1. 1 CHA Benchmarking Data 2010-2011 Anna Hoffman Benchmarking Officer, CHA

2. 2 Introduction Dashboard Indicators 2010-11 Dashboard Indicator Report Activity data Individual reports ED data Benchmarking Portal

3. 3 CHA have collected dashboard data since 2007 The purpose of the indicators is: -to help hospitals measure their efficiency or effectiveness - allow comparisons of performance between member hospitals. CHA currently collect data for: - 25 Quarterly Indicators - 30 Annual Indicators Dashboard Indicators

4. Indicators Quarterly (25 indicators in 15 groups)Annual (30 indicators in 12 groups) 1 - Elective Surgery - Overdue 2 - Elective Surgery - DOSAA2 - Relative Workload Types - Clinical Category 3 - Elective Surgery and Procedures - Day StayA3 - Relative Workload Types - Elective 4 - Unplanned Overnight AdmissionsA4 - Relative Workload Types - Tertiary 5 - Unplanned Overnight AdmissionsA5 - Bed Occupancy 6 - Emergency Care - ObservationA6 - Agency Nurse Cost 7 - Emergency Care - Access BlockA7 - Casual Nurse Staff Costs 8 - Emergency Care - Time to treat for those not admitted A8 - Staff Turnover 9 - Emergency Care - Waiting TimeA9 - Mental Health - Unplanned Readmission 10 - Outpatients - Failure to AttendA10 - Mental Health – Inpatient 11 - Outpatients - By TypeA11 - Hospital Acquired Infection - Viral Infections 13 - Length of Stay - Long Stay BeddaysA12 - Hospital Acquired Infection – CVAD 15 - Asthma Management - Emergency Department A13 - Hospital Acquired Infection - MRO Surveillance 16 - Asthma Management - Inpatient 22 - Incident Monitoring

5. Participating Hospitals LargeMediumSmallTotal 2007-20087 7 2008-200991212 2009-201081514 2010-2011112619

6. 6 Column charts Provide a snap shot of info for the year Comparison of each quarter per hospital Funnel Charts Show the rate for each hospital graphed based on the size of the denominator Funnel Tables Summarise each hospitals performance relative to their peers How data will be presented

7. 7 Indicator 2: DOSA Rate for Paediatric Elective Surgery % paediatric elective surgical patients who are planned to have an overnight stay and who are admitted on the Day of Surgery (DOSA)

8. 8 Indicator 2: DOSA Rate for Paediatric Elective Surgery % paediatric elective surgical patients who are planned to have an overnight stay and who are admitted on the Day of Surgery (DOSA)

9. 9 Indicator 4a: Unplanned Overnight Admissions % unplanned overnight admissions following day surgery or day procedure

10. 10 Indicator 4a: Unplanned Overnight Admissions % unplanned overnight admissions following day surgery or day procedure

11. 11 Indicator 5: Proportion of Paediatric Emergency Department Presentations admitted to an inpatient ward bed

12. 12 Indicator 5: Proportion of Paediatric Emergency Department Presentations admitted to an inpatient ward bed

13. 13 Indicator A5: BED OCCUPANCY Average occupancy of available and staffed paediatric beds

14. 14 Indicator A5: BED OCCUPANCY Average occupancy of available and staffed paediatric beds

15. 15 FUNNEL TABLES

16. 16 FUNNEL TABLES

17. 17 FUNNEL TABLES

18. 18 Activity data This data supports the dashboard indicators to assist CHA members in their benchmarking activities 14 Hospital have submitted activity data, another 3 have indicated they will be submitting. 10 Large Hospitals, 1 Medium and 3 small 10 Hospitals have submitted costing data.

19. 19 2010 – 2011 Activity Summary Table

20. 20 % ED Activity

21. 21 % SD Separations

22. 22 Separations vs Beddays

23. 23 ALOS vs Beddays

24. 24 Individual Reports Provide an important overview of inpatient activity Hospital performance is compared with that of CHA as a whole Include: Hospital Profile Top 10 DRGs by Volume (volume adjusted) Cumulative distribution of Length of Stay Top 10 DRGs by Cost DRGs with breakdown by Specialty Average Length of Stay of Top 5 DRGs compared to CHA Average Average Cost of Top 5 DRGs compared to CHA average Top 5 favourable DRGs by average cost Top 5 Unfavourable DRGs by average cost (volume adjusted) Dashboard Indicators - Control Charts

25. 25 Hospital Profile

26. 26 TOP 10 DRG by Volume

27. 27 TOP 10 DRG by Cost

28. 28 DRGs with breakdown by Specialty

29. 29 Top 5 DRGs – Average LOS

30. 30 Top 5 DRGs – Average Cost

31. 31 Top 5 favourable DRGs by average cost

32. 32 Top 5 unfavourable DRGs by average cost

33. Control Charts 33

34. 34 Emergency Department Activity Data LargeSmallTotal 2009-2010819 2010-20118210

35. 35 Presentations by Hospital

36. 36 ED Activity Report Age profile Gender profile Indigenous Status Review of presenting problems No. of presentations by Triage category Time from Arrival to Triage Total Treatment Time ED Visit Type Mode of Arrival Mode of Separation Referred to on Departure Account classification Average Cost

37. 37 Benchmarking Portal Now able to download the entire database Co-ordinators need to allocate this access to the users 2010-11 data will be loaded next month. Can access directly through http://wcha.asn.au/ www.benchmarking.wcha.asn.au

38. 38 Anna Hoffman Benchmarking Officer Phone: 0449 656 096 Email: Anna@WCHA.asn.au Questions? For more information contact: