Inpatient Discharges From Emergency Department Accessible and Rehabilitation Beds by Midday

Identifying Attributes

Care Settings
Rehabilitation Care
Country
Australia
Publishing Organisation
New South Wales Health: Service Agreement Key Performance Indicators
Type of Quality Indicator
Process
IOM Quality Dimension
Efficiency
Domain
Resources

Defining Attributes

Definition

The percentage of overnight admitted patient discharges from emergency department (ED) Accessible and Rehabilitation Beds, in facilities with an ED, that occur before midday.

Numerator

The number of overnight admitted patient discharges where the final bed type is an ED Accessible or a Rehabilitation Bed, in facilities with an Emergency Department, that occur before midday within the reporting period. An ED accessible bed type is one of the following: '01', '33'. '46', '47', '87', '93' A rehabilitation bed type is '02'. Note: Where a patient's last bed type = '76' (Transit Lounge) or '25' (Hospital in the Home), then the bed type immediately prior to this is checked to see if it is an ED Accessible or Rehabilitation bed and included or excluded in the calculation. For patients transferring to Transit Lounge or Hospital in the Home the date/time of the patient departing the ED Accessible or a Rehabilitation Bed is the time used for the calculation.

Denominator

The number of overnight admitted patient discharges where the final bed type is an ED Accessible or a Rehabilitation Bed, in facilities with an Emergency Department, within the reporting period. An ED accessible bed type is one of the following: '01', '33'. '46', '47', '87', '93'. A rehabilitation bed type is '02'. Note: Where a patient's last bed type = '76' (Transit Lounge) or '25' (Hospital in the Home), then the bed type immediately prior to this is checked to see if it is an ED Accessible or Rehabilitation bed and included or excluded in the calculation. For patients transferring to Transit Lounge or Hospital in the Home the date/time of the patient departing the ED Accessible or a Rehabilitation Bed is the time used for the calculation.

Exclusions

Numerator & Denominator: • Discharges from any other bed type. • Facilities that do not possess an emergency department. • Day only separations (patients whose formal admission date and time and formal discharge date and time occur on the same calendar day). • Patients with a Mode of Separation (EDW: Formal Discharge Mode Code) of: o '2' or '02' Discharge Own Risk o '6' or '06' Death with Autopsy o '7' or '07' Death without Autopsy o '10' Discharge on Leave.

Use of Risk Adjustment
No
Risk Adjustments

None

Stratifications

None

Data Attributes

Type of Data Collection
Electronic/paper chart records
Data Collection Methods

Internal System: Hospital PAS systems from Patient Medical Record.

Frequency of Data Collection
Continuous
Frequency of Data Collection in Days
1
Reporting Methods

Internal System.

Reporting Frequency
Daily and weekly
Reporting Frequency in Days
1-7
Indicator Has Recommended Targets
Yes

Source and Reference Attributes

Evidence Source

NSW Health, Australia. Performance against strategies and objectives Accessed August 3, 2023. Available from: www.health.nsw.gov.au/Performance/Documents/service-indicators-measures.pdf.

NSW Health, Australia. KPI and Improvement Measure. Accessed August 3, 2023:[158 p.]. Available from: www.justicehealth.nsw.gov.au/publications/part-a-kpi-data-supplement-2022-23-final-moh-generic-version-3.pdf.

Link to Measurement Tools
Quality Indicator Confirmed to be Part of a Program Used to Monitor Quality and Safety of Care Among Older People at a Population-Level between 2012-2022
Yes
Assessed by the Australian Consortium for Aged Care Collaborators as Generally Containing Good Properties (Importance and Scientific Acceptability)
No
Australian Consortium for Aged Care Endorsed
No
Identified by PHARMA-Care Project
No
Upload Date
12 March 2025