1. What’s the role of public reporting in accountability, transparency and quality improvement? Dr Diane Watson Chief Executive October 2010

2. Our Mission To provide the community, healthcare professionals and the NSW Parliament with timely, accurate and comparable information about the performance of the NSW public health system in ways that enhance the system’s accountability and inform efforts to increase its beneficial impact on the health and wellbeing of people in NSW.

3. Public reporting Who? What? Why?

4. Who? Public reporting of healthcare performance data to:  Enhance transparency  Audience: public  Enhance accountability  Audience: insurers  Provide choices for consumers  Audience: patient  Stimulate quality improvement activities  Audience: clinicians, managers and policy community  Improve clinical outcomes and quality of care  Audience: clinicians, managers and policy community

5. Public priorities for public reporting Healthcare experiences Impact on health Better services (best people and equipment) Better value (sustainability)

6. Insights into Care: Patients’ Perspectives on NSW Public Hospitals Released May 2010

7. How do overnight patients rate overall care in: Hospitals with higher patient ratings

8. How do overnight patients rate overall care in: Hospitals with lower patient ratings

9. Hospital Quarterly: Performance of NSW Public Hospital Released September 2010

10. Hospital Quarterly Performance of NSW Public Hospitals April to June 2010 Hospital use Elective surgery Treated in recommended time Median wait before treatment Emergency departments Activity and flow for main cohorts and triage groups Time: Transfer from ambulance to ED care Time: Triage to treatment Time: Treatment to discharge or transfer Time: Treatment to admission Patient care experiences: overall, what mattered most

11. A population-based approach to profiling performance in EDs

12. From Hospital Quarterly - April to June 2010: This performance profile is now available for 66 emergency departments in NSW at www.bhi.nsw.au www.bhi.nsw.au

13. From Hospital Quarterly - April to June 2010: This performance profile is now available for 66 emergency departments in NSW at www.bhi.nsw.au www.bhi.nsw.au

14. From Hospital Quarterly - April to June 2010: This performance profile is now available for 66 emergency departments in NSW at www.bhi.nsw.au www.bhi.nsw.au

15. From Hospital Quarterly - April to June 2010: This performance profile is now available for 66 emergency departments in NSW at www.bhi.nsw.au www.bhi.nsw.au

16. How do emergency patients rate overall care:

17. Hospital Quarterly Data Quality Assessments Hospital Quarterly Technical Supplement

19. Why? Update international evidence of impact of public reporting of healthcare performance data on: a) patient choice; b) quality improvement; c) clinical outcomes; To identify key success factors underlying impact 19 Chen, J C. Public reporting of health system performance: Review of evidence on impact on patients, providers and healthcare organisations: An Evidence Check rapid review brokered by the Sax Institute (http://www.saxinstitute.org.au) for the Bureau of Health Information; 2010.

20. Number of reviewed articles 20

21. Strength and direction of evidence

22. Visit www.bhi.nsw.gov.au for all reports