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Healthy Communities: Potentially preventable hospitalisations in 2013–14 - Report - Key findings: Potentially preventable hospitalisations by condition

Healthy Communities: Potentially preventable hospitalisations in 2013–14

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Key findings: Potentially preventable hospitalisations by condition

Potentially preventable hospitalisations by condition

For the first time, national information at the local level is provided on five of the 22 conditions for which hospitalisation is considered to be potentially preventable. These are:

  • Chronic obstructive pulmonary disease (COPD)
  • Diabetes complications
  • Heart failure
  • Cellulitis
  • Kidney and urinary tract infections (UTIs).

In 2013–14, these five conditions accounted for almost half (47%) of all potentially preventable hospitalisations and almost two-thirds (62%) of bed days for these admissions nationally (Figure 4).

Kidney and UTIs accounted for 12% (70,249) of all potentially preventable hospitalisations, followed by COPD (10%, 62,588), cellulitis (10%, 58,131), heart failure (9%, 53,168) and diabetes complications (7%, 40,829).

Some conditions require patients to be in hospital for longer. Heart failure patients accounted for the highest percentage of bed days for potentially preventable hospitalisations (15% of all potentially preventable hospitalisations, 360,769). This was followed by COPD (15%, 355,328), kidney and UTIs (12%, 272,889), cellulitis (11%, 250,554), and diabetes complications (9%, 222,429) .

Focusing on these five conditions may provide opportunities for PHNs to target efforts where the greatest improvements could be realised, in both reducing the number of hospitalisations for high volume acute conditions such as kidney and UTIs, and reducing the number of days patients spend in hospital for chronic conditions with longer lengths of stay such as heart failure and COPD.

Data for the other 17 conditions are available online at http://www.myhealthycommunities.gov.au

Figure 4: Percentage of potentially preventable hospitalisations* and bed days by condition, Australia, 2013–14

Graph showing the percentage of potentially preventable hospitalisations and bed days, by condition, in Australia during 2013-14.

Conditions
COPD
Diabetes complications
Heart failure
Cellulitis
Kidney and urinary tract infections (UTI)
Other 17 conditions
The following link expands the table data. Show tabular data Hide tabular data
Conditions Potentially preventable hospitalisations Bed days
COPD 10.4 % 15.0 %
Diabetes complications 6.8 % 9.4 %
Heart failure 8.9 % 15.3 %
Cellulitis 9.7 % 10.6 %
Kidney and urinary tract infections (UTI) 11.7 % 11.5 %
Other 52.5 % 38.2 %
Total 600,267 2,363,854

* Calculated as the number of potentially preventable hospitalisations for each condition as a percentage of all potentially preventable hospitalisations.

Calculated as the number of bed days for potentially preventable hospitalisations for each condition as a percentage of all bed days for potentially preventable hospitalisations.

Notes: There are 22 conditions for which a hospitalisation is considered to be potentially preventable.
Hospitalisations from both public and private hospitals are included.
Bed days are the number of days an admitted patient is in hospital. A patient admitted and discharged on the same day is allocated one bed day.
More information and data can be found at http://www.myhealthycommunities.gov.au and in this report’s Technical Supplement.

Sources: National Health Performance Authority analysis of Admitted Patient Care National Minimum Data Set 2013–14, data supplied 24 March 2015, and Australian Bureau of Statistics Estimated Resident Population 30 June 2013.

Table 2: Percentage of potentially preventable (PPH) hospitalisations by condition, by Primary Health Network area, 2013–14

Conditions
COPD
COPD
Diabetes
Diabetes complications
Heart failure
Heart failure
 cellulitis
Cellulitis
Kidney and urinary tract infections
Kidney and urinary tract infections
PHN area Number of PPH copd diabetes complications heart failure cellulitis kidney and urinary tract infections Other 17 conditions
NEW SOUTH WALES
Central & Eastern Sydney 28,566 9.3% 5.8% 9.4% 10.4% 13.1% 52.1%
Hunter New England & Central Coast 32,609 13.5% 7.4% 10.3% 9.1% 11.2% 48.5%
Murrumbidgee 10,193 14.7% 6.6% 10.9% 7.8% 13.4% 46.6%
Nepean Blue Mountains 7,948 12.3% 6.6% 8.5% 7.6% 12.9% 52.1%
North Coast 17,567 14.0% 5.3% 9.3% 10.6% 11.6% 49.3%
Northern Sydney 16,795 7.2% 4.8% 8.5% 14.9% 13.8% 50.8%
South Eastern NSW 15,756 14.4% 7.1% 11.0% 10.9% 10.9% 45.6%
South Western Sydney 21,127 9.9% 6.6% 8.5% 9.3% 11.3% 54.4%
Western NSW 9,682 15.5% 6.5% 9.5% 10.7% 9.8% 48.0%
Western Sydney 20,455 10.4% 6.2% 7.4% 8.7% 11.4% 55.8%
VICTORIA
Eastern Melbourne 32,385 8.4% 6.5% 10.1% 7.8% 10.9% 56.3%
Gippsland 7,496 12.4% 7.4% 10.2% 10.4% 9.7% 49.8%
Western Victoria 16,301 12.0% 7.3% 9.6% 7.9% 9.2% 54.0%
Murray 16,787 14.7% 7.1% 9.8% 9.3% 9.9% 49.3%
North Western Melbourne 33,049 8.5% 7.7% 10.2% 7.1% 10.4% 56.2%
South Eastern Melbourne 36,109 9.8% 6.7% 9.6% 7.9% 12.6% 53.4%
QUEENSLAND
Brisbane North 23,859 9.6% 5.8% 8.5% 11.3% 13.7% 51.2%
Brisbane South 27,620 9.1% 6.1% 8.3% 10.1% 13.5% 53.0%
Central Queensland, Wide Bay, Sunshine Coast 26,883 10.9% 6.2% 8.0% 10.6% 12.8% 51.5%
Darling Downs & West Moreton 16,383 11.4% 7.2% 8.7% 10.1% 11.7% 51.0%
Gold Coast 16,170 9.7% 7.2% 7.4% 10.0% 14.2% 51.5%
Northern Queensland 20,077 9.7% 7.8% 6.6% 15.4% 11.9% 48.6%
Western Queensland 3,006 9.0% 8.3% 7.1% 16.1% 8.4% 51.1%
SOUTH AUSTRALIA
Adelaide 32,696 10.7% 7.2% 9.1% 8.9% 11.7% 52.4%
Country SA 15,922 11.3% 7.8% 8.4% 9.0% 9.7% 53.9%
WESTERN AUSTRALIA
Country WA 16,599 8.8% 7.0% 7.1% 12.3% 10.4% 54.4%
Perth North 23,833 7.2% 7.6% 8.4% 6.5% 12.4% 57.9%
Perth South 21,605 8.7% 7.6% 8.3% 7.8% 12.2% 55.4%
TASMANIA
Tasmania 12,812 12.0% 8.6% 9.2% 9.2% 8.8% 52.1%
NORTHERN TERRITORY
Northern Territory 10,000 8.8% 6.1% 5.1% 13.1% 7.4% 59.5%
AUSTRALIAN CAPITAL TERRITORY
Australian Capital Territory 6,736 9.8% 6.4% 7.7% 9.2% 14.4% 52.4%
Australia 600,267 10.4% 6.8% 8.9% 9.7% 11.7% 52.5%

Notes: There are 22 conditions for which a hospitalisation is considered potentially preventable. In this report, the five most prevalent conditions together contribute almost half of all potentially preventable hospitalisations and almost two-thirds of all bed days.
More information and data can be found at http://www.myhealthycommunities.gov.au and in this report’s Technical Supplement and Glossary.

Sources: National Health Performance Authority analysis of Admitted Patient Care National Minimum Data Set 2013–14, data supplied March 2015; and Australian Bureau of Statistics Estimated Resident Population 30 June 2013.

Download Report (PDF, 38.1 MB)