[WWW - 2023.07.31]

Data Element Detail

Episode of admitted patient care-criteria led discharge
Identifying and Definitional Attributes
QH 041713 v1
Data Element
Data Element
Draft
12-Jun-2014		Current
04-Aug-2014
Standard
01-Jan-2014
The separation of patients by nursing, allied health and junior medical staff who have the necessary knowledge, skills and competencies to review patients and initiate separation from an episode of admitted patient care.
Admitted patient care
Criteria led discharge
CLD; Discharge Type (HBCIS)
Representational Attributes
Numeric Character
Code
N(2)
2
2
Permissible Values

Permissible_values

CodeDescription
01NOT CLD - Authorised (Admitting) Practitioner
02Junior Doctor - CLD
03Nurse - CLD
04Midwife - CLD
05Nurse Practitioner - CLD
06Physiotherapist - CLD
07Occupational Therapist - CLD
08Social Worker - CLD
09Psychologist - CLD
10Speech Pathologist - CLD
11Dietician - CLD
12Pharmacist - CLD
99Other - CLD
Supplementary Values

Supplemenary_values

-
Collection and Usage Attributes
Criteria Led Discharge (CLD) is for patients who will require a 'simple discharge'. This means they will usually (not always) be discharged to their own home, have simple on-going care needs that do not require complex planning and delivery, no longer require acute care, and can be separated directly from inpatient ward areas or assessment units.

The process is supported by predetermined criteria which are developed with multi-disciplinary agreement and approved by the authorised admitting practitioner (Consultant, Nurse Practitioner, Midwife or Allied Health professional under whom the patient has been admitted). The authorised admitting practitioner maintains the ultimate clinical responsibility for the patient.

Implementation of CLD allows clinicians other than the authorised admitting practitioner to initiate the separation of patients.
Queensland Hospital Admitted Patient Data Collection (QHAPDC):
Must not be null for separations (formal and statistical) from public hospitals.
Validated against a list of criteria led discharge type codes.
Hospital Based Corporate Information System (HBCIS):
Default is 01 NOT CLD - Authorised (Admitting) Practitioner.
CLD is one of the service delivery models within the Queensland Health Patient Flow Strategy which can improve discharge and improve access to services across Queensland. The ultimate goals of the strategy is to improve the patient journey and experience, reduce delays, increase access to services and provide best clinical practice across the state.
Research has highlighted that by utilising CLD it reduces the length of stay of patients, increases the percentage of discharges before 11am, increases weekend discharges, increases patient and staff satisfaction, increases quality of discharge planning and better utilises clinician's time and skills.
Relational Attributes
Related Metadata References

Related Metadata References_IR

  • 1 - 2
ViewRelationshipMetadata Item TypeMetadata Item SubtypeNameIdentifier & VersionApproval Status
Relates toData ElementData Element ConceptEpisode of admitted patient careQH 041604 Version 1Current
Relates toData ElementData Element ConceptSeparationQH 040017 Version 2Current
Implementation in Metadata Sets

Implemented

  • 1 - 9
ViewMetadata Item TypeMetadata Item SubtypeNameIdentifer & VersionObligationApproval StatusEffective FromEffective To
Information AssetData CollectionQueensland Hospital Admitted Patient Data Collection (QHAPDC)QH 020001 Version 2MandatoryCurrent01-Jul-2019
Information AssetData CollectionQueensland Hospital Admitted Patient Data Collection (QHAPDC)QH 020001 Version 1MandatorySuperseded01-Jul-201430-Jun-2019
Data Supply RequirementHHS Service AgreementQueensland Hospital Admitted Patient Data Collection (QHAPDC) Public Hospital Services Data Supply Requirement (DSR) 2016-2017QH 020314 Version 1MandatorySuperseded01-Jul-201630-Jun-2017
Data Supply RequirementHHS Service AgreementQueensland Hospital Admitted Patient Data Collection (QHAPDC) Public Hospital Services Data Supply Requirement (DSR) 2017-2018QH 020329 Version 1MandatorySuperseded01-Jul-201730-Jun-2018
Data Supply RequirementHHS Service AgreementQueensland Hospital Admitted Patient Data Collection (QHAPDC) Public Hospital Services Data Supply Requirement (DSR) 2018-2019QH 020504 Version 1MandatorySuperseded01-Jul-201830-Jun-2019
Data Supply RequirementHHS Service AgreementQueensland Hospital Admitted Patient Data Collection (QHAPDC) Public Hospital Services Data Supply Requirement (DSR) 2019-2020QH 020582 Version 1MandatorySuperseded01-Jul-201930-Jun-2020
Data Supply RequirementHHS Service AgreementQueensland Hospital Admitted Patient Data Collection (QHAPDC) Public Hospital Services Data Supply Requirement (DSR) 2020-2021QH 020693 Version 1MandatorySuperseded01-Jul-202030-Jun-2021
Data Supply RequirementHHS Service AgreementQueensland Hospital Admitted Patient Data Collection (QHAPDC) Public Hospital Services Data Supply Requirement (DSR) 2021-2022QH 020781 Version 1MandatorySuperseded01-Jul-202130-Jun-2022
Data Supply RequirementHHS Service AgreementQueensland Hospital Admitted Patient Data Collection (QHAPDC) Public Hospital Services Data Supply Requirement (DSR) 2022-2023QH 0140697 Version 1MandatoryCurrent01-Jul-202230-Jun-2023
Source and Reference Attributes
Healthcare Improvement Unit Health Clinical Excellence Queensland, Queensland Department of Health
Criteria Led Discharge (CLD) - Frequently Asked Questions: Information for Hospital and Health Service Staff participating in CLD
CLD; Criteria led discharge; Discharge; Separation;