KPI s September Megan Boivin Operations Manager 15 October KPI s HAC report 18/10/2007 Operations Manager : Megan Boivin

Transcription

1 KPI s September 27 Megan Boivin Operations Manager 15 October 27 KPI s HAC report 18/1/27 Operations Manager : Megan Boivin

2 63. Dec-6 May-6 Sep-7 KEY PERFORMANCE INDICATORS Month Year to date Month Year to date CLINICAL QUALITY Sep-6 Sep-7 Target Var Actual Target Var DELIVERY QUALITY Sep-6 Sep-7 Target Var Actual Target Var Readmission Rate 4.7% 4.4% 4.5% 2.6% 5.1% 4.5% (12.7%) Overall Inpatient Satisfaction - Quarterly (Good & Very Good) (Q) - June % 93.7% 9% 4.1% 93.7% 9% 4.1% Unplanned Readmission to ICU () (7) 1 (1) 3 (3) Staff Turnover % (FTE Basis) (1)(8) 1.42%.6% 1.2% 5.% 2.35% 3.6% 34.6% Caesarean Section Rate (5) 28.8% 26.8% 28.% 4.4% 31.2% 28.% (11.5%) Sick Leave % (1) 3.19% 4.19% 3% (39.6%) 3.98% 3% (32.7%) Hospital-Acquired S. Aureus Bloodstream Infections (9)..4 (.4).9 (.9) ED Triage - Priority 1 (1) 1% 1% 1% % 1% 1% % Medical Outlier Days (3) (61) (526) ED Triage - Priority 2 (1) 89.8% 71.9% 8% (1.2%) 69.3% 8% (13.4%) Surgical Outlier Days (3) ED Triage - Priority 3 (1) 65.3% 44.6% 75% (41%) 41.8% 75% (44%) Paediatric Admits to Adult Wards (4) (14) 33 (33) Average number of working days to resolve complaints (1) (19%) (5%) Outpatients Number Waiting > six months on the waiting list (1 Inpatients Number Waiting > six months (69) 69 (69) (141) 141 (141) PRODUCTIVITY Sep-6 Sep-7 Target Var Actual Target Var FINANCIAL PERFORMANCE Sep-6 Sep-7 Target Var Actual Target Var ALOS Med_Surg Only(1) (3.3%) (2.9%) WIES11A Caseweight Volumes (Based on month end coding) 2,259 2,323 2,59 (7.4%) 7,37 7,527 (2.9%) Resourced Occupancy (1) 85% 91% 85% 6.7% 92% 85% 8.2% Outpatient FSA Volumes (1) 1,977 1,721 2,221 (22.5%) 5,676 6,68 (15.%) Elective Theatre Utilisation (MOT) 83% 87% 85% 2.4% 88% 85% 3.9% Outpatient FU Volumes (1) 4,591 4,338 5,717 (24.1%) 14,511 17,326 (16.2%) Day Utilisation (DSU) 85% 81% 85% (4.7%) 82% 85% (3.9%) Emergency Dept attendances 3,13 2,969 2,5 18.8% 9,34 7,5 24.1% Elective Daycase Rate (1) (2) 66% 73% 77% (5.2%) 73% 77% (5.4%) FTEs 2,282 2,36 2,377 3.% 2,298 2, % Outpatient DNA Rate (1) FSAs 6.6% 5.1% 5% (1.5%) 4.9% 5% 2.1% Number of staff with Annual Leave (excludes RMOs SMOs) > 24 hours (12) 12 (12) Outpatient DNA Rate (1) Follow Ups 6.9% 7.5% 5% (5.5%) 7.4% 5% (47.2%) Number of staff with Annual Leave > 3 hours (RMO'S& SMO'S) * 15 (15) 15 (15) Overall Average Case Weight (WIES11A) (1) % (.4%) Operating Result ($, +ve is surplus) (56) 1,7 295 (775) Personnel Costs($) 12,867 13,681 13, ,925 42, ACC Revenue ($) ,625 1, DSS Revenue ($) (13) 1,639 1,598 (41) KEY (Q) Quarterly Measure based on the previous fiscal quarter & YTD fiscal year. (1) Source -Reporting Team (M-1) Indicator reported in Qtrly MOH Balanced Scorecard (2) The data definition is now in line with MOH definition. (National average for this KPI 71% for March 5 quarter) Target adjusted to equal that of the best DHB. * Historical Data is not available in relation to the new Scorecard categories (3)The number of bed nights (according to the midnight census) spent by patients from Medical group in Surgical beds or the number from Surgical group in Medical beds. All Variances (Except where a zero target is in place) have been re-calculated so that they now represent the relative degree to which actual performance varies from targeted performance BSI measure removed Oct 27 (4) The number of admissions by patients under 14 years of age to an adult ward (not including ICU) (5)Caesarean Section rate is for all practitioners (change of definition July 7) (6) FTEs does not include DHB Governance&Admin (7) Unplanned readmission to ICU - changed from readmissions within 5 days to 72 hours (now consistent with ACHS clinical care indicators)

3 % of Resourced Beds Occupied for Dunedin and Wakari Hospitals (KPI #1) 1.% 95.% 9.% 85.% 8.% 75.% 7.% Target = 85% September = 9.7% 65.% 6.% Sep-6 Oct-6 Nov-6 Dec-6 Jan-7 Feb-7 Mar-7 Apr-7 May-7 Jun-7 Jul-7 Aug-7 Sep-7 Definition: Total number of beds occupied at the midnight census divided by the number of resourced bed Actual Lower Upper Target Linear (Actual) % of Emergency Department Patients Seen Within Specified Times as defined by the Australasian College for Emergency Medicine (KPI # 2) Month : T1=1% T2=72% T3=45% T4=48% T5=84% Australia 1997 : T1=92% T2=69% T3=66% T4=57% T5=83% Targets : T1=1% T2=8% T3=75% T4=7% T5=7% Sep-6 Oct-6 Nov-6 Dec-6 Jan-7 Feb-7 Mar-7 Apr-7 May-7 Jun-7 Jul-7 Aug-7 Sep-7 Specified times - Triage 1-1 min; Triage 2-1 mins; Triage 3-3 mins; Triage 4-1 hours; Triage 5-2 hrs. Triage 1 Triage 2 Triage 3 Triage 4 Triage 5 Page A

4 Readmit Rate (KPI # 3) Target = 4.5% September = 4.5% 7.% 6.5% 6.% 5.5% 5.% 4.5% 4.% 3.5% 3.% 2.5% 2.% 1.5% 1.%.5%.% Sep-6 Oct-6 Nov-6 Dec-6 Jan-7 Feb-7 Mar-7 Apr-7 May-7 Jun-7 Jul-7 Aug-7 Sep-7 Rate Target Lower Upper Linear (Rate) Average Length of Stay Med/Surg Only (KPI # 4) Target = 4.5 days September = 4.65 days Sep-6 Oct-6 Nov-6 Dec-6 Jan-7 Feb-7 Mar-7 Apr-7 May-7 Jun-7 Jul-7 Aug-7 Sep-7 Comment: Definition: Total days in hospital divided by the number of discharges (excludes ICU and CCU and all day cases) occurred in the month. Actual Target Lower Upper Linear (Actual) Page B

5 5.% Percent Sick Leave Hours (KPI # 5) Target = 3% September 4.2% 4.% 3.% 2.% Total sick hours = 18,948 Total hours = 452,292 1.% Percent lost time Target Lower Upper Linear (Percent lost time).% Sep-6 Oct-6 Nov-6 Dec-6 Jan-7 Feb-7 Mar-7 Apr-7 May-7 Jun-7 Jul-7 Aug-7 Sep-7 Definition: Total sick hours paid during the month (excl ACC) over total hours paid during the month. Comment: 5.% Sick Leave % with long term sick identified KPI # 6 September long term sick leave 1,296 hours 14 staff members 4.% 3.% 2.% 1.%.% Jul-6 Aug-6 Sep-6 Oct-6 Nov-6 Dec-6 Jan-7 Feb-7 Mar-7 Apr-7 May-7 Jun-7 Jul-7 Aug-7 Sep-7 % Total Sick % Excluding Long Term Sick Page C

6 Percent Sick Leave Hours by Group (KPI # 7) 6.% 5.5% 5.% 4.5% 4.% 3.5% 3.% 2.5% 2.% 1.5% 1.%.5%.% Sep-6 Oct-6 Nov-6 Dec-6 Jan-7 Feb-7 Mar-7 Apr-7 May-7 Jun-7 Jul-7 Aug-7 Sep-7 Medical Personnel Nursing Personnel Allied Health Support Personnel Management/Administration This represents individual occupation groups which allow us to review trends within these groups 45 Overtime and Callback Hours (Electronic Timesheet Report KPI # 8) hours Sep-6 Oct-6 Nov-6 Dec-6 Jan-7 Feb-7 Mar-7 Apr-7 May-7 Jun-7 Jul-7 Aug-7 Sep-7 Overtime Hours Callback Hours 2 per. Mov. Avg. (Overtime Hours) Page D

7 Number of patients Waiting for treatment > than 6 months KPI # 9 For 3 months to September Cardiac Cardiology ENT Gynaecolo gy Neurosurg ery Ophthalmol ogy Orthopaedi c Paediatric General Jul Aug Sep Urology 1% Waiting Times of Elective Patients Admitted during the month of September27 KPI # 1 75% 5% 25% % Cardiac Cardiology ENT Gynaecolo Neurosurg gy ery Ophthalm ology Orthopaed ic Paediatric General Admit <=6 Mths 1% 1% 95% 98% 1% 97% 94% 86% 91% 96% Admit >6 Mths % % 5% 2% % 3% 6% 14% 9% 4% Total Admits Urology Total Admissions during the month vs Total added to the Booking Lists during the month of September 27 KPI # Cardiac Cardiology ENT Gynaecolo gy Neurosurg ery Ophthalmo logy Orthopaedi c Paediatric General Total Admits Total Added Page E Urology

8 Inpatient KPI's 1. Waiting > 6 Months (KPI # 12) Trend Line represents the Total of All Services Stack represents only those Services with Volumes greater than Sep-6 Oct-6 Nov-6 Dec-6 Jan-7 Feb-7 Mar-7 Apr-7 May-7 Jun-7 Jul-7 Aug-7 Sep-7 ENT General Urology Orthopaedic Total Page F

9 15 Waiting for FSA > 6 Months by Speciality (KPI # 13) (Excludes Rural Clinics Waiting) 1 5 Cardiol ogy Dermat ology Diabet es ENT Gastro Gen Med Gen Surg Gynae cology Haema tology Neurol ogy Jul Aug Sep Neuros urg Oncolo gy Ophtha lmolog Ortho Paeds Pain Renal Respir atory Rheum Urolog atology y Waiting for FSA > 6 Months Totals (KPI # 14) (Excludes Rural Clinics Waiting) 3 5% 4% 2 3% 1 2% 1% Sep-6 Oct-6 Nov-6 Dec-6 Jan-7 Feb-7 Mar-7 Apr-7 May-7 Jun-7 Jul-7 Aug-7 Sep-7 No Waiting >6 Mths Total Waiting % Waiting >6 Mths 3% 2% 1% 3% 5% 4% 2% 3% 2% 2% 2% 2% 2% % Page G

10 5 Number of Patients on Active Review (KPI # 15) (Patients with a Staged/Planned Flag are excluded) Stack represents only those services with volumes greater than 2 Included in these numbers are 5 children, 2 within ENT and 3 in Orthopaedics Sep-6 Oct-6 Nov-6 Dec-6 Jan-7 Feb-7 Mar-7 Apr-7 May-7 Jun-7 Jul-7 Aug-7 Sep General Cardiac ENT Orthopaedic Ophthalmology Total Page H

11 5 Total patients in Active Review and Given Certainty (KPI # 16) September Cardiac Cardiolog y ENT Gynaecol ogy Neurosurg ery Ophthalm ology Orthopae dic Paediatric General Total Waiting > 6 Months Total Waiting < 6 Months Active Review Urology This graph represents patients on the booking system by specialty, it shows the total number patients on Active review and also those that have been told that they will receive treatment within 6 months and actually shows if they have been waiting longer than the 6 months This graph also includes those patients that have received a date for treatment DNA Rate of Total FSA Appointments (KPI # 17) (Excludes Rural Clinics) September % 8.% % 16 DNA Percentage 7.% 6.5% 6.% 5.5% 5.% 4.5% 4.% DNA Rate No of DNA's Linear (DNA Rate) No of DNAs 3.5% 2 3.% Sep-6 Oct-6 Nov-6 Dec-6 Jan-7 Feb-7 Mar-7 Apr-7 May-7 Jun-7 Jul-7 Aug-7 Sep-7 This graph represents the percentage of patients that did not attend their First Specialist Attendance within the Med/Surg groups Page I

12 Inpatient KPI's Acute Admissions - Average CW/Discharge KPI # Caseweights Jul Aug Sep Oct Nov Dec Jan Feb Mar Apr May Jun 6_ _ Elective Admissions - Average CW/Discharge KPI # Caseweights Jul Aug Sep Oct Nov Dec Jan Feb Mar Apr May Jun 6_ _ Total Admissions - Average CW/Discharge KPI # Caseweights Jul Aug Sep Oct Nov Dec Jan Feb Mar Apr May Jun 6_ _ Page J

13 Number of patients Given Certainty and their Wait time for treatment (Includes Booked patients) at September 27 (Excludes patients with a staged or planned status) The numbers in Red indicate the number of booked patients No of patients >=6 Cardiothoracic Cardiology ENT Gynaecology Months Neurosurgery Waiting Paediatric General Ophthalmology Total 6 Number of patients Given Certainty and their Wait time for treatment (Includes Booked patients) at August 27 KPI#21 (Excludes patients with a staged or planned status) The numbers in Red indicate the number of booked patients No of patients >=6 Cardiothoracic Cardiology ENT Gynaecology Neurosurgery Paediatric General Ophthalmology Total Months Waiting Comments: This graph shows the number of patients who have received certainty, including those that have been booked for treatment (459) Number of patients Given Certainty and their Wait time for treatment (Includes Booked patients) at July 27 KPI#21 (Excludes patients with a staged or planned status) The numbers in Red indicate the number of booked patients No of patients >= Cardiothoracic Cardiology ENT Gynaecology Neurosurgery Paediatric General Ophthalmology Total Months Waiting Comments: This graph shows the number of patients who have received certainty, including those that have been booked for treatment (416) Number of patients Given Certainty and their Wait time for treatment (Includes Booked patients) at June 27 KPI#21 (Excludes patients with a staged or planned status) The numbers in Red indicate the number of booked patients No of patients >=6 Cardiothoracic Cardiology ENT Gynaecology Neurosurgery Paediatric General Ophthalmology Total Months Waiting Comments: This graph shows the number of patients who have received certainty, including those that have been booked for treatment (383) Page K