MCH Surgery Program Summary - Access and Flow Dashboard Source: Tableau, AHS Repository, PowerAbstract Database

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Percent Percent # Discharges MCH Surgery Program Summary - Access and Flow Dashboard 1,7 1, 1,5 1, 1,3 MCH Surgery Program Total Discharges, % Discharged by 11 a.m. 15- Q1 Q Q3 Total Discharges 15- Target % Discharged before 11 a.m. % 1 % IP Discharged by 11 a.m. % Discharged before 11 a.m. MCH Surgery Program Acute LOS/ELOS Ratio (excludes ALC days) 15- Target 1. ALOS/ELOS Ratio - 1.15 1. 1. 1...... 15- Q1 Q Q3 Acute LOS/ELOS Ratio ALOS/ELOS Target 1 MCH Surgery Program % ALC Days 15- Q1 Q Q3 % ALC Days 1 MCH Surgery Program Readmission Rate 15- SAMPLE Target: 7 days - 5.1; 3 days -.1 15- Q1 Q Q3 7 Day Readmission Rate (%) 3 Day Readmission Rate (%) L:\Reporting\MULTI site\routines\acute Care Access and Flow Dashboard - GNH MCH\Integrated Access ly & Monthly\ \MCH Surgery ly to March 17.xlsx

MCH Surgery Program Summary - Access and Flow Dashboard MCH FLOW ALOS/ELOS Readmission Surgery Program Summary 13/ /15 15/ 15- Q1 Q Q3 Same Year Admissions from ED 1,7 1, 1, 9 3 33 35-5 Total Discharges,,39, 1, 1,7 1,3 1,57 1,59-3 -117 % IP Discharged by 11 a.m. 3 39 37 39-1 Acute LOS/ELOS Ratio (excl ALC).9.9.9.9..9.9.9..5 1.15 % ALC Days.9 3.9 3..5..7..5.1. 7 Day Readmission Rate (%).5.7. 3.1... -. n/a. 3 Day Readmission Rate (%)..9 5.9 5. 7.. 5. -1. n/a 15. Implementation Date: June Admissions from ED: Patients admitted from the Emergency Department with surgical Physician Service. Total Discharges includes all dispositions (home, death, transfer, AMA). Acute LOS/ELOS Ratio is the Acute LOS/ELOS for typical cases - CIHI grouper logic is now used for all ALOS/ELOS Atypical Cases are excluded from ELOS comparison; Atypical Cases are deaths, sign-out (left AMA), transfers to and/or from another acute care site. % ALC Days is ALC Days divided by Total Hospital LOS. Readmission info is based on the admit date recorded on the discharged inpatient record and is therefore reported 1 quarter behind DAD availability. This lag is to allow for the 3 day readmit window in addition to time required to discharge, code the chart and receive the file. Total Qualifying Readmit Discharges is the denominator for the readmission rate calculation (not total discharges); this excludes deaths, transfers to acute care, sign-out, and residents from outside of AB. 15/ Target L:\Reporting\MULTI site\routines\acute Care Access and Flow Dashboard - GNH MCH\Integrated Access ly & Monthly\ \MCH Surgery ly to March 17.xlsx

Percent Percent # Discharges MCH General Surgery Summary - Access and Flow Dashboard 5 5 MCH General Surgery Total Discharges, % Discharged by 11 a.m. 15- Q1 Q Q3 Total Discharges 15- Target % Discharged before 11 a.m. % 1 % IP Discharged by 11 a.m. % Discharged before 11 a.m. MCH General Surgery Acute LOS/ELOS Ratio (excludes ALC days) 15- Target 1. ALOS/ELOS Ratio - 1.15 1. 1. 1...... 15- Q1 Q Q3 Acute LOS/ELOS Ratio ALOS/ELOS Target 1 MCH General Surgery % ALC Days 15- Q1 Q Q3 % ALC Days 1 MCH General Surgery Readmission Rate 15- SAMPLE Target: 7 days - 5.1; 3 days -.1 15- Q1 Q Q3 7 Day Readmission Rate (%) 3 Day Readmission Rate (%) L:\Reporting\MULTI site\routines\acute Care Access and Flow Dashboard - GNH MCH\Integrated Access ly & Monthly\ \MCH Surgery ly to March 17.xlsx

MCH General Surgery Summary - Access and Flow Dashboard MCH FLOW ALOS/ELOS Readmission General Surgery Summary 13/ /15 15/ 15- Q1 Q Q3 Same Year Admissions from ED 1,5 959 1,1 7 7 39 39-31 Total Discharges, 1,951 1,95 5 9 39 5 1-13 -1 % IP Discharged by 11 a.m. 59 59 59 5 5 5 55 1 - Acute LOS/ELOS Ratio (excl ALC) 1..9.97.9.97.97.99.9 -.3. 1.15 % ALC Days..3 1.. 1.7.5 1.. -1.. 7 Day Readmission Rate (%) 3.5 3..9 3.1.3.1 3.5 -. n/a. 3 Day Readmission Rate (%).. 7.3 5.7 9. 7.. 1. n/a 15. Implementation Date: June Admissions from ED: Patients admitted from the Emergency Department with Physician Service of General Surgery. Total Discharges includes all dispositions (home, death, transfer, AMA). Acute LOS/ELOS Ratio is the Acute LOS/ELOS for typical cases - CIHI grouper logic is now used for all ALOS/ELOS Atypical Cases are excluded from ELOS comparison; Atypical Cases are deaths, sign-out (left AMA), transfers to and/or from another acute care site. % ALC Days is ALC Days divided by Total Hospital LOS. Readmission info is based on the admit date recorded on the discharged inpatient record and is therefore reported 1 quarter behind DAD availability. This lag is to allow for the 3 day readmit window in addition to time required to discharge, code the chart and receive the file. Total Qualifying Readmit Discharges is the denominator for the readmission rate calculation (not total discharges); this excludes deaths, transfers to acute care, sign-out, and residents from outside of AB. 15/ Target L:\Reporting\MULTI site\routines\acute Care Access and Flow Dashboard - GNH MCH\Integrated Access ly & Monthly\ \MCH Surgery ly to March 17.xlsx

Percent Percent # Discharges MCH Orthopedic Surgery Summary - Access and Flow Dashboard 75 7 5 55 15- Target MCH Orthopedic Surgery Total Discharges, % Discharged % Discharged by 11 a.m. before 11 a.m. % 1 15- Q1 Q Q3 Total Discharges % IP Discharged by 11 a.m. % Discharged before 11 a.m. MCH Orthopedic Surgery Acute LOS/ELOS Ratio (excludes ALC days) 15- Target 1. ALOS/ELOS Ratio - 1.15 1. 1. 1...... 15- Q1 Q Q3 Acute LOS/ELOS Ratio ALOS/ELOS Target 1 MCH Orthopedic Surgery % ALC Days 15- Q1 Q Q3 % ALC Days 1 MCH Orthopedic Surgery Readmission Rate 15- SAMPLE Target: 7 days - 5.1; 3 days -.1 15- Q1 Q Q3 7 Day Readmission Rate (%) 3 Day Readmission Rate (%) L:\Reporting\MULTI site\routines\acute Care Access and Flow Dashboard - GNH MCH\Integrated Access ly & Monthly\ \MCH Surgery ly to March 17.xlsx

MCH Orthopedic Surgery Summary - Access and Flow Dashboard MCH FLOW ALOS/ELOS Readmission Orthopedic Surgery Summary 13/ /15 15/ 15- Q1 Q Q3 Same Year Admissions from ED 51 591 9 1 15-3 Total Discharges,1,55, 71 77 17 3 5-3 % IP Discharged by 11 a.m. 15 17 15 15 1 Acute LOS/ELOS Ratio (excl ALC).97.9.9.91.5.9.93.99.. 1.15 % ALC Days.9.7 5..7.9.. 7...9 7 Day Readmission Rate (%) 1.7..5 3.9 1.7 1. 1.9.1 n/a. 3 Day Readmission Rate (%) 5.5.7 5. 5.9.3. 5. -.9 n/a 15. Implementation Date: June Admissions from ED: Patients admitted from the Emergency Department with Physician Service of Orthopedic Surgery. Total Discharges includes all dispositions (home, death, transfer, AMA). Acute LOS/ELOS Ratio is the Acute LOS/ELOS for typical cases - CIHI grouper logic is now used for all ALOS/ELOS Atypical Cases are excluded from ELOS comparison; Atypical Cases are deaths, sign-out (left AMA), transfers to and/or from another acute care site. % ALC Days is ALC Days divided by Total Hospital LOS. Readmission info is based on the admit date recorded on the discharged inpatient record and is therefore reported 1 quarter behind DAD availability. This lag is to allow for the 3 day readmit window in addition to time required to discharge, code the chart and receive the file. Total Qualifying Readmit Discharges is the denominator for the readmission rate calculation (not total discharges); this excludes deaths, transfers to acute care, sign-out, and residents from outside of AB. 15/ Target L:\Reporting\MULTI site\routines\acute Care Access and Flow Dashboard - GNH MCH\Integrated Access ly & Monthly\ \MCH Surgery ly to March 17.xlsx

Percent Percent # Discharges MCH Urology Summary - Access and Flow Dashboard 35 3 5 15 1 5 MCH Urology Total Discharges, % Discharged by 11 a.m. 15- Q1 Q Q3 Total Discharges 15- Target % Discharged before 11 a.m. % 1 % IP Discharged by 11 a.m. % Discharged before 11 a.m. 1. 1. 1. 1...... MCH Urology Acute LOS/ELOS Ratio (excludes ALC days) 15- Target ALOS/ELOS Ratio - 1.15 15- Q1 Q Q3 Acute LOS/ELOS Ratio ALOS/ELOS Target 1 MCH Urology % ALC Days 15- Q1 Q Q3 % ALC Days 1 MCH Urology Readmission Rate 15- SAMPLE Target: 7 days - 5.1; 3 days -.1 15- Q1 Q Q3 7 Day Readmission Rate (%) 3 Day Readmission Rate (%) L:\Reporting\MULTI site\routines\acute Care Access and Flow Dashboard - GNH MCH\Integrated Access ly & Monthly\ \MCH Surgery ly to March 17.xlsx

MCH Urology Summary - Access and Flow Dashboard MCH FLOW ALOS/ELOS Readmission Urology Summary 13/ /15 15/ 15- Q1 Q Q3 Same Year Admissions from ED 7 5 3 1 5-13 -11 Total Discharges 95 1,7 1,5 93 3 7 3-3 -5 % IP Discharged by 11 a.m. 51 5 59 53 5 5 5 11 Acute LOS/ELOS Ratio (excl ALC).9.7..7.73.7.9.7.5.7 1.15 % ALC Days.......... 7 Day Readmission Rate (%) 3..3 3.1 3. 3.3 3. 1.9-1.7 n/a. 3 Day Readmission Rate (%). 7.5.5 7.5 7.7 1.5. -5. n/a 15. Implementation Date: June Admissions from ED: Patients admitted from the Emergency Department with Physician Service of Urology. Total Discharges includes all dispositions (home, death, transfer, AMA). Acute LOS/ELOS Ratio is the Acute LOS/ELOS for typical cases - CIHI grouper logic is now used for all ALOS/ELOS Atypical Cases are excluded from ELOS comparison; Atypical Cases are deaths, sign-out (left AMA), transfers to and/or from another acute care site. % ALC Days is ALC Days divided by Total Hospital LOS. Readmission info is based on the admit date recorded on the discharged inpatient record and is therefore reported 1 quarter behind DAD availability. This lag is to allow for the 3 day readmit window in addition to time required to discharge, code the chart and receive the file. Total Qualifying Readmit Discharges is the denominator for the readmission rate calculation (not total discharges); this excludes deaths, transfers to acute care, sign-out, and residents from outside of AB. 15/ Target L:\Reporting\MULTI site\routines\acute Care Access and Flow Dashboard - GNH MCH\Integrated Access ly & Monthly\ \MCH Surgery ly to March 17.xlsx