NHpPD Annual Report July 2011- June 2012

7/30/2019 NHpPD Annual Report July 2011- June 2012

1/74

1

Nursing Hours per Patient DayAnnual Report

1st July 2011 30th June 2012


2/74

- 1 -

Content

1. Introduction 2

2. Executive Summary 4

3. Results

- Metropolitan and Regional data 6

- Small County Hospital (SCH) 15

4. Emergency Department

- Metropolitan Emergency Departments 20

- Regional Emergency Department 22

- Small Country Hospitals Emergency Departments 23

5. Current and future workload developments 25

6. Current Recruitment and attraction strategies 25

7. Benchmarks classifications and reclassifications 29

8. Appendices

- Metropolitan and Regional ward NHpPD inpatient data 31

- Small Country Hospitals inpatient NHpPD data 37

- Legend of tables 40

- NHpPD variance reports from health sites 42


3/74

- 2 -

Introduction

This report is prepared by the Western Australian Department of Health (WA DoH) as part of its

ongoing commitment to maintaining a comprehensive workload management process for nurses.

This report also wishes to inform the nursing and management staff of the current workload of

nursing and midwifery staff within our public health care system.

In consultation with the Minister for Health, the DoH is committed to the ongoing implementation

and monitoring of the Nursing Hours per Patient Day (NHpPD) model.

This report is consistent with the Departments continued application of NHpPD principles as

required by and in accordance with the Registered Nurses, Midwives and Enrolled Mental Health

Nurses, Australian Nursing Federation WA Industrial Agreement 2010 Part 2, clause 9 and the

WA Health LHMU-Enrolled Nurses and Assistant in Nursing Industrial, Aboriginal and Ethnic

Health Workers Agreement 2011.

The data provided in the 22nd report is for the period 1st July 2011 to the 30th June 2012 (unless

otherwise stated). The report represents NHpPD data from the following clinical areas:

Metropolitan Inpatient Area

Regional Inpatient Areas at : Albany Regional Hospital; Broome Regional Hospital; Bunbury

Regional Hospital; Geraldton Regional Hospital; Kalgoorlie Regional Hospital and Port

Hedland Regional Hospital

Small Country Hospital Inpatient Areas

Metropolitan Emergency Departments

Regional Emergency Departments

Small Country Hospital Emergency Departments -which are contained within a ward.

All reported inpatient data is provided by hospitals and health services through the Nursing Workload

Monitoring System. The data source for all metropolitan Emergency Department is the Emergency

Department Data Collection (EDDC) provided by the Activity & Quality Division at the Department of

Health WA.


4/74

- 3 -

Abbreviations used throughout the document:

Abbreviation Description

AMHS Adult Mental Health Service

DoH Department of Health

EDDC Emergency Department DataCollection

FTE Full Time Equivalent

GNC Graduate Nurse Connect

HDU High Dependency Unit

KEMH King Edward Memorial Hospital

NHpPD Nursing Hours per Patient Day

NHpPP Nursing Hours per PatientPresentation

NMBA Nurses and Midwifery Board ofAustralia

NSU Nurse Special Unit

OPH Osborne Park Hospital

OAMH Older Adult Mental Health

PMH Princess Margaret Hospital

RGH Rockingham General Hospital

RPH Royal Perth Hospital

PHRH Port Hedland Regional Hospital

SCGH Sir Charles Gairdner Hospital

SKHS Swan Kalamunda Health Service

YTD Year to Date


5/74

- 4 -

Executive Summary

86 Hospitals / health care facilities with 217 clinical areas across the state of Western Australia (WA)

have provided NHpPD data for the period 1st July 2011 30th June 2012

Princess Margaret Hospital (PMH) were unable to provide data for their site due to difficulties theyhave experienced with NWMS

Overall of the (217) reported Clinical areas, 194 (89.4%) were on or above target.

Table 1: Shows comparison of NHpPD data from 2009 - 2012

2011/2012Annual Report

1

st

July 2011-30th June 2012


1

st

July 201030th June 2011


1st

July 2009 -30th June 2010

Number ofWards

217 #214 * 232

Above 10% 92 (44.2%) 99 (46.2%) 105 (45.26%)Above 5-10% 15 (6.9%) 23 (10.7%) 28 (12.07%)Above 0-5% 37(17%) 30 (14%) 32 (13.79%)

Below 0-5% 35(16.1%) 37 (17.2%) 31 (13.36%)Below 5-10% 15(6.9%) 10 (4.6%) 19 (8.19%)Below 10% ormore

23(10.5%) 15 (7%) 17 (7.33%)

Above or ontarget

144(66.3%) 152 (71%) 165 (71.12%)

Below Target 73(33.6) 62 (28.9%) 67 (28.88%)

On, Above or

Less than 10%Below

194(89.4%) 199 (92.9%) 215 (92.67%)

# PMH


6/74

- 5 -

Graph 1: Represents comparison NHpPD data 2009/10 2011/12 annual reports


7/74

- 6 -

Metropolitan & Regional Inpatient Data

All reported inpatient data for metropolitan and regional sites are provided in Appendix 1. This section

provides ward inpatient data for metropolitan tertiary, metropolitan secondary and regional sites.

Regional sites include Albany, Broome, Bunbury, Geraldton, Port Hedland and Kalgoorlie Hospitals.

146 Regional and metropolitan wards provided data for this report.

Information on these sites are categorised within the following tables:

Table 2 Wards that are 0 5% above set NHpPD targets

Table 3 Wards that are 5 10% above set NHpPD targets

Table 4 Wards that are 10% or more above set NHpPD targets

Table 5 Wards that are 0 5% below set NHpPD targets

Table 6 Wards that are 5 10% below set NHpPD targets

Table 7 Wards that are 10% or more below set NHppD targets

Table 2: Metropolitan & Regional Inpatient Wards that are on or 0 5% above set NHpPDtargets21.7% (n=32) of inpatient areas were on or 0 5% above set NHpPD targets.

Site

Ward Category Target YTDVariance

% variance

RPHWard 8 SPC C 5.75 5.75

0.00 0.02RPH Ward 8A B 6 6.02 0.02 0.31

FremantleHospital

Ward 4.1 (MH) A+ (FHHS) 11.2 11.250.05 0.41

Osborne ParkHospital

Ward 4 AgedCare & Rehab

D 5 5.03

0.03 0.51

Albany RegionalHospital

HighDependency Unit

HDU 12 12.06

0.06 0.52

RPH Ward 5E B 6 6.04 0.04 0.61

KalgoorlieRegional Hospital

Paediatrics D 5 5.04

0.04 0.73


Ward D SurgicalC 5.75

5.790.04 0.73

RPH Ward 4A (SSSU) C 5.75 5.83 0.08 1.34

RPH Ward 1 SPC B 6 6.08 0.08 1.35

SCGH Ward G61 CAMS B 6 6.09 0.09 1.48


Ward CPaediatric

/Medical /Surgical

C&D(Albany)

5.5 5.61

0.11 1.92

Hedland HealthCampus

Dialysis unit SatelliteDialysis

2.18 2.22

0.04 1.99

Area Mental

Health Service

Smith Units A+ (GSLSmith)

8.66 8.84

0.18 2.03FremantleHospital

Intensive CareUnit

ICU 31.6 32.240.64 2.03


8/74

- 7 -

Site


% variance

Older AdultMental Health

Program (NorthMetro)

Selby A (BlueWing)

B (Selby A) 6.41 6.54

0.13 2.08



D 5 5.11

0.11 2.11

SCGH Ward G62 H & L A 7.5 7.68 0.18 2.34

SCGHWard C 16

CAMSB 6 6.15

0.15 2.46



D+ (OPH) 5.33 5.47

0.14 2.59


Ward A Surgical C 5.75 5.90

0.15 2.67

KEMHObstetrics Ward

5B 6 6.16

0.16 2.69

Area Mental

Health Service

Ward D 20 Phy

Unit

C 5.75 5.93

0.18 3.06

RPH

Ward 9 SPC B 6 6.19

0.19 3.25

SCGH Ward G64 Neuro A 7.5 7.75 0.25 3.27

RPH

Ward 7B/3k(GEM Unit)

D 5 5.18

0.18 3.54

RPH Ward 4F B 6 6.23 0.23 3.79

Bunbury RegionalHospital

Surgical C 5.75 5.99

0.24 4.13

FremantleHospital

Ward B8S B 6 6.260.26 4.36

FremantleHospital

Ward B7S B 6 6.270.27 4.52

RPH Ward 6A B 6 6.29 0.29 4.79


Maternity D+Del(Osb Park)

8.97 9.40

0.43 4.84


9/74

- 8 -

Table 3: Metropolitan & Regional Inpatient Wards that are on or 5 10% above set NHpPDtarget.8.8% (n=13) of inpatient areas were on or 5 10% above set NHpPD targets.

Site


% variance

BunburyRegional Hospital

High DependencyUnit

HDU 12 12.640.64 5.32


Dialysis Unit SatelliteDialysis

2.18 2.30

0.12 5.56



Selby B (Lemon& Gray Wing)

B (Selby B) 6.41 6.82

0.41 6.32

RPH Ward 9C B 6 6.40 0.40 6.63


Ward 6 Surgical C 5.75 6.14

0.39 6.73

Area MentalHealth Service

Banksia B+(Graylands) 6.49 6.930.44 6.84

Swan DistrictsHospital

Swan ValleyCentre

(Acute/Secure)

A+D (SwanValley

Centre)

6.87 7.34

0.47 6.91

Bentley Hospital

Ward 4Rehabilitation

D 5 5.38

0.38 7.57

ArmadaleHospital

Carl Streich -Rehab & Aged

Care

D 5 5.41

0.41 8.17

Bunbury

Regional Hospital

Paediatrics B 6 6.51

0.51 8.47

RPHCoronary Care

UnitCCU 14.16 15.42

1.26 8.90

SCGH

Ward G72 CAMS B+ (SCGHG72)

6.8 7.41

0.61 8.91

SCGHCoronary Care

UnitCCU 14.16 15.52

1.36 9.58


10/74

- 9 -

Table 4: Metropolitan & Regional Inpatient Wards greater than 10% above set NHpPD target.

34% (n=50) of inpatient areas were greater than 10% above set NHpPD targets

Site


% variance

FremantleHospital

Ward B9N B 6 6.610.61 10.09

RPH Ward 9B B 6 6.64 0.64 10.62

FremantleHospital

Ward B7N B 6 6.650.65 10.78

FremantleHospital

Ward V6 C 5.75 6.380.63 10.94


Ward B Maternity D+Deliv(Albany)

8.19 9.11

0.92 11.24

RockinghamHospital

Obstetrics D+Del(Rockingham)

7.61 8.48

0.87 11.45

SCGH Ward G41 H & L B+ 6.5 7.29 0.79 12.09

KalgoorlieRegionalHospital

Mental Health A,B,C(Kalgoorlie)

7.71 8.71

1.00 13.01


Restorative/StrokeUnit

C/D+(Swan) 6.15 7.00

0.85 13.87

GeraldtonRegionalHospital

Maternity D+Del(Geraldton)

8.55 9.81

1.26 14.72


West Wing(Medical) B 6 6.91 0.91 15.16


Murchison House E (Murch) 4.74 5.47

0.73 15.31

FremantleHospital

Ward B9S B 6 6.920.92 15.38

FremantleHospital

Ward 4.3 (MH) B 6 6.940.94 15.62

SCGH Ward G66 Neuro B 6 6.94 0.94 15.68

KEMH

Gynaecology Ward6

B 6 7.03

1.03 17.14


Med/Surg/ HDU (

Vickers)

B+(Pibara) 6.37 7.47

1.10 17.32

KalamundaHospital

Anderton(Med/Surg/Palliative

Care)

D+ (KH) 5.47 6.44

0.97 17.80

FremantleHospital

Kaleeya MaternityUnit

D+Del(FHHS)

8.35 9.88

1.53 18.32



Selby Red Wing(Graylands)

B+(OAMHP) 7.13 8.44

1.31 18.34



PsychiatricIntensive Care Unit

(PICU)

A+ (PICU) 8.15 9.65

1.50 18.43


11/74

- 10 -

Site


% variance

SCGH

GairdnerRehabilitation Unit

D 5 5.93

0.93 18.67

FremantleHospital

Restorative Unit D 5 5.960.96 19.23


Acacia A+ (Acacia) 11.81 14.082.27 19.25


East Wing(Surgical)

C (SKHS) 5.75 6.90

1.15 19.99


Hutchison Unit E (Hutch) 4.56 5.51

0.95 20.85


Casson A+ (Casson) 8.51 10.44

1.93 22.72

RPH Ward 2 SPC C 5.75 7.08 1.33 23.05

ArmadaleHospital

Colyer Surgical C 5.75 7.101.35 23.44

FremantleHospital Ward F6 C 5.75 7.15 1.40 24.37


Dialysis Unit SatelliteDialysis

2.18 2.76

0.58 26.63

Bentley Hospital

Ward 3 Medical/Surgical

D 5 6.37

1.37 27.40

RockinghamHospital

Medical C 5.75 7.33

1.58 27.47

Bentley Hospital Geriatrics Unit D 5 6.48 1.48 29.64


Maternity, Nursery& Birthing Suite

B 6 7.93

1.93 32.16

RockinghamHospital


1.86 32.32

RPH

Acute AdmissionsUnit (AAU)

C 5.75 8.04

2.29 39.82

ArmadaleHospital

Banksia_MHS forOlder People

Inpatients

B 6 8.46

2.46 40.94

Bentley Hospital

Secure Unit Ward 6 A+Misc(Bentley -

SU)

8.5 12.09

3.59 42.22

Bunbury

RegionalHospital

Mental Health C+ (BMH) 6.16 8.93

2.77 45.01

ArmadaleHospital

Leschen_AdultMental Health

Inpatients

A 7.5 10.94

3.44 45.83

Bentley Hospital

Ward 2 Maternity D+Del(Bentley)

6.86 10.70

3.84 55.92

FremantleHospital

Coronary Care Unit CCU 14.16 23.439.27 65.46

RockinghamHospital

Older AdultEvaluation &

Rehabilitation Unit

D 5 8.39

3.39 67.87


Yvonne Pinch A+ (GSLPinch)

14.72 24.77

10.05 68.30


12/74

- 11 -

Site


% variance

FremantleHospital

Ward D4 B 6 10.594.59 76.53


Maternity / SCN D+Del(Hedland)

6.43 11.64

5.21 81.04

ArmadaleHospital

Campbell Pediatrics B 6 11.245.24 87.31

FremantleHospital

CardiothoracicSurgery

A 7.5 16.33

8.83 117.72


Paediatric D 5 11.89

6.89 137.82

Table 5: Metropolitan & Regional Wards that are 0 5% below set NHpPD targets.

18% (n=27) of inpatient areas were 0 5% below set NHpPD targets.

Site


% variance

RPH Ward 5G B 6 5.71 -0.29 -4.87


Caesia B+(Graylands)

6.49 6.23

-0.26 -4.02


Plaistowe Unit E (Plast) 4.5 4.33

-0.17 -3.68

FremantleHospital

Ward 4.2 (MH) B 6 5.78-0.22 -3.61

RPH

Intensive Care

Unit

ICU 31.6 30.47

-1.13 -3.58Older AdultMental Health


Osborne OlderAdult

C 5.75 5.56

-0.19 -3.36

Bentley Hospital

Adult AcuteWard 7

B 6 5.80

-0.20 -3.31

BunburyRegionalHospital

Maternity D+Del(Bunbury)

8.3 8.04

-0.26 -3.18

FremantleHospital

Ward 5.1 (MH) B 6 5.82-0.18 -2.96

Bentley Hospital

Adult AcuteWard 8

B 6 5.84

-0.16 -2.66

KEMHObstetrics Ward

4B 6 5.85

-0.15 -2.44

SCGHWard G73

CancerB 6 5.86

-0.14 -2.34

RPH Ward 9A B 6 5.86 -0.14 -2.27

SCGH Ward G53 Neuro B (Ortho) 6.5 6.36 -0.14 -2.20

ArmadaleHospital

Benson Medical B 6 5.90-0.10 -1.69

SCGH Ward G51 Neuro B 6 5.90 -0.10 -1.66

Area Mental

Health Service

Dorrington A+ (GSL

Dorrington)

8.66 8.56

-0.10 -1.19


Ward E Medical /General

D 5 4.95

-0.05 -0.90


13/74

- 12 -

Site


% variance


Montgomery Unit A+ (GSLMontgomery)

8.66 8.58

-0.08 -0.87

SCGH

Ward G63

Gast/Renal

B 6 5.95

-0.05 -0.83SCGH Ward G54 H&L A 7.5 7.44 -0.06 -0.79


Ward C Maternity D+Del(Kalgoorlie)

8.07 8.01

-0.06 -0.77


Ward G MentalHealth

A&C(Albany)

6.28 6.23

-0.05 -0.74


Paediatric Ward No BM(SKHS)

6 5.96

-0.04 -0.68

BunburyRegional

Hospital

PICU(Psychiatric

Intensive Care

Unit)

A+ (PICUBunbury)

12 11.92

-0.08 -0.67RPH Ward 7A B 6 5.99 -0.01 -0.23

KEMHObstetrics Ward

3B 6 5.99

-0.01 -0.11

Table 6: Metropolitan & Regional Wards that are 5 - 10% below set NHpPD targets.

8% (n=12) of inpatient areas were 5 10% below set NHpPD targets.

Site


% variance

RPH Ward 5B B 6 5.45 -0.55 -9.10

RPH Ward 5F/7B B 6 5.52 -0.48 -8.04

SCGH

Ward G52 Neuro B+HDU(SCGHG52)

9.51 8.77

-0.74 -7.74

SCGH

Ward G74Gast/Renal

A 7.5 6.93

-0.57 -7.60

SCGHWard G71

CancerB+ 6.5 6.02

-0.48 -7.36


Ellis Ward A 7.5 6.95

-0.55 -7.34



Swan Older Adult C 5.75 5.36

-0.39 -6.75

RPH Ward 6H B 6 5.60 -0.40 -6.66

Bunbury RegionalHospital

Medical C 5.75 5.38

-0.37 -6.52


Ward B Medical C 5.75 5.39

-0.36 -6.28

RPH Ward 5A B 6 5.64 -0.36 -6.05

SCGHIntensive Care

UnitICU 31.6 29.90

-1.70 -5.38


14/74

- 13 -

Table 7: Metropolitan & Regional Wards that are 10% or more below set NHpPD targets.

8.8% (n= 13) of inpatient areas were 10% or more below set NHpPD targets

Site


% variance

ArmadaleHospital

Maude BellasMaternity

D+Del(Armadale) 7.02 3.46

-3.56 -50.71


HighDependency

Unit

HDU 12 9.20

-2.80 -23.32

RPH BMTU A 7.5 5.88 -1.62 -21.66

RPH Ward 6G A 7.5 6.01 -1.49 -19.86

KalgoorlieRegional

Hospital

HighDependency

Unit

HDU 12 9.92

-2.08 -17.31RPH Ward 5H A 7.5 6.39 -1.11 -14.80

RPH Ward 2K B 6 5.16 -0.84 -13.97

RPH Ward 10 SPC C 5.75 4.96 -0.79 -13.78


Hospital Ward C 5.75 5.00

-0.75 -13.05

AlbanyRegionalHospital

Dialysis Unit Satellite Dialysis 2.18 1.91

-0.27 -12.30

BroomeRegional

Hospital

General /Maternity

C+D+Del(Broome) 5.98 5.29

-0.69 -11.47RPH Ward 11 SPC A 7.5 6.69 -0.81 -10.78

RPH Ward 10AB B 6 5.39 -0.61 -10.08

Small Country Hospitals (SCH) data

For this report period 70 inpatient areas provided data. Reporting indicates that 90% (n=63) of

reported country small offices were on, above or less than 10% below set NHpPD targets. All

reported CSH ward inpatient data is provided in Appendix 2.

The reports are categorised into the following tables:

Table 8 SCH that are on or 0 5% above set NHpPD targets.

Table 9 SCH that are on or 510% above set NHpPD targets.

Table 10 SCH that are on or 10% or more above set NHpPD targets.

Table 11 SCH that are 0 5% below set NHpPD targets.

Table 12 SCH that are 510% below set NHpPD targets.

Table 13 SCH that 10%or more below set NHpPD targets.


15/74

- 14 -

Table 8: Small Country Hospital that are on or 0 5% above set NHpPD targets

7% (n=5) of SCH inpatient areas were on or 0 - 5 % above set NHpPD targets

Site

Ward Category Target YTD

Variance % variance

Denmark DistrictHospital

General /Maternity

E+Del(Denmark)

4.56 4.56

0.00 0.11

Dongara DistrictHospital

General /Aged Care

E 4.5 4.54

0.04 0.89

Northam RegionalHospital

General /Maternity

E+Del(Northam)

4.73 4.79

0.06 1.23

Busselton DistrictHospital

General /Maternity

D+Del(Busselton)

5.26 5.38

0.12 2.23

North Midlands

(Three Springs)Hospital

General /

Aged Care

E+F (Nth

Midlands)

4.23 4.39

0.16 3.76

Table 9: Small Country Hospital that are on or 5 - 10% above set NHpPD targets

2.8% (n=2) of SH inpatient areas were on or 5 - 10 % above set NHpPD targets

Site


Variance % variance

Kununoppin DistrictHospital

General /Aged Care

E+F(Kununoppin)

4.21 4.45

0.24 5.75

Bruce Rock DistrictHospital

General /Aged Care

E+F (BruceRock)

4.13 4.49

0.36 8.72


16/74

- 15 -

Table10: Small Country Hospital that are 10%or more above set NHpPD targets

60%(n=42) of SCH inpatient areas were 10% or above set NHpPD targets

Site


Variance % variance

Kojonup DistrictHospital

General D 5 5.67

0.67 13.46

Bridgetown Hospital

General/ AgedCare /Maternity

E+F+Del(Bridgetown)

4.65 5.44

0.79 16.89

Narrogin RegionalHospital

CombinedWard: Gen/Mat/ Paed/Surg

D+Del(Narrogin)

5.16 6.04

0.88 17.10

Wagin DistrictHospital

General/ AgedCare

E+F (Wagin) 4.18 4.90

0.72 17.34

Cunderdin DistrictHospital

General /Aged Care

E+F(Cunderdin)

4.07 4.78

0.71 17.55

Fitzroy CrossingDistrict Hospital

General E 4.5 5.29

0.79 17.58

Exmouth DistrictHospital

General /Aged Care

E (Exmouth) 4.5 5.31

0.81 17.99

York DistrictHospital

General /Aged Care

E+F (York) 4.18 5.27

1.09 26.05

Quairading DistrictHospital

General /Aged Care

E+F(Quairading)

4.14 5.33

1.19 28.65

Margaret RiverDistrict Hospital

General /

Maternity

E+Del

(MargaretRiver)

4.72 6.16

1.44 30.58

WyalkatchemDistrict Hospital

General /Aged Care

E+F(Wyalkatchem)

4.25 5.62

1.37 32.30

Nickol Bay DistrictHospital

General /Maternity

D+Del (NickolBay)

5.8 7.68

1.88 32.48

Warren DistrictHospital

General/AgedCare/Maternity

E+Del(Warren)

4.71 6.52

1.81 38.39

Donnybrook DistrictHospital

General /Aged Care

E+F(Donnybrook)

4.54 6.35

1.81 39.93

Murray DistrictsHospital

General /Maternity E+Del(Murray) 4.69 6.63 1.94 41.33

Leonora DistrictHospital

General /Aged Care

E+F (Leonora) 4.33 6.15

1.82 41.94

Boyup BrookHospital

General /Aged Care

E+F (BoyupBrook)

4.37 6.23

1.86 42.66

Dalwallinu DistrictHospital

General /Aged Care

E+F(Dalwallinu)

4.13 6.05

1.92 46.46

Narembeen DistrictHospital

General /Aged Care

E+F(Narembeen)

4.11 6.26

2.15 52.22

DumbleyungDistrict Hospital

General /

Aged Care

E+F

(Dumbleyung)

4.04 6.31

2.27 56.22


17/74

- 16 -

Site


Variance % variance

Boddongton DistrictHospital

General /Aged Care

E+F(Boddington)

4.14 6.50

2.36 56.90

Merredin District

Hospital

General E+F(Merredin)

4.23 6.66

2.43 57.56

RavensthorpeDistrict Hospital

General /Aged Care

E+F(Ravensthorpe)

4.23 6.81

2.58 61.07

Pemberton DistrictHospital

General /AgedCare

E+F(Pemberton)

4.46 7.35

2.89 64.85

Norseman DistrictHospital

General /Aged Care

E+F(Norseman)

4.28 7.22

2.94 68.68

Nannup DistrictHospital

General /Aged Care

E+F (Nannup) 4.01 6.98

2.97 74.16

Kondinin DistrictHospital

General /Aged Care

E+F(Kondinin)

4.19 8.21

4.02 95.98

WyndhamGeneral E 4.5 9.68

5.18115.12

Corrigin DistrictHospital

General /Aged Care

E+F (Corrigin) 4.11 9.26

5.15 125.39

Kellerberrin DistrictHospital

General /Aged Care

E+F(Kellerberrin)

4.3 10.27

5.97 138.75

Newman DistrictHospital

General D 5 13.09

8.09 161.89

Lake Grace DistrictHospital

General /Aged Care

E+F (LakeGrace) 4.16 11.447.28 175.11

Beverley DistrictHospital

General /Aged Care

E+F(Beverley)

4.19 11.60

7.41 176.80

Wongan HillsDistrict Hospital

General /Aged Care

E+F (WonganHills)

4.17 11.75

7.58 181.79

Southern CrossDistrict Hospital

General /Aged Care

E+F (SouthernCross)

4.19 12.04

7.85 187.29

Tom Price DistrictHospital

General /Extended Care

E 4.5 19.26

14.76 327.93

Onslow DistrictHospital

General /Aged Care

E 4.5 21.85

17.35 385.48

Laverton DistrictHospital

General/agedcare

E+F (Pingley) 4.47 25.48

21.01 470.09

Pingelly DistrictHospital

General /Aged Care

E+F (Pingelly) 4.14 23.82

19.68 475.30

Roebourne DistrictHospital

General E 4.5 39.70

35.20 782.11

Parburdoo

General E 4.5 57.45

52.95 1176.56


18/74

- 17 -

Site


Variance % variance

Kalbarri DistrictHospital

General /Aged Care

E 4.5 63.94

59.44 1320.81

Table 11: Small Country Hospital that are 0 5% below set NHpPD targets.

11% (n=8) of SCH inpatient areas were 0 5% below set NHpPD targets

Site


Variance % variance

Carnarvon Hospital

CombinedAcute Wards

E+D+Del(Carnarvon)

5.2 4.99

-0.21 -4.13

Northampton

District Hospital

General /Aged Care

E+F(Northampton)

4.17 4.00

-0.17 -4.12

Moora DistrictHospital

General /Aged Care

E+F (Moora) 4.3 4.15

-0.15 -3.49

Mullewa DistrictHospital

General /Aged Care

E 4.5 4.43

-0.07 -1.49

Derby RegionalHospital

General/Maternity/Paeds

D+Del (Derby) 5.34 5.27

-0.07 -1.27

Harvey DistrictHospital

General /Aged Care

E+F (Harvey) 4.54 4.51

-0.03 -0.71

Collie DistrictHospital

General /Maternity

E+Del (Collie) 4.72 4.70

-0.02 -0.39

Halls Creek DistrictHospital

General E 4.5 4.49

-0.01 -0.33

Table 12: Small Country Hospital that are 510% below set NHpPD targets.

4% (n=3) of SCH inpatient areas were 5 10% below set NHpPD targets

Site


Variance % variance

Katanning DistrictHospital

Combined

General &Maternity

E+Del

(Katanning)

4.94 4.52

-0.42 -8.42

Esperance DistrictHospital

General /Maternity

E+Del(Esperance)

4.88 4.49

-0.39 -8.04

GnowangerupDistrict Hospital

General /Aged Care

E 4.5 4.25

-0.25 -5.51


19/74

- 18 -

Table 13: Small Country Hospital that 10%or more below set NHpPD targets.

14% (n=10) of SCH inpatient areas are 10% or more below NHpPD targets

Site


Variance % variance

Katanning DistrictHospital

Kerry Lodge F 4 1.16

-2.84 -71.10

Plantagenet DistrictHospital Mt Barker

Lodge F 4 1.25

-2.75 -68.73

Carnarvon Hospital

PermanentCare Unit

F 4 1.27

-2.73 -68.14

Merredin DistrictHospital

Aged Care F 4 1.75

-2.25 -56.27

Plantagenet DistrictHospital Mt Barker

General /Maternity

E+Del(Plantagenet)

4.68 2.59

-2.09 -44.62

MeekatharraDistrict Hospital

General /Aged Care

E+F(Meekathara)

4.43 3.17

-1.26 -28.54

Morawa DistrictHospital

General /Aged Care

E+F (Morawa) 4.34 3.49

-0.85 -19.65

Kununurra DistrictHospital

General/Maternity

D+Del(Kununurra)

5.32 4.35

-0.97 -18.19

Augusta DistrictHospital

General /Aged Care

E+F (Augusta) 4.39 3.70

-0.69 -15.74

Goomalling DistrictHospital

General /

Aged Care

E+F

(Goomaling)

4.1 3.62

-0.48 -11.63


20/74

- 19 -

Table 14: Metropolitan Emergency Department Activity

16.6% (n=1) site reported they where between 5 - 10% below set NHpPD target83.3% (n=5) sites reported they where greater than 10% below set NHpPD target

Attendances bytriage category

Si rCharles

Gairdner

Hospi tal

Swan

Distr ict

Hospi tal

Royal

Perth

Hospi tal

Fremantle

Hospi tal

Armadale

Kelmscot t

Hospi tal

Rockingham

General

Hospi tal

Pr incess

Margaret

Hospi tal

NTS 1 318 123 482 134 80 64 108

NTS 2 3643 1887 3414 2103 1958 1544 698

NTS 3 6914 4157 7060 4297 5688 4847 4875

NTS 4 4264 4326 7291 5435 6624 6293 13364

NTS 5 368 588 1238 1809 632 279 122

total 15507 11081 19485 13778 14982 13027 19167

Averageoccupancy 18.26 3.05 16.33 15.74 3.06 0.99 4.09

Obs ward NHpPD *6.00 6.00 6.00 6.00 6.00 6.00 6.00

Nsg FTE for Obsward 20.18 3.37 18.05 17.40 3.38 1.09 4.52

Nsg FTE for ED 72.28 52.15 100.53 74.56 63.41 49.06 65.14

Additional shiftcoordinator FTE 4.57 4.57 4.57 4.57 4.57 4.57 4.57

Sum FTE forcover 118.71 63.81 123.00 91.23 77.58 60.03 79.70

Leave FTE(based on 22.35%

factor) 21.69 11.66 22.47 16.67 14.17 10.97 14.56

Sum FTErequired for

establishment 118.71 63.81 123.00 91.23 77.58 60.03 79.70

Actual NH

reported on the

NWMS 208921 118002 209201 149039 120871 86811.5

Actual FTE 105.72 59.71 105.87 75.42 61.16 43.93

Variance FTE % - 10.9% -6.4% -13.9% -17.3% -21.2% -26.8%

NHpPD for Obs ward has been increased from 5.75 to 6.0 to allow for the impact of the 4 hour rule


21/74

- 20 -


22/74

- 21 -

Regional Emergency Department

Regional Emergency Departments (6 units) provided data from 1st July 2011- 30th June 2012.

Table 15: Provides an overview of the large regional emergency department activity against actualand projected NHpPD.

Reporting indicates that during this period:

(n=2) sites reported they were on or above their set NHpPD

(n=1) site reported they were between 0 10% below their set NHpPD

(n=3) sites reported they where greater than 10% below their set NHpPD

Table 15: Regional Emergency Department Data

Hedland HealthCampus Bunbury Kalgoorlie Albany Geraldton Broome

Total Triagepresentations 21276 35843 27300 24504 29388 20683

OBD obs 1382 984 295 542 264

Total Targethours 29706.3 53749.9 34674.5 32550.3 42901.1 27494

Actual NH 27529.63 55048.9 29103.4 30666.24 30106.9 29365.05

Actual FTE 13.93 27.86 14.73 15.52 15.24 14.86

Target FTE 15.03 27.20 17.55 16.47 21.71 13.91

Variance -1.10 0.66 -2.82 -0.95 -6.47 0.95


23/74

- 22 -

Small Country Hospital Emergency Department within a ward

Information provided on Small Country Hospitals Emergency Departments within a ward reflects

presentations and activity only. Current models do not take into account adjusted benchmarks to

consider both inpatient and emergency department nursing hours required.

Table 16: Small Country Hospital Emergency Department within a ward Activity.

Site

L1 L2 L3 L4 L5 Total

Augusta District Hospital 2 61 244 418 134 859

Beverley District Hospital 14 63 186 161 136 560

Boddington District Hospital 6 69 366 727 371 1539

Boyup Brook Hospital UpperBlackwood

3 40 124 325 189 681

Bridgetown District Hospital6 217 649 2582 572 4026

Bruce Rock District Hospital 2 19 74 137 87 319

Busselton District Hospital 48 1181 4441 9322 2254 17246

Carnarvon Hospital 26 312 1205 3049 3316 7908

Collie District Hospital 29 285 936 2835 1839 5924

Corrigin District Hospital 1 26 147 290 136 600

Cunderdin District Hospital 2 24 69 125 231 451

Dalwallinu District Hospital 0 60 309 643 284 1296

Denmark District Hospital 21 252 814 1243 788 3118

Derby Regional Hospital 27 401 1733 5372 4099 11632

Donnybrook District Hospital 7 195 633 865 555 2255

Dumbleyung District Hospital 0 16 41 155 153 365

Esperance District Hospital 28 641 3464 9840 1670 15643

Exmouth District Hospital 6 137 482 1932 3569 6126

Fitzroy Crossing District Hospital

17 131 682 1377 1375 3582

Geraldton Regional Hospital 131 2572 10551 13748 2386 29388

Gnowangerup District Hospital 2 82 248 323 117 772

Goomalling District Hospital 6 41 221 437 173 878

Halls Creek District Hospital 19 298 1753 3218 1722 7010

Harvey District Hospital 25 234 717 991 291 2258

Katanning District Hospital 24 846 1375 1680 1579 5504

Kellerberrin District Hospital 0 25 154 635 358 1172

Kojonup District Hospital 3 167 266 299 252 987

Kondinin District Hospital 5 30 149 353 302 839

Kununoppin District Hospital 2 34 126 177 160 499

Kununurra District Hospital 19 383 2175 5359 4665 12601

Lake Grace District Hospital 2 49 125 267 232 675

Laverton District Hospital 3 45 172 587 2911 3718

Leonora District Hospital 9 64 285 1307 2481 4146

Margaret River District Hospital 7 309 1352 3066 499 5233

Merredin District Hospital 14 192 784 1733 725 3448

Moora District Hospital 10 105 508 972 388 1983

Nannup District Hospital 2 28 132 423 194 779

Narembeen District Hospital 1 36 132 266 94 529Narrogin Regional Hospital 64 906 3298 3550 1404 9222

Newman District Hospital 13 312 1460 4309 1979 8073


24/74

- 23 -

Site

L1 L2 L3 L4 L5 Total

Nickol Bay District Hospital 34 1115 4251 10695 3759 19854

Norseman District Hospital 2 106 322 619 1882 2931

Northam Regional Hospital 23 640 2969 5823 773 10228

Onslow District Hospital 1 102 361 1154 929 2547

Pemberton District Hospital 9 88 302 958 488 1845Pingelly District Hospital 2 95 255 234 315 901

Plantagenet District Hospital MtBarker

9 301 873 1486 862 3531

Quairading District Hospital 1 80 216 432 200 929

Ravensthorpe District Hospital 6 54 273 632 1548 2513

Roebourne District Hospital 9 167 621 1153 1444 3394

Southern Cross District Hospital 3 72 230 424 128 857

Tom Price District Hospital 11 231 682 1799 785 3508

Wagin District Hospital 10 112 409 481 308 1320

Warren District Hospital 21 213 1013 3440 2557 7244

Wongan Hills District Hospital3 42 177 366 318 906

Wyalkatchem District Hospital 4 55 202 366 198 825

Wyndham 2 89 570 2145 1254 4060

York District Hospital 10 104 405 603 203 1325


25/74

- 24 -

Current and Future Workload Developments

A number of strategies to support NHpPD are in place for the ongoing support and development of the

NHpPD.

Feed back from the Health Services on NHpPD Variances.Directors of Nursing continue to provide feedback regarding site/region specific strategies to address

data variances and workload issues. Formal feedback from each site identified as having clinical

areas 10% below set targets are attached in Appendix 3.

Nursing Workload Monitoring System (NWMS)

The NWMS continues to provide reliable data from all sites. The system is however, currently

undergoing a major review which will see the introduction of a more automated system that will draw

the information required from existing systems therefore reducing the time required by NM when

inputting data and improve accuracy.

Current Recruitment and Attraction Strategies

WA Health maintains a range of attraction and retention strategies to address workforce capacity and

capability at a state-wide level.

A. Undergraduate Recruitment and Positions:

Graduate Connect (GC) is the centralised recruiting process for graduate nurses and midwives

wishing to apply for a position in either a public or participating private hospital in WA. GraduateConnect is now a biannual recruitment process, as it was identified that annual recruitment could

disadvantage enrolled nurse applicants who may have not commenced any clinical placements prior

to applying for graduate positions.

For the 2013 recruitment year34 hospitals and health services including participating private hospitals

used GNC as their main method of recruiting graduates for graduate programs commencing in 2013.

Over the two recruitment processes for positions due to commence in 2013 programs WA health

received 1146 Registered Nurse (RN) applications, 68 Midwifery (MW) and 185 Enrolled Nurse (EN)

applications.

For 2013 WA health and participating private hospitals have offered, 586 RN positions, 35 MW

positions and 82 EN positions. Round two is currently in progress it is anticipated that an additional

100 RNs 49 ENs and 6 MW places will be filled by the end of this round.

WA health will continue to provide support to public hospitals via the Liberal National Government

commitment to provide financial support in the transition of graduate nurses/midwives into the work

force. For 2013 this equates to $1500.00 per RN/MW and $750.00 per EN graduate.


26/74

- 25 -

B. Refresher and Renewal of Registration Programs

Refresher Programs

The Nursing and Midwifery Office (NMO) continues to support refresher programs for ENs,RNs and Midwives who wish update their clinical skills and knowledge to return to the acuteclinical setting. The NMO continues to receive large volumes of applications for refresher

programs and in the 2011/2012 period 36 Nurses (RNs and ENs) and 10 Midwivessuccessfully completed a refresher program.

Currently the NMO is conducting a review of the support and structure of WA Health refresherprograms. The primary aim of this project is to evaluate the strengths and limitations of currentprograms and to improve educational resources and develop an alternative model of deliveryfor future programs. The NMO is exploring online study modules and flexible full-time or parttime study options for refresher participants.

A survey was recently sent to all participants who completed a refresher program between2008 and 2012. This survey will also assist the NMO to evaluate the validity and outcomes of

refresher programs and aid in the continuous improvement of future programs. The surveyresults will be available on the NMO website by end November 2012.

EN Principles of Emergency Care Program

In 2011/2012 the NMO provided ongoing support for the EN Principles of Emergency Care (EN

PEC) Program for ENs employed in WA Health. 100 ENs were fully funded to attend a 2-day

workshop facilitated by the College of Nursing in September 2011 and May 2012, followed by a

6 month distance education unit. Financial assistance for travel accommodation was also

available for staff travelling from WA Country Health regions. The EN PEC program is

recognized as a relevant post registration qualification allowing ENs to apply for the Advanced

Skills EN classification.

Critical Care Workforce Plan and Up skilling

In September 2011, 24 Registered Nurses (including private sector nurses) successfullycompleted the 3rd Adult Critical Care Up skilling program (ACCUP). The ACCUP, funded bythe NMO, was offered as part of a state wide Adult Critical Care Workforce Plan initiative toaddress critical care nursing workforce issues.

The aim of the ACCUP was to develop the basic knowledge, skills and attitudes of registerednurses wishing to practice in the high dependency / adult intensive care area. The program

equipped beginner level critical care RNs with the knowledge and skills to effectively addressthe complex health needs of high acuity adult patients. The 2011 program coincided with theopening of additional intensive care beds at Fremantle Hospital and to continue the up skillingof staff at the newly opened Level 1 ICUs at Armadale Health Service and RockinghamHospital.

C. Marketing

In 2011/12, a $400,000 nursing and midwifery recruitment campaign, which utilised the

branding concepts from the 2008 Nursing and midwifery...can take you anywhere campaign,was implemented to support a State Government target to employ 800 additional FTE nurses


27/74

- 26 -

and midwives (a target of 11,617 FTE) prior to the end of 2012. The campaign also sought to

address demand modelling from the Workforce Branch that indicated that by 2014/2015, WA

Health would need to employ 13,361 FTE nurses/midwives to meet demand an increase of

1700 FTE. The Nursing and Midwifery Office had also identified an increasing usage of agency

staff; an ageing workforce with high levels of retirement expected; and younger staff choosing

to work part-time as issues impacting the nursing workforce.

The 2011/2012 recruitment campaign promoted nursing and midwifery careers in mainstream

media, professional publications, and online sites and at career expos. Advertising focussed on

employment opportunities, training and development to position nursing and midwifery as

rewarding careers with WA Health. Advertising was supported by media and public relations

activity and other below-the-line tactics. Target audiences included young people and their

parents, nurses and midwives eligible to re-enter the profession, and working nurses and

midwives who will see the campaign as an investment in their profession, promoting self-

esteem. It was implemented from January to 30 June 2012. Post-campaign research whichevaluated the creative concepts from the 2011/12 campaign will inform the development of

concepts for the 2012/13 2013/14 campaign.

D. Scholarships

The DoH recognises the importance of professional development to maintain the high

standards of our nursing and midwifery workforce.

In order to encourage nurses and midwives to pursue further studies, financial assistance via

scholarships is offered who are enrolled in post graduate studies and meet the selectioncriteria. Areas of specialisation for which scholarships have been given are as follows:

Areas of Specialisation

Aged Care Acute Care

Clinical Management Critical Care

Coronary Care Child & Adolescent Health

Diabetes Emergency

Mental Health Neonatal

International Health Intensive Care

Oncology Orthopaedics

Palliative Care Peri operative

PICU PNSA

The following amounts of money have been allocated for the period of 2012

Postgraduate Clinical Specialisation 321 $1,365,116.00

Postgraduate Midwifery 94 $294,089.00

Master of Nursing (Nurse Practitioner) 49 $91,030.00.

EN-RN / Undergraduate 455 $1,107,000.00TOTAL 919 $2,857,235.00


28/74

- 27 -

E. Nurse Practitioner (NP)

As of 26/4/2012 the National Office of the Australian Health Practitioner Regulation Agency have

570 Registered Nurses with Nurse Practitioner endorsement across Australia. 107 of these

identified Western Australia as their place of residency.WA has the third highest number of endorsed NPs behind New South Wales and Queensland.

Designated NP areas that allow for the employment of NPs are:

WA Country Health Services (WACHS)

Remote area nursing posts 21

Remote practice sites 12

Emergency care services 73

WACHS mental health servicesKimberley paediatric health services

WACHS aged care service

Metropolitan Area

SMAHS 15

NMAHS 11

CAHS - 3

Government Agencies

Corrective services

Defence force - Navy

Designated Areas - Metropolitan Date designated Speciality

Royal Perth Hospital 08-Apr-05 Liver services

Sir Charles Gairdner Hospital 08-Apr-05 Haematology oncology

Princess Margaret Hospital for Children 22-Aug-05 Haematology oncology total

care servicesRoyal Perth Hospital 04-Sep-06 Emergency services

Royal Perth Hospital 06-Dec-06 Wound management

Rockingham Kwinana District Hospital 06-Dec-06 Emergency ServicesArmadale Kelmscott Health Service 19-Feb-07 Renal Services

Sir Charles Gairdner Hospital 08-Jun-07 Wound Management Services

Fremantle Hospital 29-Aug-07 Continence ServicesSwan District Hospital 14-Sep-07 Emergency Services

Royal Perth Hospital 28-Nov-07Heart Failure and CardiacTransplant Service

Royal Perth Hospital 28-Nov-07 Nephrology ServiceFremantle Hospital 14-Jan-08 Emergency Services


29/74

- 28 -

Sir Charles Gairdner Hospital 6Mar-08 Mental Health Services

Princess Margaret Hospital for Children 22-Sep-08Diabetes and EndocrinologyServices

Royal Perth Hospital 12-Nov-08 Palliative Care ServicesArmadale Kelmscott Health Service 16-Mar-09 Emergency ServicesSir Charles Gairdner Hospital 20-Apr-09 Emergency Services

Armadale Kelmscott Health Service 16-Mar-09 Emergency ServicesFremantle Hospital 16-Jul-09 Rottnest Island Nursing Services

Royal Perth Hospital 01-Oct-09Thrombosis and HaemophilaServices

Graylands 03-Nov-09State Forensic Mental HealthService

Sir Charles Gairdner Hospital 15-Feb-10 Respiratory MedicineFremantle Hospital 15-Feb-10 Wound Management Service

Women's and Newborn Health Services 03-Feb-11Obstetrics and GynaecologyServices

Fremantle Hospital 06-Sep-11 Sexual Health Services

Sir Charles Gairdner Hospital 15-Dec-11 Orthopaedic ServicesSir Charles Gairdner Hospital 15-Dec-11 Anticoagulation Services

Sir Charles Gairdner Hospital 12-Mar-12 Residential Care LinePrincess Margaret Hospital for Children 12-Mar-12 Emergency Services

Designated Areas Private Providers Date designated Speciality

Carinya Aged Care 08-Apr-05 Aged Care

Joondalup Health Campus 07-Jul-06 Emergency ServicesBrightwater Care Group 29-Aug-07 Aged Care ServicesSouthern Cross Care (WA) Inc 14-Jan-08 Aged Care ServicesRevive Clinic Booragoon 30-Oct-08 Health Care CentreHealthscope Medical Centres 12-Dec-08 Health Care CentresCarepoint Industrial Health Services 19-May-09 Industrial HealthSilver Chain Association 19-May-09 Primary Health Care

Revive Clinic 11-Nov-09 Primary Health CareSt John of God Hospital, Murdoch 23-Apr-10 Emergency ServicesSt John of God Hospital, Murdoch 23-Jun-10 Acute Care After Hours ServiceHall & Prior 10-Sep-10 Residential Health and Aged CareNurse Practitioner Clinics Australia 10-Sep-10 Primary Health CareGeraldton Regional Aboriginal MedicalService

10-Sep-10 Primary Health Care

Primary NP Healthcare 12-Oct-10 Primary Health CareRevive Clinics 02-Mar-11 Primary Health Care ServicesCollaborative Primary Health Care WA 02-Mar-11 Primary Health Care Services

Primary Health Care 29-Jun-11 Primary Health Care

Children's Equity CEDARs Centre 29-Jun-11 Developmental Delayed Childrenand Family

REDiMED Total Injury Management 06-Sep-11 Industrial HealthEast Fremantle Medical Practice & Health

Service06-Sep-11 Primary Care

Murray Medical Centre 15-Dec-11 Primary CareKwinana Medical Centre 15-Dec-11 Primary Care


30/74

- 29 -

Leda Medical Centre 15-Dec-11 Primary CareCoolbellup Medical Centre 15-Dec-11 Primary CareAubin Grove Medical Centre 15-Dec-11 Primary CareThe Bethanie Group Inc 12-Jan-12 Aged Care ServicesEmerge Surgical 12-Jan-12 General and Bariatric Surgery

Women's Healthworks 12-Jan-12

Women's Sexual and

Reproductive HealthVictoria District Medical Centre 12-Jan-12 Primary CareAmana Living 12-Mar-12 Aged Care Services

St John of God Hospital, Subiaco 12-Mar-12 Acute Pain Service

Aspen Medical Pty Ltd 03-May-12Primary and Emergency HealthCare

Australian Community Health Services PtyLtd T/A FibreMed

03-May-12 Health Care


31/74

- 30 -

Benchmarks and Reclassification

Since the 2011/12 interim report 8 applications for ward reclassification were submitted and reviewed

by the State Workload Review Committee. All 8 new submissions where approved by the committee.

Table 17: Ward area that have been revised and approved for reclassification

Hospital Ward Previous category &benchmark

Revised category &benchmark

Bunbury PICU New classification 12 NHpPD

RockinghamGeneral Hospital

ICU/HDU New Unit 28.76 NHpPD


Ward 5 D 5.0 D+ 5.33

KalamundaHospital

Anderton Ward D 5.0 D+ 5.47

Selby * Selby Older Adult A+ 8.15 A+ 8.15

Royal PerthHospital

Ward 2K C 5.75 B 6.0

RockinghamGeneral Hospital

Multistay surgicalunit

D 5.0 C 5.75

Sir CharlesGairdner Hospital

G41 B 6.0 B+ 6.5

Sir CharlesGairdner Hospital

C16 C 5.75 B 6.0

*Selby Older Adult was reclassified in early 2010 and was required to submit a full year of supporting data to uphold their classification


32/74

- 31 -

Appendices


33/74

- 32 -

Appendix 1: Metropolitan and Regional Wards NHpPD

Site


Variance%

variance

AlbanyRegional

Hospital

Ward A Surgical C 5.75 5.90

0.15 2.67AlbanyRegionalHospital

Ward B Maternity D+Deliv (Albany) 8.19 9.11

0.92 11.24


Ward C Paediatric/Medical /Surgical

C&D (Albany) 5.5 5.61

0.11 1.92


Ward E Medical /General

D 5 4.95

-0.05 -0.90


Ward G MentalHealth

A&C (Albany) 6.28 6.23

-0.05 -0.74


High DependencyUnit

HDU 12 12.06

0.06 0.52



-0.27 -12.30

Area MentalHealthService

Yvonne Pinch A+ (GSL Pinch) 14.72 24.77

10.05 68.30


Acacia A+ (Acacia) 11.81 14.08

2.27 19.25


Montgomery Unit A+ (GSLMontgomery) 8.66 8.58

-0.08 -0.87


Smith Units A+ (GSL Smith) 8.66 8.84

0.18 2.03


Casson A+ (Casson) 8.51 10.44

1.93 22.72


Banksia B+ (Graylands) 6.49 6.93

0.44 6.84


Caesia B+ (Graylands) 6.49 6.23

-0.26 -4.02


Ward D 20 Phy Unit C 5.75 5.93

0.18 3.06


Hutchison Unit E (Hutch) 4.56 5.51

0.95 20.85


Plaistowe Unit E (Plast) 4.5 4.33

-0.17 -3.68

Area Mental

HealthService

Murchison House E (Murch) 4.74 5.47

0.73 15.31


34/74

- 33 -

Site


Variance%

variance


Dorrington A+ (GSLDorrington)

8.66 8.56

-0.10 -1.19

Area Mental

HealthService

Ellis Ward A 7.5 6.95

-0.55 -7.34

ArmadaleHospital

Carl Streich -Rehab & Aged

Care

D 5 5.41

0.41 8.17

ArmadaleHospital

Leschen_AdultMental Health

Inpatients

A 7.5 10.94

3.44 45.83

ArmadaleHospital

Campbell Pediatrics B 6 11.24

5.24 87.31

ArmadaleHospital

Banksia_MHS forOlder People

Inpatients

B 6 8.46

2.46 40.94

ArmadaleHospital

Benson Medical B 6 5.90-0.10 -1.69

ArmadaleHospital

Colyer Surgical C 5.75 7.101.35 23.44

ArmadaleHospital

Maude BellasMaternity

D+Del(Armadale) 7.02 3.46

-3.56 -50.71

BentleyHospital

Ward 2 Maternity D+Del (Bentley) 6.86 10.70

3.84 55.92

BentleyHospital

Ward 3 Medical/Surgical

D 5 6.37

1.37 27.40

BentleyHospital

Ward 4Rehabilitation

D 5 5.380.38 7.57

BentleyHospital

Secure Unit Ward 6 A+Misc (Bentley -SU)

8.5 12.09

3.59 42.22

BentleyHospital

Adult Acute Ward 7 B 6 5.80

-0.20 -3.31

BentleyHospital

Adult Acute Ward 8 B 6 5.84

-0.16 -2.66

BentleyHospital

Geriatrics Unit D 5 6.481.48 29.64

BroomeRegionalHospital

General / Maternity C+D+Del(Broome) 5.98 5.29

-0.69 -11.47



0.24 4.13


Medical C 5.75 5.38

-0.37 -6.52


Paediatrics B 6 6.51

0.51 8.47

Bunbury

RegionalHospital

Maternity D+Del (Bunbury) 8.3 8.04

-0.26 -3.18


35/74

- 34 -

Site


Variance%

variance


Mental Health C+ (BMH) 6.16 8.93

2.77 45.01

Bunbury

RegionalHospital

High Dependency

Unit

HDU 12 12.64

0.64 5.32


PICU (PsychiatricIntensive Care Unit)

A+ (PICUBunbury)

12 11.92

-0.08 -0.67

FremantleHospital

CardiothoracicSurgery

A 7.5 16.33

8.83 117.72

FremantleHospital

Ward 4.1 (MH) A+ (FHHS) 11.2 11.250.05 0.41

FremantleHospital

Ward D4 B 6 10.594.59 76.53

FremantleHospital

Ward B8S B 6 6.260.26 4.36

FremantleHospital

Ward B7S B 6 6.270.27 4.52

FremantleHospital

Ward B7N B 6 6.650.65 10.78

FremantleHospital

Ward B9S B 6 6.920.92 15.38

FremantleHospital

Ward B9N B 6 6.610.61 10.09

FremantleHospital

Ward 4.2 (MH) B 6 5.78-0.22 -3.61

FremantleHospital

Ward 5.1 (MH) B 6 5.82-0.18 -2.96

FremantleHospital

Ward F6 C 5.75 7.151.40 24.37

FremantleHospital

Ward V6 C 5.75 6.380.63 10.94

FremantleHospital

Ward 4.3 (MH) B 6 6.940.94 15.62

FremantleHospital

Restorative Unit D 5 5.960.96 19.23

FremantleHospital

Intensive Care Unit ICU 31.6 32.240.64 2.03

FremantleHospital

Coronary Care Unit CCU 14.16 23.439.27 65.46

FremantleHospital

Kaleeya MaternityUnitD+Del (FHHS) 8.35 9.88

1.53 18.32


Maternity D+Del (Geraldton) 8.55 9.81

1.26 14.72


High DependencyUnit

HDU 12 9.20

-2.80 -23.32


Hospital Ward C 5.75 5.00

-0.75 -13.05



0.58 26.63


36/74

- 35 -

Site


Variance%

variance

HedlandHealthCampus

Med/Surg/ HDU (Vickers)

B+(Pibara) 6.37 7.47

1.10 17.32Hedland

HealthCampus

Maternity / SCN D+Del (Hedland) 6.43 11.64

5.21 81.04HedlandHealthCampus

Paediatric D 5 11.89

6.89 137.82HedlandHealthCampus

Dialysis unit Satellite Dialysis 2.18 2.22

0.04 1.99

KalamundaHospital

Anderton(Med/Surg/PalliativeCare)

D+ (KH) 5.47 6.44

0.97 17.80Kalgoorlie

RegionalHospital

Ward D Surgical C 5.75 5.79

0.04 0.73


Ward B Medical C 5.75 5.39

-0.36 -6.28


Paediatrics D 5 5.04

0.04 0.73


Ward C Maternity D+Del (Kalgoorlie) 8.07 8.01

-0.06 -0.77

Kalgoorlie

RegionalHospital

High Dependency

Unit

HDU 12 9.92

-2.08 -17.31


Mental Health A,B,C (Kalgoorlie) 7.71 8.71

1.00 13.01



0.12 5.56

KEMH Obstetrics Ward 5 B 6 6.16 0.16 2.69

KEMH

Gynaecology Ward6

B 6 7.03

1.03 17.14

KEMH Obstetrics Ward 3 B 6 5.99 -0.01 -0.11

KEMHObstetrics Ward 4 B 6 5.85

-0.15-2.44

Older AdultMental HealthProgram(North Metro)

Selby Red Wing(Graylands)

B+(OAMHP) 7.13 8.44

1.31 18.34


Osborne OlderAdult

C 5.75 5.56

-0.19 -3.36


Swan Older Adult C 5.75 5.36

-0.39 -6.75


37/74

- 36 -

Site


Variance%

variance


PsychiatricIntensive Care Unit

(PICU)

A+ (PICU) 8.15 9.65

1.50 18.43


Selby A (Blue Wing) B (Selby A) 6.41 6.54

0.13 2.08


Selby B (Lemon &Gray Wing)

B (Selby B) 6.41 6.82

0.41 6.32


Ward 5 Aged Care& Rehab

D+ (OPH) 5.33 5.47

0.14 2.59


Ward 4 Aged Care& Rehab

D 5 5.03

0.03 0.51


Ward 3 Aged Care& Rehab D 5 5.11 0.11 2.11


Maternity D+Del (Osb Park) 8.97 9.40

0.43 4.84


Ward 6 Surgical C 5.75 6.14

0.39 6.73

RockinghamHospital

Medical C 5.75 7.33

1.58 27.47

RockinghamHospital


1.86 32.32

RockinghamHospital

Obstetrics D+Del(Rockingham)

7.61 8.48

0.87 11.45

RockinghamHospital

Older AdultEvaluation &

Rehabilitation Unit

D 5 8.39

3.39 67.87

RPH BMTU A 7.5 5.88 -1.62 -21.66

RPH Ward 11 SPC A 7.5 6.69 -0.81 -10.78

RPH Ward 5H A 7.5 6.39 -1.11 -14.80

RPH Ward 6G A 7.5 6.01 -1.49 -19.86

RPH Ward 1 SPC B 6 6.08 0.08 1.35

RPH Ward 5A B 6 5.64 -0.36 -6.05

RPH Ward 5B B 6 5.45 -0.55 -9.10RPH Ward 5F/7B B 6 5.52 -0.48 -8.04

RPH Ward 5G B 6 5.71 -0.29 -4.87

RPH Ward 6H B 6 5.60 -0.40 -6.66

RPH Ward 7A B 6 5.99 -0.01 -0.23

RPH Ward 9 SPC B 6 6.19 0.19 3.25

RPH Ward 9C B 6 6.40 0.40 6.63

RPH Ward 10 SPC C 5.75 4.96 -0.79 -13.78

RPH Ward 10AB B 6 5.39 -0.61 -10.08

RPH Ward 4A (SSSU) C 5.75 5.83 0.08 1.34

RPH Ward 5E B 6 6.04 0.04 0.61RPH Ward 6A B 6 6.29 0.29 4.79


38/74

- 37 -

Site


Variance%

variance

RPH

Ward 7B/3k (GEMUnit)

D 5 5.18

0.18 3.54

RPH Ward 8 SPC C 5.75 5.75 0.00 0.02

RPH Ward 8A B 6 6.02 0.02 0.31

RPH Ward 9A B 6 5.86 -0.14 -2.27

RPH Ward 9B B 6 6.64 0.64 10.62

RPH Ward 2 SPC C 5.75 7.08 1.33 23.05

RPH Ward 2K B 6 5.16 -0.84 -13.97

RPH Intensive Care Unit ICU 31.6 30.47 -1.13 -3.58

RPH Coronary Care Unit CCU 14.16 15.42 1.26 8.90

RPH

Acute AdmissionsUnit (AAU)

C 5.75 8.04

2.29 39.82

RPH Ward 4F B 6 6.23 0.23 3.79

SCGH

Ward G52 Neuro B+HDU (SCGH

G52)

9.51 8.77

-0.74 -7.74SCGH Ward G62 H & L A 7.5 7.68 0.18 2.34

SCGH

Ward G74Gast/Renal

A 7.5 6.93

-0.57 -7.60

SCGH Ward G54 H&L A 7.5 7.44 -0.06 -0.79

SCGH Ward G41 H & L B+ 6.5 7.29 0.79 12.09

SCGH

Ward G63Gast/Renal

B 6 5.95

-0.05 -0.83

SCGH Ward G64 Neuro A 7.5 7.75 0.25 3.27

SCGH Ward G71 Cancer B+ 6.5 6.02 -0.48 -7.36

SCGH

Ward G72 CAMS B+ (SCGH G72) 6.8 7.41

0.61 8.91

SCGH Ward G73 Cancer B 6 5.86 -0.14 -2.34

SCGH Ward G66 Neuro B 6 6.94 0.94 15.68

SCGH Ward G51 Neuro B 6 5.90 -0.10 -1.66

SCGH Ward G53 Neuro B (Ortho) 6.5 6.36 -0.14 -2.20

SCGH Ward G61 CAMS B 6 6.09 0.09 1.48

SCGH Ward C 16 CAMS B 6 6.15 0.15 2.46

SCGH Intensive Care Unit ICU 31.6 29.90 -1.70 -5.38

SCGHCoronary Care Unit CCU 14.16 15.52

1.369.58

SCGH

GairdnerRehabilitation Unit

D 5 5.93

0.93 18.67

SwanDistrictsHospital

East Wing(Surgical)

C (SKHS) 5.75 6.90

1.15 19.99


West Wing(Medical)

B 6 6.91

0.91 15.16


Restorative/StrokeUnit

C/D+(Swan) 6.15 7.00

0.85 13.87

Swan

DistrictsHospital

Maternity, Nursery

& Birthing Suite

B 6 7.93

1.93 32.16


39/74

- 38 -

Site


Variance%

variance


Swan Valley Centre(Acute/Secure)

A+D (Swan ValleyCentre)

6.87 7.34

0.47 6.91

Swan

DistrictsHospital

Paediatric Ward No BM (SKHS) 6 5.96

-0.04 -0.68


40/74

- 39 -

Appendix 2: Country Small Hospital Ward Inpatient NHpPD.

Site


Variance%

variance

AugustaDistrict

Hospital

General / Aged Care E+F (Augusta) 4.39 3.70

-0.69 -15.74BeverleyDistrictHospital

General / Aged Care E+F (Beverley) 4.19 11.60

7.41 176.80

BoddongtonDistrictHospital

General / Aged Care E+F (Boddington) 4.14 6.50

2.36 56.90

Boyup BrookHospital

General / Aged Care E+F (BoyupBrook)

4.37 6.23

1.86 42.66

Bridgetown

Hospital

General/ Aged Care /Maternity

E+F+Del(Bridgetown)

4.65 5.44

0.79 16.89Bruce RockDistrictHospital

General / Aged Care E+F (Bruce Rock) 4.13 4.49

0.36 8.72

BusseltonDistrictHospital

General / Maternity D+Del (Busselton) 5.26 5.38

0.12 2.23

CarnarvonHospital

Permanent Care Unit F 4 1.27

-2.73 -68.14

CarnarvonHospital

Combined Acute Wards E+D+Del(Carnarvon)

5.2 4.99

-0.21 -4.13

Collie DistrictHospital

General / Maternity E+Del (Collie) 4.72 4.70

-0.02 -0.39

CorriginDistrictHospital

General / Aged Care E+F (Corrigin) 4.11 9.26

5.15 125.39

CunderdinDistrictHospital

General / Aged Care E+F (Cunderdin) 4.07 4.78

0.71 17.55

DalwallinuDistrictHospital

General / Aged Care E+F (Dalwallinu) 4.13 6.05

1.92 46.46

DenmarkDistrictHospital

General / Maternity E+Del (Denmark) 4.56 4.56

0.00 0.11

DerbyRegionalHospital

General/Maternity/Paeds D+Del (Derby) 5.34 5.27

-0.07 -1.27

DongaraDistrictHospital

General / Aged Care E 4.5 4.54

0.04 0.89

DonnybrookDistrictHospital

General / Aged Care E+F(Donnybrook)

4.54 6.35

1.81 39.93

DumbleyungDistrictHospital

General / Aged Care E+F

(Dumbleyung)

4.04 6.31

2.27 56.22


41/74

- 40 -

Site


Variance%

variance

EsperanceDistrictHospital

General / Maternity E+Del(Esperance)

4.88 4.49

-0.39 -8.04

Exmouth

DistrictHospital

General / Aged Care E (Exmouth) 4.5 5.31

0.81 17.99

FitzroyCrossingDistrictHospital

General E 4.5 5.29

0.79 17.58

GnowangerupDistrictHospital


-0.25 -5.51

GoomallingDistrictHospital

General / Aged Care E+F (Goomaling) 4.1 3.62

-0.48 -11.63

Halls CreekDistrictHospital

General E 4.5 4.49

-0.01 -0.33

HarveyDistrictHospital

General / Aged Care E+F (Harvey) 4.54 4.51

-0.03 -0.71

KalbarriDistrictHospital


59.44 1320.81

KatanningDistrictHospital

Kerry Lodge F 4 1.16

-2.84 -71.10

Katanning

DistrictHospital

Combined General &

Maternity

E+Del

(Katanning)

4.94 4.52

-0.42 -8.42

KellerberrinDistrictHospital

General / Aged Care E+F (Kellerberrin) 4.3 10.27

5.97 138.75

KojonupDistrictHospital

General D 5 5.67

0.67 13.46

KondininDistrictHospital

General / Aged Care E+F (Kondinin) 4.19 8.21

4.02 95.98

Kununoppin

DistrictHospital

General / Aged Care E+F (Kununoppin) 4.21 4.45

0.24 5.75

KununurraDistrictHospital

General/ Maternity D+Del(Kununurra) 5.32 4.35

-0.97 -18.19

Lake GraceDistrictHospital

General / Aged Care E+F (Lake Grace) 4.16 11.44

7.28 175.11

LavertonDistrictHospital

General / Aged Care E+F (Laverton) 4.47 25.48

21.01 470.09

Leonora

DistrictHospital

General / Aged Care E+F (Leonora) 4.33 6.15

1.82 41.94


42/74

- 41 -

Site


Variance%

variance

MargaretRiver DistrictHospital

General / Maternity E+Del (MargaretRiver)

4.72 6.16

1.44 30.58

Meekatharra

DistrictHospital

General / Aged Care E+F (Meekathara) 4.43 3.17

-1.26 -28.54

MerredinDistrictHospital

Aged Care F 4 1.75

-2.25 -56.27

MerredinDistrictHospital

General E+F (Merredin) 4.23 6.66

2.43 57.56

Moora DistrictHospital

General / Aged Care E+F (Moora) 4.3 4.15

-0.15 -3.49

MorawaDistrict

Hospital

General / Aged Care E+F (Morawa) 4.34 3.49

-0.85 -19.65MullewaDistrictHospital


-0.07 -1.49

MurrayDistrictsHospital

General / Maternity E+Del (Murray) 4.69 6.63

1.94 41.33

NannupDistrictHospital

General / Aged Care E+F (Nannup) 4.01 6.98

2.97 74.16

NarembeenDistrictHospital

General / Aged Care E+F (Narembeen) 4.11 6.26

2.15 52.22

NarroginRegionalHospital

Combined Ward: Gen/Mat/ Paed/ Surg

D+Del(Narrogin) 5.16 6.04

0.88 17.10

NewmanDistrictHospital

General D 5 13.09

8.09 161.89

Nickol BayDistrictHospital

General / Maternity D+Del (NickolBay)

5.8 7.68

1.88 32.48

Norseman

DistrictHospital

General / Aged Care E+F (Norseman) 4.28 7.22

2.94 68.68

NorthMidlands(ThreeSprings)Hospital

General / Aged Care E+F (NthMidlands)

4.23 4.39

0.16 3.76

NorthamRegionalHospital

General / Maternity E+Del (Northam) 4.73 4.79

0.06 1.23

NorthamptonDistrictHospital

General / Aged Care E+F(Northampton)

4.17 4.00

-0.17 -4.12

OnslowDistrictHospital


17.35 385.48


43/74

- 42 -

Site


Variance%

variance

Parburdoo General E 4.5 57.45 52.95 1176.56

PembertonDistrict

Hospital

General /Aged Care E+F (Pemberton) 4.46 7.35

2.89 64.85PingellyDistrictHospital

General / Aged Care E+F (Pingelly) 4.14 23.82

19.68 475.30

PlantagenetDistrictHospital MtBarker

Lodge F 4 1.25

-2.75 -68.73

PlantagenetDistrictHospital MtBarker

General / Maternity E+Del(Plantagenet)

4.68 2.59

-2.09 -44.62

QuairadingDistrictHospital

General / Aged Care E+F (Quairading) 4.14 5.33

1.19 28.65

RavensthorpeDistrictHospital

General / Aged Care E+F(Ravensthorpe)

4.23 6.81

2.58 61.07

RoebourneDistrictHospital

General E 4.5 39.70

35.20 782.11

SouthernCross DistrictHospital

General / Aged Care E+F (SouthernCross)

4.19 12.04

7.85 187.29

Tom PriceDistrictHospital

General / Extended Care E 4.5 19.26

14.76 327.93

Wagin DistrictHospital

General/ Aged Care E+F (Wagin) 4.18 4.90

0.72 17.34

WarrenDistrictHospital

General/AgedCare/Maternity

E+Del (Warren) 4.71 6.52

1.81 38.39

Wongan HillsDistrictHospital

General / Aged Care E+F (WonganHills)

4.17 11.75

7.58 181.79

WyalkatchemDistrict

Hospital

General / Aged Care E+F(Wyalkatchem)

4.25 5.62

1.37 32.30

Wyndham General E 4.5 9.68 5.18 115.12

York DistrictHospital

General / Aged Care E+F (York) 4.18 5.27

1.09 26.05


44/74

- 43 -

Appendix 3: Legend of tables

Table number Table title and Description

Table 1 Comparison of the NHpPD Data. 2008/092010/11 Data

Table 2 Metropolitan & Regional Wards that are 0-5%above set NHpPD targets

Table 3 Metropolitan & Regional Wards that are 5-10% above set NHpPD targets

Table 4 Metropolitan & Regional Wards that are 10%or more above set NHpPD targets

Table 5 Metropolitan & Regional Wards that are 0-5%below set NHpPD targets

Table 6 Metropolitan & Regional Wards that 5-10%

below set NhpPD targetsTable 7 Metropolitan & Regional Wards that are 10%

or more below set NHpPD targetsTable 8 Country Small Hospitals that are on or 0-5%

above set NhpPD targetsTable 9 Country Small Hospitals that are 5-10% above

set NHpPD targetsTable 10 Country Small Hospitals that are 10% or more

above set NhpPD targetsTable 11 Country Small Hospitals that are 0-5% below

set NHpPD targets

Table 12 Country Small Hospitals that are 5-10% belowset NHpPD targets

Table 13 Country Small Hospital that are 10% or morebelow set NHpPD targets

Table 14 Metropolitan Emergency Department ActivityTable 15 Regional Emergency Department ActivityTable 16 Small Country Hospital Emergency

Department ActivityTable 17 Wards Areas that have been revised and

approved for reclassification

Graph 1 Comparison of the NHpPD Data. 2008/092010/11 DataGraph 2 Represents comparison NHpPD for Country

Hospitals Small 2008/09 2010/11Appendix 1 Metropolitan and Regional Ward Inpatient

NHpPD DataAppendix 2 Small Country Hospital Ward Inpatient

NHpPD DataAppendix 3 Table LegendAppendix 4 In Patient Areas with variances greater than

10% below (site responses)


45/74

44

Hospital: Royal Perth Hospital Target NHpPD: 6.0Ward: Ward 10 AB Reported NHpPD: 5.39 Variance: -0.61 % Variance: -10.08Clause 7.2.2.2

Please detail the measures that this health site

has implemented, including specific steps, to

relieve the workload of nursing staff for this

clinical area.

Improvements in patient flow practices have significantly decreased the bed t ime to fill, therefore

affecting the denominator in the NHPPD equation.

High number of nursing specials recorded during March and April requiring a combination of

nursing and PCA resource.

Constraints by the organisation implemented to manage FTE has impacted on the ability to backfill

ward shift profiles, particularly on morning shifts with divisional nursing staff such as the SDN &

CNS assisting with the patient workload.

Clause 7.2.2.3

Provide information as to the progress achieved

in implementing these or other similar steps, or

to generally relieve or alleviate the workload of

nursing staff for this clinical area

Ongoing shift shortfall created by issues relating to workers compensation, and parental leave has

resulted in short term backfill, including agency, with reduced shift length.

Clause 7.2.2.4

Outline this health sites future plans or intentions

in relation to proposals to address the question

of workloads of nursing staff for this clinical

area.

The staffing profile will continue to be monitored to ensure safe levels of staffing.

Ongoing monitoring of shift shortfall will continue, with every effort to replace nursing resources

with appropriately skilled staff.

Actively recruiting locally and internationally to existing long and short-term vacancy.


46/74

45

Hospital: Royal Perth Hospital Target NHpPD: 7.5Ward: BMTU Reported NHpPD: 5.88 Variance: -1.62 % Variance: -21.66Clause 7.2.2.2




clinical area.

BMTU is a 10 bed highly specialised unit.

Staffing profile usually does not vary due to the small patient numbers.

When acuity of the patient group increases, the staffing profile is increased accordingly.

Clause 7.2.2.3





Improvements in patient flow practices have significantly decreased the bed time to fill, therefore


Previously, issues had been identified with regards to RoStar resource balancing. This has since

been resolved.

Clause 7.2.2.4




area.

Staffing profile will continue to be reviewed and adjusted on a shift-by-shift basis to meet patient

activity and acuity requirements.


47/74

46

Hospital: Royal Perth Hospital Target NHpPD: 7.5Ward: Ward 6G Reported NHpPD: 6.01 Variance: -1.49 % Variance: -19.86Clause 7.2.2.2




clinical area.

The patient case mix for this ward has undergone change with the service realignment as part of

the clinical redesign process for RPH. The ward is now comprised of cardiothoracics, vascular,

and urology.

Ward 6G has not met the NHPPD target due to variable cardiothoracic activity and a reduction in

the use of the high acuity bed area in the ward.

Clause 7.2.2.3

Provide information as to the progress achieved in

implementing these or other similar steps, or to

generally relieve or alleviate the workload of


Staffing profile was adjusted to meet activity requirements based on patient activity and acuity. On

occasions the ward was staffed to a reduced bed capacity due to lack of demand for this specialty

beds.




Clause 7.2.2.4


in relation to proposals to address the question of

workloads of nursing staff for this clinical area...



with appropriately skilled staff. Actively recruiting locally and internationally to existing long and short-term vacancy.


48/74

47

Hospital: Royal Perth Hospital Target NHpPD: 7.5Ward: Ward 5H Reported NHpPD: 6.39 Variance: -1.11 % Variance: -14.80Clause 7.2.2.2




clinical area.

Improvements in patient flow practices have significantly decreased the bed time to fill, therefore


Inability to fully recruit to vacancy has been a major issue to meet FTE and NHPPD targets.

During the current reporting period, on occasions the ward was staffed to a reduced bed capacity

due to lack of demand for this specialty beds.

Parental leave has significantly impacted resulting in large component of unproductive nurses for

the ward, and there have been issues convincing nurses to accept fixed term work contracts.

Clause 7.2.2.3

Provide information as to the progress achieved in

implementing these or other similar steps, or to

generally relieve or alleviate the workload of


The high acuity room is staffed at a higher nurse patient ratio. During this reporting period, the use

of the high acuity room was consistent with shift deficits impacting on non-high acuity ward beds

covered by divisional nursing staff resources such as SDN/CNS.

Staffing profile was adjusted to meet activity requirements based on patient acuity.

Clause 7.2.2.4


in relation to proposals to address the question of

workloads of nursing staff for this clinical area.




Actively recruiting locally and internationally to existing long and short-term vacancy.


49/74

48

Hospital: Royal Perth Hospital Target NHpPD: 5.75Ward: Ward 10SPC Reported NHpPD: 4.96 Variance: -0.79 % Variance: -13.78Clause 7.2.2.2




clinical area.

During the current year, Ward 10 was used as the decanting area for Ward 2 whilst it underwent

renovation, thus increasing the patient hours (but without changing the nurse hours). Ongoing shift shortfall created by issues relating to workers compensation, and parental leave has

resulted in short term backfill, including agency, with reduced shift length. The model of care for Ward 10 includes a complement of Assistants in nursing assisting with patient

care duties (excluded from NHPPD).




Clause 7.2.2.3





Ward 10 returned to its usual 22-bed ward during the second quarter of 2011/12.

Ward 10 is the area at SPC designated to receive over census patients.

Clause 7.2.2.4Outline this health sites future plans or intentions



area.

Ongoing recruitment to address issues of shortfall and those vacancies created by periods of

extended leave.



50/74

49

Hospital: Royal Perth Hospital Target NHpPD: 7.5Ward: Ward 11 SPC Reported NHpPD: 6.69 Variance: -0.81 % Variance: -10.78Clause 7.2.2.2




clinical area.

The ward has had a high number of supernumerary shifts with Induction, workers compensation

etc. These shifts have been excluded from the nursing hours (as per business rules); however

they remain as an available resource in the ward. The model of care for Ward 11 includes a complement of Assistants in Nursing assisting with

patient care duties (excluded from NHPPD).

There has been a decrease in the number of ventilator dependent spinal patient specials. A

percentage of Nursing Specials for this area was built into the 7.50 NHPPD target. Constraints by the organisation implemented to manage FTE has impacted on the ability to backfill



Clause 7.2.2.3





It was recently identified that the community based sub acute spinal injury program was being

resourced from the ward roster. Strategies have been put in place to ensure that this resource is

not removed from the ward productive hours. It was previously identified that the reported NHPPD has not reflected their actual profile due to a

change in Rostar work practice (failing to resource balance). This has been addressed and

resolved.

Clause 7.2.2.4




area.





51/74

50

Hospital: Royal Perth Hospital Target NHpPD: 6.00Ward: Ward 2K Reported NHpPD: 5.16 Variance: -0.84 % Variance: -13.97Clause 7.2.2.2




clinical area.

Ward 2K was reclassified to a category B in October 2011, was only staffed to category C prior to

this.

Ward 2K has regularly utilised the over census bed during this period which affects NHpPD stats

Staffing deficits are monitored and identified early and all attempts are made to fill these deficits

through, casual, nursewest, extra shifts and OT

Open ended recruitment pool has been running to increase available casual nurse pool

Clause 7.2.2.3





Staffing profile has been increased in line with Ward reclassification and is being recruited into Short term contracts have been offered to Nurses to fill known long-term staffing deficits such as

LSL, WC etc

Casual nurse pool has increased resulting in more availability of nurses for backfill

Clause 7.2.2.4

Outline this health sites future plans or

intentions in relation to proposals to address the

question of workloads of nursing staff for this clinical

area.



with appropriately skilled staff Actively recruiting locally and internationally to existing vacancy.


52/74

51

Hospital: Goomaling District Hospital Target NHpPD: 4.1

Ward: General/Aged Care Reported NHpPD: 3.62 Variance: -0.48 % Variance: -11.63

Clause 7.2.2.2Please detail the measures that thishealth site has implemented, including

specific steps, to relieve the workload ofnursing staff for this clinical area.

Variance occurs in relation to the use of PCAs in order to support the clinical

model.

Currently EN recruitment is being undertaken in order to increase our nursingFTE.

Clause 7.2.2.3Provide information as to the progressachieved in implementing these or othersimilar steps, or to generally relieve oralleviate the workload of nursing stafffor this clinical area

PCAs being utilized continue to support the registered nurse in alleviating work

load.

Recruitment and selection process is being commenced.

Clause 7.2.2.4Outline this health sites future plans orintentions in relation to proposals toaddress the question of workloads ofnursing staff for this clinical area.

As above.


53/74

52

Hospital: Katanning District Hospital Target NHpPD: 4

Ward: Kerry Lodge Reported NHpPD: 1.16 Variance: -2.84 % Variance: -71.10

Clause 7.2.2.2Please detail the measures that thishealth site has implemented, includingspecific steps, to relieve the workload ofnursing staff for this clinical area.

Support staff non regulated workers- employed to work under the direction of

nurses to provide care.

Clause 7.2.2.3Provide information as to the progressachieved in implementing these or othersimilar steps, or to generally relieve oralleviate the workload of nursing stafffor this clinical area

Initial Target was calculated on nursing care for all shifts. The employment of non

regulated

Documents

NHpPD Annual Report July 2011- June 2012