Private Health Facilities Act 1999
ADVERSE OUTCOME DATA
Effective as from 1 October 2011
June 2013
To: Private Health Regulation, Chief Health Officer Branch, PO Box 2368,FORTITUDE VALLEY BC QLD 4006
Email [email protected]
Phone: 07 3328 9051 Fax 07 332 89054
Adverse Outcome Data
The Private Health Facilities Act 1999 s (144) requires licensees of private health facilities to submit reports
to the Chief Health Officer.
The purposes of these reports is to:



Monitor the quality of health services provided at private health facilities;
Enable the State to give information to the Commonwealth or another State under agreements prescribed
under section 147 of the Act; and
Monitor the general state of health of the public having regard to the types and numbers of health services
provided at the facilities.
The following reports are required to be provided by all private health facilities:

Patient identification and diagnosis data
The submission of this data is required for the purpose of the Queensland Hospital
Admitted Patient Data Collection administered by Department of Health. This type
of data is currently collected from all public hospitals and licensed private health
facilities in Queensland. These reports must be given within 35 days after the end
of each calendar month.

Adverse outcome data.
The collection of 6 monthly adverse outcome data from each licensed private
health facility is intended to identify specific aspects of the health service
provision that may require examination or closer monitoring. The adverse
outcome data collection is not intended as a method of benchmarking the quality
of health services from one facility to another. These reports must be given within
35 days after the end of each 6 monthly period.
Any information provided will be treated as "Commercial in Confidence".
Address:
Private Health Regulation Team
Chief Health Officer Branch
Level 1, 15 Butterfield Street
HERSTON QLD 4006
Postal Address: PO Box 2368, FORTITUDE VALLEY BC QLD 4006
Contact:
Private Health Regulation Team
Chief Health Officer Branch
Ph:
(07) 332 89051
Fax: (07) 332 89054
Email: [email protected]
To: Private Health Regulation, Chief Health Officer Branch, PO Box 2368,FORTITUDE VALLEY BC QLD 4006
Email [email protected]
Phone: 07 3328 9051 Fax 07 332 89054
Collection Periods: 1 July to 31st December & 1st January to 30 June
Data to be submitted on 12th February & 18th August respectively
Form No 0113
Licensed Private Hospital
Facility Wide Adverse Outcomes
Denominator: Total number of admissions
INDICATOR 1: ADVERSE CLINICAL OUTCOME
A. Patient deaths
The total number of patient deaths which were a health care related
Numerator:
death in accordance with section 8 (3) of the Coroners Act 2003.
B. Haemolytic blood transfusion reaction resulting from ABO incompatibility
The total number of admitted patients who had a haemolytic blood
Numerator:
transfusion reaction resulting from ABO incompatibility.
C. Medication incidents
The total medication incidents/errors which has lead to further
Numerator:
intervention e.g. titration of insulin doses, increased monitoring of
signs and symptoms, temporary disability or permanent disability
D. Procedures involving the wrong patient or body part
The number of procedures performed which involved the wrong
Numerator:
patient or body part
E. Procedures performed to remove items.
The number of procedures performed to remove a retained
Numerator:
surgical instrument or other foreign object left in a patient's body
during previous surgery
INDICATOR 2: TRANSFER TO ANOTHER HOSPITAL
A. Number of patients transferred to another hospital
The number of admitted patients who were transferred to another
Numerator:
public or private hospital because of an emergency.
Comments:
To: Private Health Regulation, Chief Health Officer Branch, PO Box 2368,FORTITUDE VALLEY BC QLD 4006
Email [email protected]
Phone: 07 3328 9051 Fax 07 332 89054
Collection Periods: 1 July to 31st December & 1st January to 30 June
Data to be submitted on 12th February & 18th August respectively
Form No 0713
Licensed Private Hospital
Catheterisation Laboratory Unit Adverse Outcomes
Denominator: 1. Total number patient admissions to Catheterisation Laboratory
2. Total number of patient admissions for Angiogram
3. Total number of patient admissions for Percutaneous Cardiac
Intervention (PCI) with or without stenting
4. Total number of patient admissions for Vascular Catheterisation
5. Total number of patient admissions for insertion of pacemakers
and or an implantable cardioverter defibrillator (ICD)
6. Total number of patient admissions for other procedures in the
catheterisation laboratory e.g. EPS, FFR.
INDICATOR 1: ADVERSE CLINICAL OUTCOME
A. Patient deaths
The total number of catheterisation laboratory patient deaths which
Numerator:
were a health care related death in accordance with section 8 (3) of
the Coroners Act 2003.
INDICATOR 2: TRANSFER TO ANOTHER HOSPITAL
A. Number of patients transferred to another hospital
The number of admitted catheterisation laboratory patients who were
Numerator:
transferred to another public or private hospital because of an
emergency.
Comments:
To: Private Health Regulation, Chief Health Officer Branch, PO Box 2368,FORTITUDE VALLEY BC QLD 4006
Email [email protected]
Phone: 07 3328 9051 Fax 07 332 89054
Collection Periods: 1 July to 31st December & 1st January to 30 June
Data to be submitted on 12th February & 18th August respectively
Form No 0113
Licensed Private Hospital
Cardiac Surgery Adverse Outcomes
Denominator: Total number of Cardiac Surgery admissions
INDICATOR 1: ADVERSE CLINICAL OUTCOME
A. Patient deaths
Numerator:
The total number of cardiac surgery patient deaths which were a
health care related death in accordance with section 8 (3) of the
Coroners Act 2003.
Comments:
To: Private Health Regulation, Chief Health Officer Branch, PO Box 2368,FORTITUDE VALLEY BC QLD 4006
Email [email protected]
Phone: 07 3328 9051 Fax 07 332 89054
Collection Periods: 1 July to 31st December & 1st January to 30 June
Data to be submitted on 12th February & 18th August respectively
Form No 0113
Licensed Private Hospital
Intensive Care Adverse Outcomes
Denomi
nator:
Total number of intensive care admissions
INDICATOR 1: ADVERSE CLINICAL OUTCOME
A. Patient deaths
Numera
tor:
The total number of intensive care patient deaths which were
a health care related death in accordance with section 8 (3) of
the Coroners Act 2003.
INDICATOR 2: TRANSFER TO ANOTHER HOSPITAL
A. Number of patients transferred to another hospital
Numera
tor:
The number of intensive care patients who were transferred
to another public or private hospital because of an emergency.
Comments:
To: Private Health Regulation, Chief Health Officer Branch, PO Box 2368, FORTITUDE VALLEY BC QLD 4006
Email [email protected]
Phone 07 3328 9051 Fax 07 3328 9054
Collection Periods: 1 July to 31st December & 1st January to 30 June
Data to be submitted on 12th February & 18th August respectively
Form No 0113
Licensed Private Hospital
Maternity Adverse Outcomes
Denominator: Total number of Maternity admissions
INDICATOR 1: ADVERSE CLINICAL OUTCOME
A. Patient deaths
The total number of maternity patient deaths which were a health
Numerator:
care related death in accordance with section 8 (3) of the Coroners
Act 2003.
B. Number of neonates who received incorrect breast milk
The total number of neonates who were feed incorrect breast
Numerator:
milk.
INDICATOR 2: TRANSFER TO ANOTHER HOSPITAL
A. Number of patients transferred to another hospital
Numerator:
The number of maternity patients who were transferred to another
public or private hospital because of an emergency.
Comments:
To: Private Health Regulation, Chief Health Officer Branch, PO Box 2368, FORTITUDE VALLEY BC QLD 4006
Email [email protected]
Phone 07 3328 9051 Fax 07 3328 9054
Collection Periods: 1 July to 31st December & 1st January to 30 June
Data to be submitted on 12th February & 18th August respectively
Form No 0113
Licensed Private Hospital
Mental Health Adverse Outcomes
Denominator: 1. Total number of mental health day patient / inpatient
admissions
2. Total number of admitted patients undergoing ECT treatment.
3. The total number of admitted patients having seclusion.
4. The total number of involuntary admitted patients.
INDICATOR 1: ADVERSE CLINICAL OUTCOME
A. Patient deaths
The total number of patient deaths which were a health care related
Numerator:
death in accordance with section 8 (3) of the Coroners Act 2003.
B. Electro Convulsive Therapy
1 . The total number of ECT procedures performed.
Numerator:
2. The total number of admitted patients who experienced major
medical complications while undergoing ECT.
C. Major Critical Incidents
The total number of admitted patients who during their admission
Numerator:
either attempted suicide, assaulted another person, significantly
self-mutilated and/or suffered significant other injuries
INDICATOR 2: TRANSFER TO ANOTHER HOSPITAL
A. Number of patients transferred to another hospital
1. a higher level of health service was required i.e. involuntary
Numerator:
assessment / treatment.
2. of a major critical incident
Comments:
To: Private Health Regulation, Chief Health Officer Branch, PO Box 2368, FORTITUDE VALLEY BC QLD 4006
Email [email protected]
Phone 07 3328 9051 Fax 07 3328 9054
Collection Periods: 1 July to 31st December & 1st January to 30 June
Data to be submitted on 12th February & 18th August respectively
Form No 0113
Licensed Private Hospital
Mental Health Level 3 Adverse Outcomes
Denominator: 1. Total number of mental health patient admissions
INDICATOR 1: ADVERSE CLINICAL OUTCOME
A. Patient deaths
The total number of mental health patient deaths which were a health
Numerator:
care related death in accordance with section 8 (3) of the Coroners
Act 2003.
B. Medical / Surgical Complications
The total number of mental health patients who experienced
Numerator:
major medical / surgical complications while undergoing
psychosurgery.
C. Harm or Permanent Loss of Function
The total number of patients who suffered harm or permanent loss
Numerator:
of function which was not an expected outcome of the
psychosurgery procedure.
D. Major Critical Incidents
The total number of admitted mental health patients who during their
Numerator:
admission for psychosurgery either attempted suicide, assaulted
another person, significantly self-mutilated and/or suffered
significant other injuries
Comments:
To: Private Health Regulation, Chief Health Officer Branch, PO Box 2368, FORTITUDE VALLEY BC QLD 4006
Email [email protected]
Phone 07 3328 9051 Fax 07 3328 9054
Collection Periods: 1 July to 31st December & 1st January to 30 June
Data to be submitted on 12th February & 18th August respectively
Form No 0113
Licensed Private Hospital
Neonatal Services – Neonatal Intensive Care Unit Adverse Outcomes
Denominator:
Total number of neonates admitted to the neonatal intensive care unit
(NICU – CSCF level 6).
INDICATOR 1: ADVERSE CLINICAL OUTCOME
A. Neonatal deaths
The total number of neonatal deaths which have occurred in
Numerator:
the neonatal intensive care unit.
Comments:
To: Private Health Regulation, Chief Health Officer Branch, PO Box 2368, FORTITUDE VALLEY BC QLD 4006
Email [email protected]
Phone 07 3328 9051 Fax 07 3328 9054
Collection Periods: 1 July to 31st December & 1st January to 30 June
Data to be submitted on 12th February & 18th August respectively
Form No
0113
Licensed Private Hospital
Neonatal Services - Special Care Nursery Adverse Outcomes
Denominator:
Total number of neonates admitted to the neonatal special care nursery
(SCN).
INDICATOR 1: ADVERSE CLINICAL OUTCOME
A. Neonatal deaths
The total number of special care neonatal deaths which have occurred in the
Numerator:
neonatal special care nursery (SCN).
INDICATOR 2: TRANSFER TO ANOTHER HOSPITAL
A. Number of neonates transferred to another hospital for neonatal intensive care
The total number of admitted special care nursery neonates who were
Numerator:
transferred to another health care facility which provides a neonatal
intensive care unit (NICU – CSCF level 6)
Comments:
To: Private Health Regulation, Chief Health Office Branchr, PO Box 2368,FORTITUDE VALLEY BC QLD 4006
Email [email protected]
Phone: 07 332 89051 Fax 07 332 89054
Collection Periods: 1 July to 31st December & 1st January to 30 June
Data to be submitted on 12th February & 18th August respectively
Form No 0113
Licensed Day Hospital
Adverse Outcomes
Denominator: Total number of patient admissions
Total number of procedural/surgical patient admissions
Total number of medical patient admissions
INDICATOR 1: ADVERSE CLINICAL OUTCOME
A. Patient deaths
The total number of patient deaths which were a health care related
Numerator:
death in accordance with section 8 (3) of the Coroners Act 2003
B. Haemolytic blood transfusion reaction resulting from ABO incompatibility
The total number of admitted patients who had a haemolytic blood
Numerator:
transfusion reaction resulting from ABO incompatibility.
C. Medication incidents
The total medication incidents/errors which has lead to further
Numerator:
intervention e.g. titration of insulin doses, increased monitoring of
signs and symptoms, temporary disability or permanent disability
D. Procedures involving the wrong patient or body part
The number of procedures performed which involved the wrong
Numerator:
patient or body part
E. Procedures performed to remove items.
The number of procedures performed to remove a retained
Numerator:
surgical instrument or other foreign object left in a patient's body
during surgery
INDICATOR 2: TRANSFER TO ANOTHER HOSPITAL
A. Number of patients transferred to another hospital
Numerator:
The number of admitted patients who were transferred to another public or private
hospital because of:
1. an emergency
2. overnight hospitalization was required
Comments:
To: Private Health Regulation, Chief Health Officer Branch, PO Box 2368,FORTITUDE VALLEY BC QLD 4006
Email [email protected]
Phone: 07 332 89051 Fax 07 332 89054