Adequate Arrangements Made by the Hospital for Any Services Needed
Identifying Attributes
Care Settings
Country
Publishing Organisation
Type of Quality Indicator
IOM Quality Dimension
Domain
Defining Attributes
Definition
Percentage of patients who selected the most positive response option to the question: Thinking about when you left the hospital, were adequate arrangements made by the hospital for any services you needed (e.g. equipment, home care, community care, follow-up appointments)?
Numerator
The (weighted) number of survey respondents who selected the most positive response option: Yes, completely.
Denominator
The (weighted) number of survey respondents who selected any of the response options to the question, minus exclusions.
Exclusions
Response: I didn't need any services.
Use of Risk Adjustment
Risk Adjustments
Age and sex.
Stratifications
In 2019-20 hospital was the only stratum. A sensitivity analysis to assess the impact of using post-stratification weights by age group and sex at LHD level showed that the impact on results at LHD level was minimal. Ratio of the maximum to median annual weight and the design effect at the LHD, peer group and NSW levels were reviewed. For the Rural Hospital Adult Admitted Patient Survey 2019–20, the maximum DEFF was 1.3 for LHDs.
Data Attributes
Type of Data Collection
Data Collection Methods
Data collected using the Rural Hospital Adult Admitted Patient Survey from patients aged 18+ years who received either 'acute' or 'rehabilitation care' in hospital and were admitted to small, rural NSW public hospitals that reported data to the Admitted Patient Data Collection tables in the state-wide Health Information Exchange and are located in an inner regional, outer regional, remote or very remote area in NSW with a peer group classification: D: Community hospitals; F3: Multipurpose services; F4: Sub-acute; F6: Rehabilitation. Excluded: patients who died during their hospital admission; patients receiving Acute and Post-Acute Care services; same-day patients who stayed for less than three hours; same-day patients transferred to another hospital; admitted to a psychiatric unit during any hospital stay during the sampling month; treated for maltreatment syndromes; sequelae of intentional self-harm; unspecified event, undetermined intent; suicidal ideation; family history of other mental and behavioural disorders; personal history of self-harm; admitted for same-day haemodialysis. Surveys were sent out three months after the end of their stay. Patients received a paper questionnaire and were given the option to complete the questionnaire online. Replaced the Small and Rural Hospitals Survey.
Frequency of Data Collection
Frequency of Data Collection in Days
Reporting Methods
On Bureau of Health Information Healthcare Observer website; Snapshot report and Supplementary data tables. Reported by NSW, LHD and hospital levels.
Reporting Frequency
Reporting Frequency in Days
Indicator Has Recommended Targets
Source and Reference Attributes
Technical Specifications
Bureau of Health Information. Technical Supplement – Rural Hospital Adult Admitted Patient Survey 2019–20. Sydney (NSW): BHI; 2021. www.bhi.nsw.gov.au/__data/assets/pdffile/0009/653229/BHISnapshotRuralAP2019-20TECH_SUPP.pdf