Inpatient Discharges From Emergency Department Accessible and Rehabilitation Beds by Midday
Identifying Attributes
Care Settings
Country
Publishing Organisation
Type of Quality Indicator
IOM Quality Dimension
Domain
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
Risk Adjustments
None
Stratifications
None
Data Attributes
Type of Data Collection
Data Collection Methods
Internal System: Hospital PAS systems from Patient Medical Record.
Frequency of Data Collection
Frequency of Data Collection in Days
Reporting Methods
Internal System.
Reporting Frequency
Reporting Frequency in Days
Indicator Has Recommended Targets
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.