Australia Measuring and Monitoring a Health Care Strategy About the Performance Authority About Hospital Performance reports About Healthy Communities reports Follow us on Dr Diane Watson, Chief Executive Officer May 2015

Subtitle Prepared DD/MM/YYY Monitor, and report on, the comparable performance of health care organisations to stimulate and inform improvement in the Australian health system, increase transparency and accountability and inform consumers Transformation agenda: Identify high performing organisations and local areas to facilitate sharing of innovation and effective practices Identify poorly performing organisations and local areas to assist with performance management activities What’s new? National Health Performance Authority

Mission Business strategy –Our customers and their needs for information –Our products –Our measures –Our impact Differentiation – existing national and state organisations What’s new? National Health Performance Authority

Our information

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MyHospitals.gov.au Emergency departments Waiting times Time spent in the ED Elective surgery Waiting times for surgery Malignant cancers Cardiothoracic Ears, nose and throat Plus, 10 other types of surgery Quality and safety Hand hygiene Healthcare associated SAB infections Stays in hospital Relative length of stay Vaginal and caesarean births Medical: cellulitis, COPD, plus 3 other Surgical: appendix, plus many others Comparable costs

National target State targets Major metro EDs: 85% of attendances All other types of metro and regional EDs

Web-based interactive to track individual hospitals Princess Alexandra – Most improved National target

Peer groups based on risk of infection

In 2011–12, there were 5,613 admissions for knee replacements without complications or comorbidities in major metropolitan and major regional public hospitals. Across similar hospitals, there is 3-fold variation in average length of stay. The average cost per admission in major metropolitan public hospitals ranged from $10,600 at one hospital to $29,300 at another.

In 2011–12, there were 20,764 admissions for COPD without complications or comorbidities in major metropolitan and regional public hospitals. Across similar hospitals, there is 2-fold variation in length of stay. The average cost per admission in major metropolitan public hospitals ranged from $3,300 at one hospital to $10,500 at another.

MyHealthyCommunities.gov.au Health status and outcomes Ratings of health Chronic conditions Prevention Immunisation rates: 1, 2 and 5 year Immunisation rates among Aboriginal children Overweight, obesity, smoking Experiences with care Wait times for GPs Wait times for specialists Cost barriers to GP Cost barriers to dentists Cost barriers to specialists Use of services Visits to dentists Visits to GPs Visits to medical specialists Expenditures on services GP services

MyReport It’s free and easy to use Uses Healthy Communities report data Choose from more than 130 health measures including: Obesity rates Childhood immunisation Life expectancy Avoidable hospitalisations Cost barriers to health care. Select the local area/s you’re interested in and follow the easy steps to generate your custom MyReport

Immunisation interactive tool Childhood immunisation rates by local area and postcode on our interactive tool Join 33,000+ people (and counting) and search results for your area 4567 Castaways Beach Noosa (Sunshine Coast ML) 4037 Eatons Hill (Metro North Brisbane ML)

Public reporting as a catalyst for change Healthy Communities: Immunisation rates for children in 2011–12 Almost 77,000 Australian children not fully immunised Results were broken down to more than 300 local areas and in some cases individual postcodes More than 700 media stories over 30 days, audience reach over 29 million Nationals largest newspaper starts “No jab, no play” campaign NSW Cabinet backed legislation to amend the Public Health Act From 1 January 2014 NSW children now required by law to show immunisation records to childcare providers at enrolment Launched 11 April 2013

One year later … Healthy Communities: Immunisation rates for children in 2012–13 Rates improving, lowered by almost 2,000 (75,002 in 2012–13) National rate for fully immunised five-year-old children up (90.0% in 2011–12 to 91.5% in 2012–13) *New information* conscientious objectors and HPV Front page coverage (page two and three spread) in the Sydney Morning Herald and coverage across print, TV, radio and online 30 day media coverage almost 300 media articles, audience reach over 15 million Petition for Queensland government to improve rates (Courier Mail) Launched 27 March 2014

One year later … No jab, no play … Legislative changes pending in two additional states No jab, no play, no pay … Policy, funding and legislative changes announced Australia-wide with bipartisan support, April 2015

Child and maternal health impacts Looks at: antenatal visits in the first trimester, smoking during pregnancy, low birth weight and infant and young child mortality Young children up to three times more likely to die depending on where they live Women up to 18 times more likely to smoke while pregnant in some areas: –1.8% in Sydney North Shore & Beaches up to 33.1% (or 1 in 3) in Far West NSW, Wide Bay QLD, Far North QLD, Country North SA and Northern Territory 30 day media coverage includes more than 160 articles and audience reach of 4.1 million Released 31 July 2014 Healthy Communities: Child and maternal health in 2009–2012

Exemplar communities “A few local areas already stand out as exemplars for others to emulate, in that their unusually good performance seems to stand at odds with that of their peers Nepean-Blue Mountains on Sydney’s western fringe, a middle to lower-income regional area, where infant and young child death rates are lower that many high-income city areas across the nation. “A few local areas already stand out as exemplars for others to emulate, in that their unusually good performance seems to stand at odds with that of their peers Nepean-Blue Mountains on Sydney’s western fringe, a middle to lower-income regional area, where infant and young child death rates are lower that many high-income city areas across the nation.

Exemplar communities Rural and city patient median cancer surgery waiting times for malignant bowel, breast similar in Lower Murray (NSW) 5 year-old childhood immunisation rates increased from 86.2% in 2011–12 to 93.9% in 2012–13 Princess Alexandra hospital (Qld) improved ED waiting times

What’s new & accelerates improvements in local care? Differentiation from the past Locally relevant information about health care organisations National or state level information Comparable performance information in relation to peers and after accounting for differences between organisations in patients Just numbers, no comparisons, no accounting for different types of patients served Nationally consistent – lots of comparisonsNot comparable information, too few comparisons Products fit customers and impartialReport on oneself Community and clinical engagement: Review the data to benchmark with your peer groups. Be open to learning from colleagues on how to achieve best performance, and be generous in sharing your innovations with the system.

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