadata references: | See also Elective surgery waiting times (census data) NMDS 2012-13 Health!, Superseded 02/05/2013 See also Elective surgery waiting times (census data) NMDS 2013-15 Health!, Superseded 12/06/2015 See also Elective surgery waiting times (census data) NMDS 2015-16 Health!, Superseded 19/11/2015 See also Elective surgery waiting times (census data) NMDS 2016-17 Health!, Superseded 29/06/2016 See also Elective surgery waiting times (removals data) NMDS 2012-13 Health!, Superseded 02/05/2013 See also Elective surgery waiting times (removals data) NMDS 2013-15 Health!, Superseded 12/06/2015 See also Elective surgery waiting times (removals data) NMDS 2015-16 Health!, Superseded 19/11/2015 See also Elective surgery waiting times (removals data) NMDS 2016-17 Health!, Superseded 29/06/2016 See also National Partnership Agreement on Improving Public Hospital Services: National Elective Surgery Target (Part 1) Health!, Standard 21/11/2013 |