Data submission
The Australian Institute of Health and Welfare (AIHW) has co-ordinated provision of data to the OECD’s HCQO project since 2011. Tables 1.1–1.6 list the HCQO indicators requested for the 2022–23 data collection, indicates whether data for Australia were available and provided and, if so, outlines the data sources and the latest data reference period for the data reported to the OECD. The tables also indicate the name used in this publication to refer to the OECD indicators.
All data tables submitted to the OECD for this collection were prepared by the AIHW, except for 4 patient experiences indicators which were calculated by the Australian Bureau of Statistics. Data for all these indicators are presented in this report. However, the OECD also sourced data for 3 additional patient experience indicators from other sources. Data for these indicators are not presented in this report.
The OECD provide guidelines for all indicators requested, however, the diverse data collection processes and contexts within which data are captured among countries mean that caution is needed when interpreting findings and making cross-country comparisons. This should be considered when interpreting the data presented.
It should also be noted that:
- The OECD request the data for calendar years, but not all the data are available in that format, and some of the data are compiled on a financial year basis (that is, July–June).
- There can be slight differences in terminology used in the OECD guidelines for the collection, which may carry slightly different meanings in participating countries. For example, the OECD guidelines request some data relating to ‘inpatient’ care and define this term as a formal admission that is expected to constitute an overnight stay. In Australia, this is interpreted to refer to all ‘admitted’ patient episodes of care, which can include same-day admissions. To maintain consistency with other hospital data reporting, this report uses the term 'admitted’ patient care instead of inpatient’ care. Further variations are outlined under each impacted indicator.
| Acute care HCQO indicator requested | Indicator name used in this report | Data source | Latest data reported to OECD (year) (a) |
|---|---|---|---|
| Patient-based AMI 30-day (in-hospital and out of hospital) mortality – using linked data | . . | . . | . . |
| Admission-based AMI 30 day in-hospital mortality – using unlinked data | AMI in-hospital mortality rate | AIHW NHMD | 2020–21 |
| Patient-based haemorrhagic stroke 30-day (in-hospital and out of hospital) mortality – using linked data | . . | . . | . . |
| Admission-based haemorrhagic stroke 30 day in-hospital mortality – using unlinked data | Haemorrhagic stroke in-hospital mortality rate | AIHW NHMD | 2020–21 |
| Patient-based ischaemic stroke 30-day (in-hospital and out of hospital) mortality – using linked data | . . | . . | . . |
| Admission-based ischaemic stroke 30 day in-hospital mortality – using unlinked data | Ischaemic stroke in-hospital mortality rate | AIHW NHMD | 2020–21 |
| Hip fracture surgery initiated within 2 calendar days after admission to the hospital | . . | . . | . . |
(a) OECD requested data in calendar years. Data provided by the AIHW is in financial year periods.
Mental health PREMs HCQO indicator requested | Indicator name used in this report | Data source | Latest data reported to OECD (year) (a) |
|---|---|---|---|
Care providers treating mental health service users with courtesy and respect (inpatient care) | Care providers treating mental health service users with courtesy and respect (admitted patient) | YES survey Database | 2020–21 |
Care providers treating mental health service users with courtesy and respect (community-based care) | Care providers treating mental health service users with courtesy and respect (community-based care) | YES survey Database | 2020–21 |
Care providers spending enough time with mental health service users (inpatient care) | . . | . . | . . |
Care providers spending enough time with mental health service users (community-based care) | . . | . . | . . |
Care providers providing easy-to-understand explanations to mental health service users (inpatient care) | Care providers providing easy-to-understand explanations to mental health service users (admitted patient) | YES survey Database | 2020–21 |
Care providers providing easy-to-understand explanations to mental health service users (community-based care) | Care providers providing easy-to-understand explanations to mental health service users (community-based care) | YES survey Database | 2020–21 |
Care providers involving mental health service users in decisions about care and treatment (inpatient care) | Care providers involving mental health service users in decisions about care and treatment (admitted patient) | YES survey Database | 2020–21 |
| Care providers involving mental health service users in decisions about care and treatment (community-based care) | Care providers involving mental health service users in decisions about care and treatment (community-based care) | YES survey Database | 2020–21 |
(a) OECD requested data in calendar years. Data provided by the AIHW is in financial year periods.
Patient experiences HCQO indicator requested | Indicator name used in this report | Data source | Latest data reported to OECD (period)(a) |
|---|---|---|---|
Consultation skipped due to costs | Consultation skipped due to costs | ABS Patient Experience Survey | 2021–22 |
Medical tests, treatment or follow-up skipped due to costs | Medical tests skipped due to costs | ABS Patient Experience Survey | 2020–21 |
Prescribed medicines skipped due to costs | Prescribed medicines skipped due to costs | ABS Patient Experience Survey | 2021–22 |
Doctor spending enough time with patients during the consultation | Patient having enough time with doctor | ABS Patient Experience Survey | 2021–22 |
Doctor treating patient with courtesy and respect (b) | . . | . . | . . |
Regular doctor spending enough time with patients during the consultation(c) | . . | . . | . . |
Regular doctor providing easy-to-understand explanations(c) | . . | . . | . . |
Regular doctor involving patients in decisions about care or treatment(c) | . . | . . | . . |
Doctor providing easy-to-understand explanations | . . | . . | . . |
Doctor giving opportunity to ask questions or raise concerns | . . | . . | . . |
Regular doctor giving opportunity to ask questions or raise concerns | . . | . . | . . |
Doctor involving patients in decisions about care or treatment | . . | . . | . . |
Regular doctor treating patient with courtesy and respect | . . | . . | . . |
- OECD requested data in calendar years. Data provided by the AIHW is in financial year periods
- Data provided but was not published on the OECD.Stat
- Data published for Australia on OECD.Stat, but the data source is unclear.
Patient safety HCQO indicator requested | Indicator name used in this report | Data source | Latest data reported to OECD (year)(a) |
|---|---|---|---|
Retained surgical item or unretrieved device fragment using unlinked data | Retained surgical item or unretrieved device fragment using unlinked data | AIHW NHMD | 2020–21 |
Retained surgical item or unretrieved device fragment using linked data | . . | . . | . . |
Postoperative pulmonary embolism - hip and knee replacement hospitalisations using unlinked data | Postoperative pulmonary embolism - hip and knee replacement hospitalisations using unlinked data | AIHW NHMD | 2020–21 |
Postoperative pulmonary embolism – hip and knee replacement hospitalisations using linked data | . . | . . | . . |
Postoperative deep vein thrombosis – hip and knee replacement hospitalisations using unlinked data | Postoperative deep vein thrombosis - hip and knee replacement hospitalisations using unlinked data | AIHW NHMD | 2020–21 |
Postoperative deep vein thrombosis – hip and knee replacement hospitalisations using linked data | . . | . . | . . |
Postoperative sepsis – abdominal hospitalisations using unlinked data | Postoperative sepsis - abdominal hospitalisations using unlinked data | AIHW NHMD | 2020–21 |
Postoperative sepsis – abdominal hospitalisations using linked data | . . | . . | . . |
Obstetric trauma vaginal delivery with instrument | Obstetric trauma vaginal delivery with instrument | AIHW NHMD | 2020–21 |
Obstetric trauma vaginal delivery without instrument | Obstetric trauma vaginal delivery without instrument | AIHW NHMD | 2020–21 |
(a) OECD requested data in calendar years. Data provided by the AIHW is in financial year periods.
Prescribing in primary care HCQO requested | Indicator name used in this report | Data source | Latest data reported to OECD (year) (a) |
|---|---|---|---|
Adequate use of cholesterol lowering treatment in people with diabetes (DDDs/Days) | People with diabetes with at least one prescription of cholesterol lowering medication | PBS | 2022 |
First choice antihypertensives for people with diabetes (DDDs/Days) | People with diabetes with prescription of first choice antihypertensive medication | PBS | 2022 |
Long-term use of benzodiazepines and related drugs in ≥65 years of age (≥365 DDDs/Days per year) | Long-term benzodiazepine use among older adults | PBS | 2022 |
Use of long-acting benzodiazepines in ≥65 years of age | Long-acting benzodiazepine use among older adults | PBS | 2022 |
Proportion of people 65 and over prescribed antipsychotics | Proportion of older adults prescribed antipsychotics | PBS | 2022 |
Proportion of 75 years and over who are taking more than 5 medications concurrently | Polypharmacy among people aged 75 and over | PBS | 2022 |
Any anticoagulating drug in combination with an oral NSAID | Long-term prescription of any anticoagulating drug in combination with an oral nonsteroidal anti-inflammatory drug (NSAID) | PBS | 2022 |
Overall volume of antibiotics for systemic use prescribed (DDDs) | Total volume of antibiotics for systemic use | PBS | 2022 |
Volume of cephalosporines and quinolones as a proportion of all systemic antibiotics prescribed (DDDs) | Volume of second line antibiotics as a share of total volume | PBS | 2022 |
Overall volume of opioids prescribed | Overall volume of opioids prescribed | PBS | 2022 |
Proportion of the population who are chronic opioid users | Proportion of the population who are chronic opioid users | PBS | 2022 |
(a) OECD requested data in calendar years. Data provided by the AIHW is in financial year periods.
Primary care HCQO requested | Indicator name used in this report | Data source | Latest data reported to OECD (year) (a) |
|---|---|---|---|
Asthma hospital admission | Asthma hospital admission rate | AIHW NHMD | 2020–21 |
Chronic obstructive pulmonary disease (COPD) hospital admission | COPD hospital admission rate | AIHW NHMD | 2020–21 |
Congestive heart failure (CHF) hospital admission | CHF hospital admission rate | AIHW NHMD | 2020–21 |
Hypertension hospital admission | Hypertension hospital admission rate | AIHW NHMD | 2020–21 |
Diabetes hospital admission | Diabetes hospital admission rate | AIHW NHMD | 2020–21 |
Admission-based diabetes lower extremity amputation using unlinked data | Diabetes lower extremity amputation rate | AIHW NHMD | 2020–21 |
Patient-based diabetes lower extremity amputation using linked data | . . | . . | . . |
(a) OECD requested data in calendar years. Data provided by the AIHW is in financial year periods.
The OECD requested data for three additional indicator sets relating to integrated care, mental health care and end of life care, but Australia did not provide data for those indicator modules.