Upload
bernardo-winney
View
218
Download
2
Tags:
Embed Size (px)
Citation preview
1
CHA Benchmarking Data2010-2011
Anna HoffmanBenchmarking Officer, CHA
2
Introduction
• Dashboard Indicators• 2010-11 Dashboard Indicator Report
• Activity data
• Individual reports
• ED data
• Benchmarking Portal
3
• CHA have collected dashboard data since 2007
• The purpose of the indicators is:
- to help hospitals measure their efficiency or effectiveness
- allow comparisons of performance between member hospitals.
• CHA currently collect data for:
- 25 Quarterly Indicators- 30 Annual Indicators
Dashboard Indicators
IndicatorsQuarterly (25 indicators in 15
groups) Annual (30 indicators in 12 groups)1 - Elective Surgery - Overdue
2 - Elective Surgery - DOSAA2 - Relative Workload Types - Clinical Category
3 - Elective Surgery and Procedures - Day Stay
A3 - Relative Workload Types - Elective
4 - Unplanned Overnight Admissions A4 - Relative Workload Types - Tertiary
5 - Unplanned Overnight Admissions A5 - Bed Occupancy
6 - Emergency Care - Observation A6 - Agency Nurse Cost
7 - Emergency Care - Access Block A7 - Casual Nurse Staff Costs8 - Emergency Care - Time to treat for those not admitted
A8 - Staff Turnover
9 - Emergency Care - Waiting TimeA9 - Mental Health - Unplanned Readmission
10 - Outpatients - Failure to Attend A10 - Mental Health – Inpatient
11 - Outpatients - By TypeA11 - Hospital Acquired Infection - Viral Infections
13 - Length of Stay - Long Stay Beddays
A12 - Hospital Acquired Infection – CVAD
15 - Asthma Management - Emergency Department
A13 - Hospital Acquired Infection - MRO Surveillance
16 - Asthma Management - Inpatient 22 - Incident Monitoring
Participating Hospitals
Large Medium Small Total
2007-2008 7 7
2008-2009 9 1 2 12
2009-2010 8 1 5 14
2010-2011 11 2 6 19
6
Column charts• Provide a snap shot of info for the year• Comparison of each quarter per hospital
Funnel Charts• Show the rate for each hospital graphed based on the size of
the denominator
Funnel Tables• Summarise each hospital’s performance relative to their peers
How data will be presented
7
Indicator 2: DOSA Rate for Paediatric Elective Surgery
% paediatric elective surgical patients who are planned to have an overnight stay and who are admitted on the Day of Surgery (DOSA)
8
Indicator 2: DOSA Rate for Paediatric Elective Surgery
% paediatric elective surgical patients who are planned to have an overnight stay and who are admitted on the Day of Surgery (DOSA)
9
Indicator 4a: Unplanned Overnight Admissions
% unplanned overnight admissions following day surgery or day procedure
10
Indicator 4a: Unplanned Overnight Admissions
% unplanned overnight admissions following day surgery or day procedure
11
Indicator 5: Proportion of Paediatric Emergency Department Presentations admitted to an inpatient ward bed
12
Indicator 5: Proportion of Paediatric Emergency Department Presentations admitted to an inpatient ward bed
13
Indicator A5: BED OCCUPANCY
Average occupancy of available and staffed paediatric beds
14
Indicator A5: BED OCCUPANCY
Average occupancy of available and staffed paediatric beds
15
FUNNEL TABLES
16
FUNNEL TABLES
2 6 9a 9b 9c 9d 9e
Hos
pita
l ID
% p
aed
elec
tive
sur
gica
l pts
wit
h
plan
ned
over
nigh
t st
ay w
ho a
re
adm
itted
on
DO
SA
% p
aed
ED p
rese
ntns
adm
itted
to
an E
MU
or
othe
r Sh
ort
Stay
Uni
t
unde
r co
ntro
l of
the
ED
% p
aed
pts
allo
cate
d A
TS C
ateg
ory
1 w
ho a
re a
tten
ded
to
imm
edia
tely
% p
aed
pts
allo
cate
d A
TS C
ateg
ory
2 w
ho a
re a
tten
ded
to w
ithi
n 10
min
s
% p
aed
pts
allo
cate
d A
TS C
ateg
ory
3 w
ho a
re a
tten
ded
to w
ithi
n 30
min
s
% p
aed
pts
allo
cate
d A
TS C
ateg
ory
4 w
ho a
re a
tten
ded
to w
ithi
n 60
min
s
% p
aed
pts
allo
cate
d A
TS C
ateg
ory
5 w
ho a
re a
tten
ded
to w
ithi
n 12
0
min
s
1 a a c a a a a
2
4 a a c a c a a
6 a a c a a a c
8
10 a a c a a a a
12 a c a a a a
13 a a c a a a a
14 c a c a a a c
16 a c c a a a
17 a a c a a a a
23 c a a a a c
26 a a c a a a a
37 a a c a c a c
43 a c a c a c
48 a a a a a a c
69 a a c a a a a
71 a c a a a c
72 a c c a a c
Quarterly Indicators
17
FUNNEL TABLES
18
Activity data
This data supports the dashboard indicators to assist CHA members in their benchmarking activities
14 Hospital have submitted activity data, another 3 have indicated they will be submitting.
10 Large Hospitals, 1 Medium and 3 small
10 Hospitals have submitted costing data.
19
2010 – 2011 Activity Summary Table
FinancialYear FacilitySize HospitalID Separations Casemix Index
Overnight Sameday % Sameday Beddays (incl SD)
Beddays (excl SD)
AvLOS (incl SD)
AvLOS (excl SD)
% Private
% Emergency
% with ICU Admission
Total Cost Average Cost
2010/2011 Large 2 21,966 1.13 11476 10490 47.8% 52465 41975 2.39 3.66 26.1% 54.3% 4.1% $0 $04 20,134 0.97 8697 11437 56.8% 48337 36900 2.40 4.24 20.8% 33.8% 3.4% $101,786,961 $5,0556 28,986 1.22 15775 13211 45.6% 97151 83940 3.35 5.32 29.6% 39.4% 5.2% $207,418,673 $7,1568 27,276 1.04 15473 11803 43.3% 73415 61612 2.69 3.98 9.8% 55.9% 4.9% $156,620,187 $5,74210 18,812 0.97 10701 8111 43.1% 51793 43682 2.75 4.08 10.6% 50.6% 2.7% $0 $012 26,747 1.43 13712 13035 48.7% 84574 71539 3.16 5.22 0.0% 60.2% 6.7% $128,300,627 $4,79713 6,993 1.03 5738 1255 17.9% 26245 24990 3.75 4.36 3.2% 39.2% 0.2% $0 $016 8,390 1.28 5599 2791 33.3% 28305 25514 3.37 4.56 34.6% 68.1% 6.7% $47,421,516 $5,65226 34,414 1.36 18216 16198 47.1% 103150 86952 3.00 4.77 22.6% 42.7% 5.3% $261,541,301 $7,60043 10,564 1.06 5380 5184 49.1% 30193 25009 2.86 4.65 0.0% 76.4% 0.0% $39,071,220 $3,699
Large Total 204,282 1.12 110,767 93,515 45.8% 595,628 502,113 2.92 4.53 16.7% 50.1% 4.5% $942,160,484 $6,020
Medium/Small 14 4,960 1.53 3386 1574 31.7% 20617 19043 4.16 5.62 5.7% 50.7% 7.3% $36,567,208 $7,37248 6,056 0.92 3911 2145 35.4% 15378 13233 2.54 3.38 6.5% 60.0% 9.1% $23,631,978 $3,90269 5,831 0.81 4534 1297 22.2% 15147 13850 2.60 3.05 4.1% 43.1% 0.1% $0 $072 5,965 0.80 4769 1196 20.1% 14836 13640 2.49 2.86 3.9% 49.5% 0.2% $16,576,258 $2,779
Medium/ Small Total 22,812 0.58 16,600 6,212 27.2% 65,978 59,766 2.89 3.60 5.0% 50.9% 4.1% 76,775,445 $3,297
2010/2011 Total 227,094 1.16 127,367 99,727 43.9% 661,606 561,879 2.91 4.41 15.5% 50.1% 4.4% 1,018,935,929 $5,873
20
% ED Activity
21
% SD Separations
22
Separations vs Beddays
23
ALOS vs Beddays
24
Individual Reports
• Provide an important overview of inpatient activity
• Hospital performance is compared with that of CHA as a whole
• Include:• Hospital Profile• Top 10 DRGs by Volume (volume adjusted)• Cumulative distribution of Length of Stay• Top 10 DRGs by Cost• DRGs with breakdown by Specialty• Average Length of Stay of Top 5 DRGs compared to CHA
Average• Average Cost of Top 5 DRGs compared to CHA average• Top 5 favourable DRGs by average cost• Top 5 Unfavourable DRGs by average cost (volume adjusted)• Dashboard Indicators - Control Charts
25
Hospital Profile
26
TOP 10 DRG by Volume
27
TOP 10 DRG by Cost
28
DRGs with breakdown by Specialty
29
Top 5 DRGs – Average LOS
30
Top 5 DRGs – Average Cost
31
Top 5 favourable DRGs by average cost
32
Top 5 unfavourable DRGs by average cost
Control Charts
33
Jul-Sep 07
Oct-Dec 07
Jan-Mar 08
Apr-Jun 08
Jul-Sep 08
Oct-Dec 08
Jan-Mar 09
Apr-Jun 09
Jul - Sep 09
Oct-Dec 09
Jan-Mar 10
Apr-Jun 10
Jul-Sep 10
Oct-Dec 10
Jan-Mar 11
Apr-Jun 11
0.0
10.0
20.0
30.0
40.0
50.0
60.0
70.0
80.0
90.0
100.0
Indicator 2 - % admitted on Day of SurgeryHospital x - July 07 to June 2011
% Average UCL LCL
34
Emergency Department Activity Data
Large Small Total
2009-2010 8 1 9
2010-2011 8 2 10
35
Presentations by Hospital
36
ED Activity Report
• Age profile
• Gender profile
• Indigenous Status
• Review of presenting problems
• No. of presentations by Triage category
• Time from Arrival to Triage
• Total Treatment Time
• ED Visit Type
• Mode of Arrival
• Mode of Separation
• Referred to on Departure
• Account classification
• Average Cost
37
Benchmarking Portal
• Now able to download the entire database
• Co-ordinators need to allocate this access to the
users
• 2010-11 data will be loaded next month.
• Can access directly through
• http://wcha.asn.au/
• www.benchmarking.wcha.asn.au
38
Anna Hoffman
Benchmarking Officer
Phone: 0449 656 096
Email: [email protected]
Questions?
For more information contact: