Feedback is sought for this proposed specification. Please send all submissions to [email protected] by 4 November 2018.

PPHs represent opportunities for improvement, both within health service delivery and within clinical practice. Early intervention, and long-term engagement with patients may not only reduce burden on tertiary services, but also improve health and wellbeing of individuals seeking these services.

This consultation paper was developed in consultation with the Royal Australian College of General Practitioners (RACGP) and the Department of Health. It outlines the process used by the Australian Institute of Health and Welfare (AIHW) to develop a general practice-focused PPH indicator, including relevant definitions and principles, as well as the rationale behind key decisions.

A general practice-focused PPH indicator would have a key role in performance evaluation, and on that basis could eventually be incorporated into the national PPH indicator. It would also be valuable for within-state comparisons over time, as some geographically variable determinants of disease may create unique areas of interest that cannot be captured under the national indicator. Similarly, a general practice-focused PPH indicator may be useful for clinical education and evaluation, particularly for service planning monitoring within local areas.

The AIHW, in collaboration with the RACGP and the Department of Health, will be able to use feedback received from this consultation process to inform further refinement of the general practice-focused PPH indicator.

  • Front matter: Acknowledgments; Abbreviations; Symbols; Summary

1. Background

  • PPH indicators in Australia
  • The National Hospital Morbidity Database
  • Limitations of current national indicator

2. Proposed general practice focused PPH specification

  • Key definitions and processes for consideration
  • A long-term view of preventability
  • Conditions in scope
  • Amendment of vaccine-preventable conditions to principal diagnosis only
  • Exclusion of contiguous hospitalisations
  • Exclusion of people aged 75 and over
  • Exclusion of same day and hospital-in-the home
  • Exclusion of hospitalisations for selected procedures
  • Change to the categorisation and sub-categorisation of conditions

3. Key findings

  • Vaccine-preventable conditions
  • Acute conditions
  • Chronic conditions

4. Future directions

  • Population groups
  • Complexity
  • Linked data
  • Policies, procedures and programs

End matter: Glossary; References; List of figures; List of boxes; Related publications

Appendix A–I: Appendixes A–I (765KB PDF)