PUBLIC HOSPITAL REPORT CARD - ama.com.au · PUBLIC HOSPITAL REPORT CARD 2015: AN AMA ANAYSIS OF AUSTRAIA’S PUBIC HOSPITA SYSTEM 2 The AMA Public Hospital Report Card presents data

2015PUBLIC HOSPITAL

REPORT CARD

AN AMA ANALYSIS OF AUSTRALIA’S PUBLIC HOSPITAL SYSTEM

PUBLIC HOSPITAL REPORT CARD 2015: AN AMA ANALYSIS OF AUSTRALIA’S PUBLIC HOSPITAL SYSTEM


1

CONTENTS

INTRODUCTION ...........................................................................................2

1 NATIONAL PUBLIC HOSPITAL PERFORMANCE .....................................4

Public hospital capacity ........................................................................................................................4

Emergency department waiting and treatment times .....................................................5

Elective surgery waiting and treatment times ......................................................................7

Commonwealth funding ...................................................................................................................9

2 STATE-BY-STATE PUBLIC HOSPITAL PERFORMANCE ...........................11

NSW ................................................................................................................................................................12

Victoria ..........................................................................................................................................................15

Queensland ...............................................................................................................................................18

Western Australia ...................................................................................................................................21

South Australia.........................................................................................................................................24

Tasmania ......................................................................................................................................................27

ACT ..................................................................................................................................................................30

Northern Territory ..................................................................................................................................33



2

The AMA Public Hospital Report Card presents data published by the Commonwealth, year on year. Its purpose is to enable an assessment of the performance of our public hospitals, and their capacity to meet the community’s need for hospital services.

The Commonwealth is withdrawing from its commitment to sustainable public hospital funding, and to meet an equal share of growth in public hospital costs.

In its 2014-15 Budget, the Commonwealth announced that, from July 2017, it will strictly limit its future contribution to public hospital costs, with future funding growth restricted to the cost of indexation and population growth. This will fall well short of the funding needed to position public hospitals to meet the increasing demand for services. The changes mean that State and Territory governments will have greater responsibility for funding public hospital services.

In the shorter term, the Commonwealth has reduced hospital funding to the States and Territories by $1.8 billion up to 2017-18 by withdrawing the funding guarantees made in the National Health Reform Agreement.

In its Budget update released on 15 December 2014, the Government announced a further reduction in funding for public hospitals of $941 million over four years. The Government claimed this reduction was simply the result of the method for hospital financing put in place by the previous Government.

The Government appears to be picking and choosing which elements of existing health financing arrangements it will observe, depending where the cost falls.

The Government has justified its extreme health savings measures on the claim that Australia’s health spending is unsustainable. But Australia’s health financing arrangements are not in crisis.

In 2012-13, Australia had the lowest growth (1.5 per cent) in total health expenditure since the Government began reporting it in the mid-1980s.1 Without any specific Government measures, there was negative growth (minus 2.2 per cent) in Commonwealth funding of public hospitals in 2012-13, and only 1.9 per cent growth in 2011-12. Our health sector is doing more than its share to ensure health expenditure is sustainable.

Australia’s expenditure on health has been stable as a share of GDP, growing only one per cent over the last 10 years2. Health expenditure does not demand radical changes to existing services.

If it proceeds with its savings measures, the Commonwealth will lock in hospital funding and capacity at the inadequate levels demonstrated by current performance.

1 AIHW, Health Expenditure Australia 2012-13, pg ix2 ibid, pg 8

INTRODUCTION



This AMA report card shows the impact on patient care of reduced growth in hospital funding and capacity. Waiting times have not improved, and only minor progress is being made towards access and treatment targets.

Without sufficient funding to increase capacity, public hospitals will never meet the targets set by governments, and patients will wait longer for treatment.

Commonwealth funding for public hospitals is now at a low base. The Commonwealth’s current approach will maintain this low base, with provision for future funding increases to be limited to CPI and population changes only.

At the same time, the Commonwealth Government has embarked on a debate on roles and responsibilities in health as part of the Reform of the Federation. At this point, what this debate will actually mean for future public hospital funding is unknown.

Clearly, what it should mean is agreement by the Federation on sufficient and guaranteed funding for public hospitals to meet the needs of the Australian community.

A/Prof Brian OwlerPresident

March 2015

3


4

Public hospital capacityOne of the best measures of hospital capacity is to compare the number of available beds with the size of the population.

The population aged 65 years and older is a useful way to measure the hospital-using population, because older people have more hospital episodes than young people.

Graph 1 shows that the number of public hospital beds has been slashed by more than 43 per cent since 1992-93. In 2012-13, there were only 17.5 hospital beds for every 1000 people older than 65 years of age.

Graph 1: Number of approved/available public hospital beds per 1000 population aged 65 and over

Total public hospital bed numbers reduced by 234 in 2012-13.

Bed numbers as a ratio per 1000 of the general population reduced to 2.57 in 2012-13 from 2.62 in 2011-12. This ratio has not improved since 2009-10.

Public hospital capacity is not keeping pace with population growth, and is not increasing to meet the growing demand for services.

Without any increase in capacity, our hardworking doctors and nurses have nonetheless managed to achieve some increases in services to patients:

• in-patient care – 5.7 million in 2013-14 (3.3 per cent increase from the previous year);

• out-patient care – 18.1 million services in 2012-13 (7.2 per cent increase from the previous year); and

• emergency department – 7.2 million presentations in 2013-14 (7.2 per cent increase from the previous year).

1. NATIONAL PUBLIC HOSPITAL PERFORMANCE

Approved/available public hospital beds per ‘000 of pop. 65+ – Australia

45

40

35

30

25

20

15

Bed ratios cut by more than 56% since 1992-93

Sources: Australian Hospital Statistics, AIHW; Australian Demographic Statistics, ABS

1992-93 1994-95 1996-97 1998-99 2000-01 2002-03 2004-05 2006-07 2008-09 2012-132010-11


5

Emergency department waiting and treatment times

Two performance indicators that measure the capacity of emergency departments to provide timely care are:

• 80 per cent of emergency department presentations are seen within clinically recommended triage times; and

• 90 per cent of patients leave the emergency department within four hours.

Patients seen within clinically recommended times

Under this target, from 2012-13, 80 per cent of emergency department presentations will be seen within clinically recommended triage times, as recommended by the Australasian College for Emergency Medicine3.

States and Territories again failed to meet this target in 2013-14. Only 70 per cent of emergency department patients classified as urgent in 2013-14 were seen within the recommended 30 minutes.

Graph 2: Percentage of Category 3 emergency department patients seen within recommended time

3 National Partnership Agreement on Hospital and Health Workforce Reform, 2009, pg 28, clause D11

100%

90%

80%

70%

60%

50%

2002-03 2003-04 2004-05 2005-06 2006-07 2013-142012-132011-122010-112008-09 2009-102007-08

Sources: The State of our Public Hospitals (DoHA, 2004 – 2010); AIHW Australian Hospital Statistics: Emergency department care (2010-11 – 2013-14)

Percentage of Triage Category 3 (urgent) Emergency Department patients seen within recommended time (<30 minutes) – Australia

A small impovement in performance but still below the

80% target set for 2012-13Target


6

Patients leaving within four hours

Under the National Emergency Access Target (NEAT), 90 per cent of all patients presenting to a public hospital emergency department will either physically leave the emergency department for admission to hospital, be referred to another hospital for treatment, or be discharged within four hours4. State and Territory governments have committed to progressively achieve this target by the end of 2015, with incremental targets over four years for each State and Territory.

In 2012-13, 73 per cent of all emergency department visits were completed in four hours or less, well short of the 90 per cent target to be achieved by the end of 2015.

Graph 3: National performance against the Four Hour National Emergency Access Target

4 National Partnership Agreement on Improving Public Hospital Services, 2011, pg 30, clause C1

Percentage of emergency department visits completed in 4 hours or less – Australia

100%

90%

80%

70%

60%

50%

40%

Target

2014-152010-11 2011-12 2012-13 2013-14

Source: Australian Hospitals Statistics 2011-12 to 2013-14: emergency department care (AIHW)


Elective surgery waiting and treatment timesElective surgery is any form of surgery considered medically necessary, but which can be delayed for at least 24 hours.

Two performance indicators that measure the performance of public hospitals to provide timely care to patients requiring elective surgery are:

• the median waiting time for elective surgery; and

• the percentage of patients treated within the clinically recommended times.

Median waiting time

Nationally, median waiting times for all elective surgery have increased over the last 10 years. In 2013-14, the national median waiting time remained at 36 days, meaning no change for four years.

Graph 4: Median waiting time for elective surgery (days)

7

37

36

35

34

33

32

31

30

29

28

27

2001-02 2002-03 2003-04 2004-05 2005-06 2006-07 2013-142011-122010-112008-09 2009-102007-08

Substantial deterioration over the last decade

Median waiting time for elective surgery (days) – Australia

Sources: AIHW elective surgery data cubes (2001-02 to 2006-07); AIHW Australian Hospitals Statistics: elective surgery waiting times (2007-08 to 2013-14)

2012-13


8

National Elective Surgery Target

Under the National Elective Surgery Target (NEST), 100 per cent of all urgency category patients waiting for surgery are to be treated within the clinically recommended times.5 In 2013-14, category 2 patients represented 40 per cent of elective surgery admissions nationally. On average, 79 per cent of elective surgery category 2 patients were admitted within the clinically recommended time.

Graph 5 presents performance over the last 11 years. Official data for this indicator has not been published consistently over the full period, and performance for 2010-11 and 2011-12 has been extrapolated from various sources.

Graph 5: Percentage of Category 2 elective surgery patients admitted within the recommended time

The hidden waiting list

Elective surgery waiting list data hide the actual times that patients are waiting to be treated in the public hospital system.

The time that patients wait - from when they are referred by their general practitioner to actually seeing a specialist for assessment - is not counted. It is only after patients have seen the specialist that they are added to the official waiting list. This means that the publicly available elective surgery waiting list data actually understate the real time people wait for surgery. Some people wait longer for assessment by a specialist than they do for surgery.

This data must be publicly available on a consistent and national basis so that Australians have a full and accurate picture of waiting times for elective surgery.

5 National Partnership Agreement on Improving Public Hospital Services, 2011, pg 20

100%

95%

90%

85%

80%

75%

70%

2002-03 2003-04 2004-05 2005-06 2006-07 2013-142012-132011-122010-112008-09 2009-102007-08

A long way to go to reach the NEST by 2016

Percentage of Category 2 elective surgery patients admitted within the recommended time (90 days) – Australia

*Sources: 2004-10 The State of Our Public Hospitals (DoHA); 2011 FOI request reference 253-1011 lodged June 2011; 2011-12 estimate based on State and Territory Government published data; State and Territory data for 2012 calendar year published by AIHW in Australian Hospital Statistics: National emergency access and elective surgery targets 2012; AIHW Australian Hospital Statistics 2013-14: elective surgery waiting times.

9


Commonwealth funding In its 2014-15 Budget, the Commonwealth Government made savings of $1.8 billion over four years from 2014-15 by abandoning the funding guarantees made under the National Health Reform Agreement 2011, and revising Commonwealth Public Hospital funding arrangements from 1 July 2017.

From 2017-18, the Commonwealth will index its contribution to hospitals funding by a combination of the Consumer Price Index and population growth.

Graph 6 shows the rate of change (%) in Commonwealth expenditure (to 2012-13), and Commonwealth Budget funding (to 2017-18) for public hospitals.

This illustrates the significant variation, year-on-year, in public hospital funding. This variation has significant consequences for the predictability and certainty of hospital resources and capacity.

Graph 6: Public hospitals - % change from previous year (expenditure & funding)

20%

15%

10%

5%

0%

-5%

-10%

-15%

2013-14 2014-15 2015-16 2017-182016-172012-132011-122010-112009-10

Public hospitals - % change from previous year (expenditure & funding) – Australia

Sources: AIHW Health Expenditure Australia 2011-2012 and 2012-13, public hospital expenditure; Budget Paper No. 3 2014-15, National Health Reform public hospital funding


10

Graph 7 tracks Commonwealth funding for public hospitals as reported in the Commonwealth Budget and MYEFO papers.

It shows that funding for public hospitals for the years 2013-14 to 2016-17 was reduced by $1.5 billion in the Budget 2014-15, compared with the estimates published in MYEFO 2013-14.

On top of these reductions, MYEFO 2014-15 contained a further funding shortfall for public hospitals of $941 million over four years.

Graph 7 Commonwealth funding for public hospitals

20,000

18,000

16,000

14,000

12,000

10,000

8,000

6,000

4,000

2,000

0

2013-14 2014-15 2015-16 2017-182016-17

Commonwealth Funding - National Health Reform Funding

Funding reduced in MYEFO 2014-15 by $1,773m over the 3 years to 2016-17, compared to MYEFO 2013-14, and by $565m in 2017-18 compared to Budget 2014-15.

Source: Commonwealth Budget and MYEFO papers, Commonwealth funding for public hospitals

13,6

89

15,1

93

16,8

29

13,7

14

15,1

86

16,7

99

18,5

70

13,6

25

15,0

40

16,6

48

18,3

96

13,5

23

14,7

76

16,1

92

17,7

16

18,8

72

15,0

03

16,1

33

17,1

75

18,3

07

MYEFO 2012-13

Budget 2013-14

MYEFO 2013-14

Budget 2014-15

MYEFO 2014-15


11

2 STATE-BY-STATE PUBLIC HOSPITAL PERFORMANCE

This section includes performance information for each State and Territory using available data sources.

A summary of State and Territory performance is shown in Table 1:

Table 1: State and Territory Performance - Summary

State/Territory Improvement in Emergency Department waiting time - urgent (category 3) 2013-14

Met National Emergency Access Target (NEAT) 2013+

Improvement in Elective Surgery waiting time 2013-14

Met National Elective Surgery Target (NEST)+* 2013

Improvement in Elective Surgery Category 2 admission in 90 days

MYEFO 2014-15 increased Commonwealth funding for 2014-15 over Budget 2014-15

NSW 4 8 8 4 4 4Victoria 4 8 4 8 8 4Queensland 8 8 8 8 4 8Western Australia 4 8 4 4 4 4South Australia 8 8 8 8 4 8Tasmania 4 8 8 8 8 8ACT 4 8 4 8 8 4NT 8 8 4 4 4 4

+ Targets are set on a calendar year basis; performance as reported by AIHW and COAG Reform Council for calendar year 2012. AIHW reported elective surgery Category 2 performance for financial year 2013-14 but data for the period 2010-11 to 2011-12, and January to June 2013 has not been published. Elective surgery Category 2 year on year performance is graphed for each State and Territory below, excluding these periods.

*Treating patients within clinically recommended time – Category 2 (within 90 days)

No State or Territory met the target (which was set for 2012-13 under the National Partnership Agreement on Hospital and Health Workforce Reform) for 80 per cent of emergency department Category 3 urgent patients being seen within clinically recommended triage times.

12


NEW SOUTH WALES

Emergency Departments

Waiting times

National Emergency Access Target (NEAT)

100%

90%

80%

70%

60%

50%

40%

Target

Baseline

2013-142012-132011-12 2015

Percentage of emergency department visits completed in four hours or less

Australian Hospitals Statistics 2011-12 to 2013-14: emergency department care (AIHW)

80%

75%

70%

65%

60%

55%

Percentage of Triage Category 3 (urgent) Emergency Department patients seen within recommended time (<30 minutes) – NSW

Sources: The State of our Public Hospitals (DoHA, 2004 – 2010); AIHW Australian Hospital Statistics: emergency department care (2010-11 – 2013-14)

2002-03 2003-04 2004-05 2005-06 2006-07 2007-08 2013-142012-132011-122010-112009-102008-09

13


Elective Surgery

Waiting times

National Elective Surgery Target (NEST)

100%

90%

80%

70%

60%

50%

40%

Target

Baseline

2013-142012 2015

National Elective Surgery Target (NEST) Category 2 percentage seen on time – NSW

* data for period Jan-Jun 2013 not published

Source: AIHW Australian Hospitals Statistics: National emergency access and elective surgery targets 2012; elective surgery waiting times 2013-14

Median waiting time for elective surgery (days) – NSW

52

47

42

37

32

27


2001-02 2002-03 2003-04 2004-05 2005-06 2006-07 2007-08 2013-142012-132011-122009-10 2010-112008-09

*

14


Category 2 patients

Commonwealth Funding Public Hospitals – NSW

100%

95%

90%

85%

80%

75%

70%

65%

Percentage of Category 2 elective surgery patients admitted within the recommended time (90 days) – NSW

2002-03 2003-04 2004-05 2005-06 2006-07 2007-08 2013-142012-132011-122010-112009-102008-09

Sources: 2004-10 The State of Our Public Hospitals (DoHA); 2011 FOI request reference 253-1011 lodged June 2011; 2011-12 estimate based on State and Territory Government published data; State and Territory data for 2012 calendar year published by AIHW in Australian Hospital Statistics: National emergency access and elective surgery targets 2012; AIHW Australian Hospital Statistics 2013-14: Elective surgery waiting times.

7,000

6,000

5,000

4,000

3,000

2,000

1,000

0

2013-14 2014-15 2015-16 2017-182016-17

Funding reduced in MYEFO 2014-15 by $386m over the 3 years to 2016-17, compared to MYEFO 2013-14, and by $159m in 2017-18 compared to Budget 2014-15.


4,36

0

4,80

4

5,28

4

4,38

1

4,81

7

5,29

4

5,81

7

4,35

4

4,76

4

5,23

7

5,75

1

4,24

7

4,57

9

5,03

4

5,52

2

5,94

7

4,76

8

5,13

2

5,46

6

5,78

8

MYEFO 2012-13

Budget 2013-14

MYEFO 2013-14

Budget 2014-15

MYEFO 2014-15

15


VICTORIA


Waiting times


85%

80%

75%

70%

65%

Percentage of Triage Category 3 (urgent) Emergency Department patients seen within recommended time (<30 minutes) – VIC


2002-03 2003-04 2004-05 2005-06 2006-07 2007-08 2013-142012-132011-122010-112008-09 2009-10

100%

90%

80%

70%

60%

50%

40%

Target

Baseline

2013-142012-132011-12

Percentage of emergency department visits completed in 4 hours or less – VIC


2015

16


Elective Surgery

Waiting times


100%

90%

80%

70%

60%

50%

40%

Target

Baseline

2013-14 20152012

National Elective Surgery Target (NEST) – VIC


Sources: AIHW Australian Hospitals Statistics: National emergency access and elective surgery targets 2012; elective surgery waiting times 2013-14

37

36

35

34

33

32

31

30

29

28

27

Median waiting time for elective surgery (days) – VIC

2001-02 2002-03 2003-04 2004-05 2005-06 2006-07 2007-08 2009-10 2010-11 2013-142012-132011-122008-09


*

17


Category 2 patients

Commonwealth Funding Public Hospitals – Victoria

100%

95%

90%

85%

80%

75%

70%

65%

Percentage of Category 2 elective surgery patients admitted within the recommended time (90 days) – VIC

2002-03 2003-04 2004-05 2005-06 2006-07 2007-08 2013-142012-132011-122010-112009-102008-09

Sources: 2004-10 The State of Our Public Hospitals (DoHA); 2011 FOI request reference 253-1011 lodged June 2011; 2011-12 estimate based on State and Territory Government published data; State and Territory data for 2012 calendar year published by AIHW in Australian Hospital Statistics: National emergency access and elective surgery targets 2012; AIHW Australian Hospital Statistics 2013-14: Elective surgery waiting times

5,000

4,500

4,000

3,500

3,000

2,500

2,000

1,500

1,000

500

0

2013-14 2014-15 2015-16 2017-182016-17



3,40

3

3,75

4

4,13

5

3,40

6

3,76

0

4,14

9

4,57

6

3,37

8

3,70

9

4,07

0

4,45

7

3,38

4

3,63

1

3,93

2

4,25

2

4,69

4

3,74

5

3,98

2

4,19

4

4,56

5

MYEFO 2012-13

Budget 2013-14

MYEFO 2013-14

Budget 2014-15

MYEFO 2014-15

18


QUEENSLAND


Waiting times


75%

70%

65%

60%

55%

50%

Percentage of Triage Category 3 (urgent) Emergency Department patients seen within recommended time (<30 minutes) – QLD


2002-03 2003-04 2004-05 2005-06 2006-07 2007-08 2013-142012-132011-122010-112009-102008-09

100%

90%

80%

70%

60%

50%

40%

Target

Baseline

2013-14 20152012-132011-12

Percentage of emergency department visits completed in four hours or less – QLD


19


Elective Surgery

Waiting times


100%

90%

80%

70%

60%

50%

40%

Target

Baseline

20152013-142012

National Elective Surgery Target QLD



29

28

27

26

25

24

23

22

21

20

Median waiting time for elective surgery (days) – QLD

2001-02 2002-03 2003-04 2004-05 2005-06 2006-07 2007-08 2009-10 2010-11 2013-142012-132011-122008-09


*

20


Category 2 patients

Commonwealth Funding Public Hospitals – QLD

100%

95%

90%

85%

80%

75%

70%

Percentage of Category 2 elective surgery patients admitted within the recommended time (90 days) – QLD

2002-03 2003-04 2004-05 2005-06 2006-07 2007-08 2013-142012-132011-122010-112009-102008-09


4,500

4,000

3,500

3,000

2,500

2,000

1,500

1,000

500

0

2013-14 2014-15 2015-16 2017-182016-17



2,77

4

3,10

4

3,46

5

2,76

6

3,06

0

3,38

4

3,73

8

2,75

1

3,03

2

3,35

6

3,70

9

2,73

8

3,09

4

3,39

9

3,72

7

3,83

0

2,96

8

3,20

5

3,42

6

3,69

5

MYEFO 2012-13

Budget 2013-14

MYEFO 2013-14

Budget 2014-15

MYEFO 2014-15

21


WESTERN AUSTRALIA


Waiting times


Percentage of emergency department visits completed in four hours or less - WA


2013-14 20152012-132011-12

100%

90%

80%

70%

60%

50%

40%

Target

Baseline

75%

70%

65%

60%

55%

50%

45%

Percentage of Triage Category 3 (urgent) Emergency Department patients seen within recommended time (<30 minutes) – WA


2002-03 2003-04 2004-05 2005-06 2006-07 2007-08 2013-142012-132011-122010-112009-102008-09

22


Elective Surgery

Waiting times

National Elective Surgery Target (NEST) Category 2 percentage seen on time

100%

90%

80%

70%

60%

50%

40%

Target

Baseline

2013-142012 2015

National Elective Surgery Target WA



33

32

31

30

29

28

27

26

25

Median waiting time for elective surgery (days) – WA

2001-02 2002-03 2003-04 2004-05 2005-06 2006-07 2007-08 2009-10 2010-11 2013-142012-132011-122008-09


*

23


Category 2 patients

Commonwealth Funding Public Hospitals – WA

100%

95%

90%

85%

80%

75%

70%

65%

60%

Percentage of Category 2 elective surgery patients admitted within the recommended time (90 days) – WA

2002-03 2003-04 2004-05 2005-06 2006-07 2007-08 2013-142012-132011-122010-112009-102008-09


2,500

2,000

1,500

1,000

500

0

2013-14 2014-15 2015-16 2017-182016-17



1,49

4

1,68

1

1887

1,49

9

1,68

6

1892

2,12

0

1,49

3

1,69

2

1922

2,17

4

1,48

1

1,68

5

1879

2,09

1

2,18

9

1,72

3

1888

2,04

8

2,10

9

MYEFO 2012-13

Budget 2013-14

MYEFO 2013-14

Budget 2014-15

MYEFO 2014-15

24


SOUTH AUSTRALIA


Waiting times


100%

90%

80%

70%

60%

50%

40%

Target

Baseline

2013-14 20152012-132011-122010-11

Percentage of emergency department visits completed in four hours or less – SA


75%

70%

65%

60%

55%

50%

45%

Percentage of Triage Category 3 (urgent) Emergency Department patients seen within recommended time (<30 minutes) – SA


2002-03 2003-04 2004-05 2005-06 2006-07 2007-08 2013-142012-132011-122010-112009-102008-09

25


Elective Surgery

Waiting times


100%

90%

80%

70%

60%

50%

40%

Target

Baseline

2013-142012 2015

National Elective Surgery Target – SA Category 2 percentage seen on time



Median waiting time for elective surgery (days) – SA


43

42

41

40

39

38

37

36

35

34

33

2001-02 2002-03 2003-04 2004-05 2005-06 2006-07 2007-08 2009-10 2010-11 2013-142012-132011-122008-09

*

26


Category 2 patients

Commonwealth Funding Public Hospitals – SA

95%

90%

85%

80%

75%

70%

Percentage of Category 2 elective surgery patients admitted within the recommended time (90 days) – SA

2002-03 2003-04 2004-05 2005-06 2006-07 2007-08 2013-142012-132011-122010-112009-102008-09


1,600

1,400

1,200

1,000

800

600

400

200

0

2013-14 2014-15 2015-16 2017-182016-17



987

1,09

7

1,21

6

991

1,10

1

1,22

2

1,35

4

981

1,09

1

1,21

6

1,35

3

983

1,05

3

1,14

3

1,23

7

1,31

6

1,04

9

1,11

6

1,17

5

1,27

6

MYEFO 2012-13

Budget 2013-14

MYEFO 2013-14

Budget 2014-15

MYEFO 2014-15

27


TASMANIA


Waiting times


Percentage of emergency department visits completed in four hours or less – TAS


2013-14 20152012-132011-12

100%

90%

80%

70%

60%

50%

40%

Target

Baseline

75%

70%

65%

60%

55%

50%

45%

40%

Percentage of Triage Category 3 (urgent) Emergency Department patients seen within recommended time (<30 minutes) – TAS


2002-03 2003-04 2004-05 2005-06 2006-07 2007-08 2013-142012-132011-122010-112009-102008-09

28


Elective Surgery

Waiting times


100%

90%

80%

70%

60%

50%

40%

Target

Baseline

2013-142012 2016

National Elective Surgery Target – TAS Category 2 percentage seen on time



45

43

41

39

37

35

33

Median waiting time for elective surgery (days) – TAS

2001-02 2002-03 2003-04 2004-05 2005-06 2006-07 2007-08 2009-10 2010-11 2013-142012-132011-122008-09


*

29


Category 2 patients

Commonwealth Funding Public Hospitals – TAS

65%

60%

55%

50%

45%

40%

35%

Percentage of Category 2 elective surgery patients admitted within the recommended time (90 days) – TAS

2002-03 2003-04 2004-05 2005-06 2006-07 2007-08 2013-142012-132011-122010-112009-102008-09


450

400

350

300

250

200

150

100

50

0

2013-14 2014-15 2015-16 2017-182016-17



305

331

359

303

331

362

395

300

325

354

384

292

337

358

380

391

313

328

342

380

MYEFO 2012-13

Budget 2013-14

MYEFO 2013-14

Budget 2014-15

MYEFO 2014-15

30


AUSTRALIAN CAPITAL TERRITORY


Waiting times


100%

90%

80%

70%

60%

50%

40%

Target

Baseline

2013-14 20152012-132011-122010-11

Percentage of emergency department visits completed in four hours or less – ACT


75%

70%

65%

60%

55%

50%

45%

40%

Percentage of Triage Category 3 (urgent) Emergency Department patients seen within recommended time (<30 minutes) – ACT


2002-03 2003-04 2004-05 2005-06 2006-07 2007-08 2013-142012-132011-122010-112009-102008-09

31


Elective Surgery

Waiting times


100%

90%

80%

70%

60%

50%

40%

Target

Baseline

2013-142012 2016

National Elective Surgery Target ACT Category 2 percentage seen on time



79

74

69

64

59

54

49

44

39

Median waiting time for elective surgery (days) – ACT

2001-02 2002-03 2003-04 2004-05 2005-06 2006-07 2007-08 2009-10 2010-11 2013-142012-132011-122008-09


*

32


Category 2 patients

Commonwealth Funding Public Hospitals – ACT

80%

75%

70%

65%

60%

55%

50%

45%

40%

Percentage of Category 2 elective surgery patients admitted within the recommended time (90 days) – ACT

2002-03 2003-04 2004-05 2005-06 2006-07 2007-08 2013-142012-132011-122010-112009-102008-09


400

350

300

250

200

150

100

50

0

2013-14 2014-15 2015-16 2017-182016-17

Funding increased in MYEFO 2014-15 by $11m over the 3 years to 2016-17, compared to MYEFO 2013-14, and reduced by $10m in 2017-18 compared to Budget 2014-15.


227

263

303

228

265

306

350

226

262

302

346

267

266

293

322

311

284

307

330

301

MYEFO 2012-13

Budget 2013-14

MYEFO 2013-14

Budget 2014-15

MYEFO 2014-15

33


NORTHERN TERRITORY


Waiting times


Percentage of emergency department visits completed in four hours or less – NT

Source: AIHW elective surgery data cubes (2001-02 to 2006-07); AIHW Australian Hospitals Statistics: elective surgery waiting times (2007-08 to 2013-14)

2013-142012-132011-12 2015

100%

90%

80%

70%

60%

50%

40%

Target

Baseline

75%

70%

65%

60%

55%

50%

45%

40%

Percentage of Triage Category 3 (urgent) Emergency Department patients seen within recommended time (<30 minutes) – NT


2002-03 2003-04 2004-05 2005-06 2006-07 2007-08 2013-142012-132011-122010-112009-102008-09

34


Elective Surgery

Waiting times


100%

90%

80%

70%

60%

50%

40%

Target

Baseline

2013-142012 2016

National Elective Surgery Target NT Category 2 percentage seen on time



50

45

40

35

30

25

Median waiting time for elective surgery (days) – NT

2001-02 2002-03 2003-04 2004-05 2005-06 2006-07 2007-08 2009-10 2010-11 2013-142012-132011-122008-09


*

35


Category 2 patients

Commonwealth Funding Public Hospitals – NT

80%

75%

70%

65%

60%

55%

50%

45%

Percentage of Category 2 elective surgery patients admitted within the recommended time (90 days) – NT

2002-03 2003-04 2004-05 2005-06 2006-07 2007-08 2013-142012-132011-122010-112009-102008-09


250

200

150

100

50

0

2013-14 2014-15 2015-16 2017-182016-17



139

158

179

141

165

191

219

141

165

192

222

131

131

157

185

195

154

175

195

193

MYEFO 2012-13

Budget 2013-14

MYEFO 2013-14

Budget 2014-15

MYEFO 2014-15

36


DATA SOURCES

Austalian Bureau of Statistics, Australian Demographic Statistics, Sep 2013

Australian Institute of Health and Welfare, Admitted Patient Care 2013-14: Australian Hospital Statistics

Australian Institute of Health and Welfare, Australian Hospital Statistics 2012-13

Australian Institute of Health and Welfare, Australian Hospital Statistics 2013-14: emergency department care

Australian Institute of Health and Welfare, Australian Hospital Statistics 2013-14: elective surgery waiting times

Australian Institute of Health and Welfare, Health Expenditure Australia 2011-12, and 2012-13

Commonwealth Budget, Mid-Year Economic and Fiscal Outlook 2012-13, 2013-14, and 2014-15

Commonwealth Budget, Budget Paper No.2 2014-15

Commonwealth Budget, Budget Paper No.3 2013-14, and 2014-15

Council of Australian Governments (COAG) Reform Council, National Partnership Agreement on Improving Public Hospital Services: Performance Report for 2013 (NEAT and NEST targets)

37


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Documents

PUBLIC HOSPITAL REPORT CARD - ama.com.au · PUBLIC HOSPITAL REPORT CARD 2015: AN AMA ANAYSIS OF AUSTRAIA’S PUBIC HOSPITA SYSTEM 2 The AMA Public Hospital Report Card presents data