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Discussion of female genital mutilation/cutting data in Australia 

This report discusses existing and potential data sources on female genital mutilation/cutting (FGM/C) in Australia, identifying opportunities to enhance and develop systematically collected data collections. Data from one national data source, the National Hospital Morbidity Database, are presented, showing that 477 hospitalisations with an FGM/C diagnosis were recorded from 2015–16 to 2017–18.

Hospitals at a glance 2017–18 

Australia’s hospitals at a glance 2017–18: Australian hospital statistics provides an overview of information about Australia’s public and private hospitals. More detailed information is available in the Australian hospitals statistics suite of products.

Radiotherapy in Australia 2017–18 

In 2017–18, almost 67,800 courses of radiotherapy were delivered in Australia. 50% of all radiotherapy patients started treatment within 10 days, and 90% within 26 days. For those who needed emergency treatment (1.4% of courses), 96% began treatment within the recommended timeframe—on the same or the next day.

Use of emergency departments for lower urgency care: 2015–16 to 2017–18 

Some presentations to hospital emergency departments that are for lower urgency care may be avoidable through provision of other appropriate health services in the community. Although the use of emergency departments for this type of care has fallen nationally, there is marked variation across areas. For example, rates in regional Primary Health Network (PHN) areas were almost twice as high (159 per 1,000 people) as in metropolitan PHN areas (92 per 1,000 people).

Non-admitted patient care 2017–18: Australian hospital statistics 

Non-admitted patient care 2017–18: Australian hospital statistics includes information on consultations with specialist medical practitioners, provision of diagnostic or other procedures, and care provided by allied health or clinical nurse specialists between 1 July 2017 and 30 June 2018.

Hospital resources 2017–18: Australian hospital statistics 

In 2017–18:

  • There were 693 public hospitals and 657 private hospitals in Australia.
  • The Australian Government provided 41% of public hospital funding and 24% of private hospital funding.
  • Recurrent expenditure on public hospitals was $71 billion, with about 62% of this spent on salaries, wages and superannuation.

Principal Diagnosis data cubes 

The principal diagnosis is defined as the diagnosis established after study to be chiefly responsible for occasioning the patient’s episode of care in hospital. In some cases, the principal diagnosis is described in terms of a treatment for an ongoing condition (for example, same-day care for dialysis).

Admitted patient care 2017–18 

In 2017–18, there were more than 11 million admissions to hospital—6.7 million in public hospitals and 4.5 million in private hospitals.

Between 2013–14 and 2017–18, the total number of hospital separations rose by an average of 3.8% per year from 9.7 million to 11.3 million

Public hospitals provided 92% of emergency admissions and, 41% of elective admissions. A large proportion of admissions to private hospitals were elective (81%).

Between 2013–14 and 2017–18, 3.8% on average each year—by 4.2% for public hospitals and by 3.3% for private hospitals.

Procedures data cubes 

A procedure is defined as a clinical intervention that is surgical in nature, carries a procedural risk, carries an anaesthetic risk, requires specialised training, and/or requires special facilities or equipment only available in an acute care setting. Procedures therefore encompass surgical procedures and also non-surgical investigative and therapeutic procedures.

Australian refined diagnosis-related groups (AR-DRG) data cubes 

Australian Refined Diagnosis Related Groups (AR-DRGs) is an Australian admitted patient classification system which provides a clinically meaningful way of relating the number and type of patients treated in a hospital (known as hospital casemix) to the resources required by the hospital. Each AR-DRG represents a class of patients with similar clinical conditions requiring similar hospital services.

MyHospitals: Healthcare-associated Staphylococcus aureus bloodstream infections in public and private hospitals in 2017–18 

This MyHospitals web update presents information on healthcare-associated Staphylococcus aureus bloodstream infections for 677 public hospitals and 157 private hospitals in Australia in 2017–18. Data are presented for total cases, methicillin-resistant Staphylococcus aureus (MRSA) and methicillin-sensitive Staphylococcus aureus (MSSA).

Interactive web tools are provided to allow comparisons of public hospitals against other similar hospitals.

Bloodstream infections associated with hospital care 2017–18: Australian hospital statistics 

Staphylococcus aureus bloodstream infections (SAB also called S. aureus, or ‘golden staph’) associated with healthcare can be serious, particularly when they are resistant to common antimicrobials.

In 2017–18, all states and territories had public hospital SAB rates below the national benchmark of 2.0 cases per 10,000 patient days.

Between 2013–14 and 2015–16, the SAB rate decreased from 0.89 to 0.74 cases per 10,000 patient days. It has remained around this level since (0.76 in 2016–17 and 0.73 in 2017–18).

Towards estimating the prevalence of female genital mutilation/cutting in Australia 

The World Health Organization estimates that female genital mutilation/cutting (FGM/C) affects over 200 million women and girls across the world. This report provides an indication of the potential number of women and girls living in Australia who may have undergone FGM/C. The numbers presented are modelled estimates only, calculated by combining international household survey data with Australian population estimates.

Potentially preventable hospitalisations in Australia by small geographic areas 

This report provides information on 22 conditions for which hospitalisation may have been prevented by timely and appropriate provision of primary or community-based health care by Primary Health Network (PHN) and Statistical Area Level 3 (SA3). These include chronic, acute and vaccine-preventable conditions. Rates for two age groups (for people aged under 65 years, and 65 years and over) are also included.

Drug related hospitalisations 

Information on hospitalisations is taken from the National Hospital Morbidity Database (NHMD).

In 2016-17 there were about 11.0 million separations (episodes of admitted patient care) in Australia’s public and private hospitals.

137,000 hospital separations with a drug-related principal diagnosis were reported in 2016–17, representing 1.2% of all hospital separations, and Alcohol accounted for 51% of all drug-related hospital separations.

Transition between hospital and community care for patients with coronary heart disease: New South Wales and Victoria 2012–2015 

This report examined the health services used by more than 37,300 people with coronary heart disease (CHD) who were discharged from a public hospital in New South Wales or Victoria between April 2012 and June 2013. The report analysed linked de-identified hospitalisation data to Medicare Benefits Schedule data and National Death Index data.

The report shows that the vast majority of CHD patients visited their General Practitioner (GP) within 30 days of being discharged from hospital and that they had, on average, 1 or 2 visits per month during a two year follow-up timeframe. Timely and regular contact with a GP were associated with lower risk of having an emergency re-admission to hospital for cardiovascular disease.

Elective surgery waiting times 2017–18: Australian hospital statistics 

Elective surgery waiting times 2017–18: Australian hospital statistics focuses on information about public hospital elective surgery waiting lists between. It presents information on overall activity, what elective surgery was provided and how long people waited for elective surgery.

web report was published on 1 March 2019 containing additional material:

  • Excel data tables
  • Interactive data visualisation.

Emergency department care 2017–18: Australian hospital statistics 

Emergency department care 2017–18: Australian hospital statistics presents information on care provided in public hospital emergency departments between 1 July 2017 and 30 June 2018. It includes information on overall activity, nationally agreed performance indicators on waiting times for care, time spent in the ED, and other waiting times statistics. It also includes comparative information for the previous 4 reporting periods.

A web report was published on 1 March 2019 containing additional material:

  • Excel data tables
  • Interactive data visualisation.

MyHospitals: Waiting times for elective surgery in 2017–18 

This MyHospitals web update presents information on elective surgery waiting times by urgency category for 261 Australian public hospitals in 2017–18. Information on waiting times is also available by the specialty of surgeons performing elective surgery and for selected procedures.

MyHospitals: Time spent in emergency departments in 2017–18 

This MyHospitals web update presents emergency department information for 286 Australian public hospitals in 2017–18. Results include emergency department waiting times and the percentage of patients leaving the emergency department within four hours. The accompanying interactive data tool can be used to see how public hospitals compare against other similar hospitals for a range of measures, including waiting times and the percentage of patients departing emergency departments within four hours.