South West HHS - Queensland Health · PDF fileSouth West HHS . Monthly Performance Report ....

South West HHS Monthly Performance Report Dec-15 Report produced from CaPRS, it is recommended you view this information in CaPRS where further drill down and analytics are available.

Contents

Executive Summary 3

Effectiveness – Safety and Quality 4

Equity and Effectiveness – Access 7

Efficiency and Financial Performance 13

Appendix 15

3

STW Executive Summary - Dec-15

Effectiveness – safety and quality

1. In hospital Mortality VLAD indicators

2. Unplanned hospital readmission indicators (VLAD)

System performance reports -

4

STW Dec-15


3. Healthcare associated staphylococcus (including MRSA) bacteraemia


5

STW Dec-15


4. Rate of seclusion

5. Community mental health packages of care


6

STW Dec-15

Not applicable

6. Shorter stays in emergency department

QEAT

Equity and effectiveness – access


7

STW Dec-15

6. Shorter stays in emergency department

NEAT



8

STW Dec-15

Not applicable

7. Fewer long waiting elective surgery patients



9

STW Dec-15

Not applicable



8. Fewer long waiting specialist outpatients

10

STW Dec-15

Not applicable



10. A&TSI Potentially preventable hospitalisations

11

STW Dec-15

9. Potentially preventable hospitalisations



11. A&TSI Discharged against medical advice

12

STW Dec-15

12. Telehealth

13. Full Year Forecast Operating Position

Efficiency – efficiency and financial performance


13

STW Dec-15

Retained earnings ($M) 30/6/2015

Cairns 14.1 Central

Queensland 14.5

Central West 1.4 Children’s -25.2

Darling Downs 52.1 Gold Coast -0.9

Mackay 63.6 Metro North 73.6 Metro South 56.0 North West -1.3 South West 11.8 Sunshine

Coast 13.2

Torres and Cape York 2.2

Townsville 48.1 West Moreton 35.4

Wide Bay 0.2

Total HHSs 358.7

14. Average Length of stay for multi-day stay patients

Efficiency – efficiency and financial performance


14

STW Dec-15

Not applicable

Appendix

15

Activity Summary

Purchasing Initiatives

Full Year Forecast Operating Position OSR

Dental Overview

Supporting Information

Data sources and timing

Notes

South West Activity vs PurchasedWAU Extract 20/01/2016

2015-16

Purchased Target Actual Variance Target Actual Variance Variance (%)

Overall ActivityInpatients 5,066 402 401 -1 2,372 2,164 -209 -8.8%Outpatients 1,363 120 127 6 584 661 77 13.1%Procedures & Interventions 150 14 25 11 66 81 16 23.8%Emergency Department 2,825 247 266 19 1,282 1,435 153 11.9%Sub & Non-Acute 509 30 81 50 161 421 260 162.1%Mental Health 126 8 16 8 57 54 -3 -4.5%

Total 10,039 822 916 94 4,522 4,816 294 6.5%

InpatientsBreast Surgery 1 0 1 1 1 4 3 361.7%Cardiac Surgery 0 0 0 0 0 0 0 -Cardiology 373 32 21 -11 223 141 -81 -36.5%Colorectal Surgery 30 5 4 -1 24 16 -7 -30.7%Dental Surgery 0 0 0 0 0 0 0 -Dentistry 68 7 5 -3 42 29 -13 -29.9%Dermatology 24 4 3 -1 13 13 0 -2.8%Drug & Alcohol 88 12 4 -8 50 27 -23 -45.3%Ear, Nose and throat (ENT) 81 4 8 3 53 58 5 10.3%Endocrinology 186 25 16 -10 99 75 -24 -24.1%Extensive Burns 6 2 0 -2 5 1 -4 -83.8%Gastroenterology 153 15 18 3 62 75 13 20.5%Gynaecology 167 25 21 -4 85 74 -11 -12.5%Haematological Surgery 2 0 0 0 0 0 0 -Haematology 69 12 6 -6 35 36 1 3.6%Head & Neck Surgery 2 0 0 0 1 0 -1 -100.0%Immunology & Infections 240 27 16 -11 110 67 -42 -38.6%Medical Oncology 55 9 3 -7 51 20 -31 -60.6%Neurology 440 10 15 6 105 113 7 6.9%Neurosurgery 73 3 4 1 20 21 1 4.7%Non Subspecialty Medicine 322 18 35 17 140 137 -3 -2.1%Non Subspecialty Surgery 547 58 66 8 265 226 -39 -14.8%Obstetrics 462 33 31 -2 212 188 -23 -11.0%Ophthalmology 257 11 28 17 90 139 48 53.8%Orthopaedics 362 27 19 -8 163 151 -12 -7.5%Plastic & Reconstructive Surgery 66 10 5 -5 27 38 10 38.2%Qualified Neonate 23 5 2 -3 9 6 -3 -32.9%Rehabilitation 0 0 0 0 0 0 0 -Renal Medicine 39 7 1 -6 21 8 -13 -60.6%Respiratory Medicine 530 20 43 23 273 348 75 27.5%Rheumatology 46 3 5 1 23 17 -6 -25.4%Thoracic Surgery 5 0 0 0 0 2 2 -Tracheostomy 0 0 0 0 0 0 0 -Transplantation 0 0 0 0 0 0 0 -Upper GIT Surgery 157 7 11 3 78 79 1 1.8%Urology 137 7 9 1 64 29 -35 -54.4%Vascular Surgery 55 4 2 -1 30 25 -5 -17.6%Unallocated 0 0 0 0 0 0 0 -

Inpatients Sub-Total 5,066 402 401 -1 2,372 2,164 -209 -8.8%

Weighted Activity Units - QWAUNovember Year To Date

South West Activity vs PurchasedWAU Extract 20/01/2016

2015-16

Purchased Target Actual Variance Target Actual Variance Variance (%)Weighted Activity Units - QWAU

November Year To Date

Outpatients

Allied Health 602 49 60 11 249 311 62 24.8%

Burns 0 0 0 0 0 0 0 -Clinical Measurement 11 1 1 -1 5 3 -2 -40.0%Ear, Nose and throat (ENT) 6 1 0 -1 2 2 -1 -25.1%Gastroenterology 0 0 0 0 0 0 0 964.0%Genetics 0 0 0 0 0 0 0 -

Maternity 203 17 16 -2 91 99 8 8.9%

Medical 57 6 8 3 24 44 20 85.0%

Nursing 162 15 6 -10 69 27 -42 -61.4%

Oncology 4 1 0 -1 1 1 0 -1.1%

Ophthalmology 39 4 9 5 17 30 12 72.3%

Orthopaedics 21 1 2 1 8 10 2 26.8%

Other Outpatient Treatments 44 3 1 -1 18 5 -13 -70.6%

Other Services 0 0 0 0 0 0 0 -

Paediatric 30 4 1 -3 17 10 -6 -37.5%

Plastic and Reconstructive Surgery 0 0 0 0 0 0 0 -

Pre-Admission 51 5 7 2 24 39 15 64.9%

Primary Health Care 0 0 0 0 0 0 0 -

Psychiatry 1 0 0 0 0 0 0 -1.3%

Sub Acute 0 0 1 1 0 5 5 4182.1%

Surgical 116 13 14 0 52 68 16 30.5%

Transplants 0 0 0 0 0 0 0 -

Urology 16 0 1 1 7 7 0 -4.0%

Outpatients Sub-Total 1,363 120 127 6 584 661 77 13.1%

Procedures & Interventions

Chemotherapy 1 0 0 0 0 0 0 -

Dialysis 0 0 0 0 0 0 0 -

Endoscopy 149 14 25 11 66 81 15 23.2%

Interventional Cardiology 0 0 0 0 0 0 0 -

Radiation Oncology 0 0 0 0 0 0 0 -

Procedures & Interventions Sub-Total 150 14 25 11 66 81 16 23.8%

Emergency Department

Triage Cat 1 (Adm & Dis) 35 4 1 -3 16 7 -9 -58.7%

Triage Cat 2 (Adm & Dis) 179 13 17 4 77 116 39 50.0%

Triage Cat 3 (Adm & Dis) 740 69 77 9 350 388 38 10.9%

Triage Cat 4 (Adm & Dis) 985 87 85 -1 454 441 -13 -2.8%

Triage Cat 5 (Adm & Dis) 634 54 51 -4 277 302 25 9.2%

Planned Return Visit 157 14 28 15 57 151 93 162.0%

Transfer Presentation 96 7 6 0 51 31 -20 -39.8%

Emergency Department Sub-Total 2,825 247 266 19 1,282 1,435 153 11.9%

Sub & Non-Acute

GEM 30 4 13 10 14 30 16 110.6%

Maintenance 290 10 21 11 66 286 220 334.7%

Palliative Care 101 12 0 -12 46 19 -27 -58.5%

Rehabilitation 87 4 46 42 34 86 52 151.6%

Sub & Non-Acute Sub-Total 509 30 81 50 161 421 260 162.1%

Mental Health

Mental Health 126 8 16 8 57 54 -3 -4.5%

Mental Health Sub-Total 126 8 16 8 57 54 -3 -4.5%

6 Mental Health 5 SNAP

-

SNAP - 0 0 0 0 0 0 -

Mental Health - 0 0 0 0 0 0 -

Purchasing Initiatives

YTD

Result

Quality Improvement Payments (QIP)

QIP - Advance Care Plans (%) 1.10.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0%

QIP - Immunisation 12-<15 Months (%) 90.7% 0.0% 93.9% 90.8% 86.8% 96.4% 91.5%



QIP - Smoking Cessation Pathway 30.0% 0.0% 85.4% 26.1% 61.1% 56.7% 77.3% 74.2% 78.4% 91.4% 78.3% 87.2% 85.3% 86.7%

QIP - Smoking Cessation Pre-requisite 30.0% 0.0% 87.6% 64.2% 87.8% 92.5% 95.9% 94.2%

Other

Telehealth - Admitted events (#) 0 0.0% 2 0 0 0 1 0 0 0 0 2 0 0

Telehealth - Non-admitted events (#) 2.0 0.0% 579 5 51 46 61 53 89 105 74 113 104 119 64

Adverse and Never events

Notes:

1.Performance for participating facilities at a HHS level is displayed. Rewards calculated at facility level, not HHS level

2. Amounts reported are the activity movement of the 15/16 month from the equivalent 14/15 month

3. The baseline for all DRGs (including transplants) within the High Cost Low Volume initiative is 14/15 actual activity. LCCH DRG A01Z is not reported as it is covered under the National Funded Centres program

4. Blood Stream Infection reporting states actual incidences of criterion 1 BSIs as reported by the Communicable Disease unit by quarter

5. YTD Never events reported may not occur in the same financial year monitored

CapMin

ThresholdFeb 2015 Mar 2015 Apr 2015 May 2015

South West

Dec 2015Jul 2015 Aug 2015 Sep 2015 Oct 2015 Nov 2015Jun 2015Jan 2015

11 12 13 14 15 16 17 18 19 20 21 22

Financial Performance $'000 Actual / Forecast as at: Dec-15

Jul-15 Aug-15 Sep-15 Oct-15 Nov-15 Dec-15 Jan-16 Feb-16 Mar-16 Apr-16 May-16 Jun-16

Actual Actual Actual Actual Actual Actual Forecast Forecast Forecast Forecast Forecast Forecast

Revenue 10-Aug-15 8-Sep-15 8-Oct-15 9-Nov-15 8-Dec-15 8-Jan-16 8-Feb-16 8-Mar-16 8-Apr-16 9-May-16 8-Jun-16 8-Jul-16

Grants And Contributions 1,072 522 526 625 514 836 653 611 653 632 653 632

User Charges 10,121 9,562 9,746 11,035 9,991 11,262 10,424 9,752 10,424 10,088 10,424 10,088

Other Revenue 32 26 61 8 27 22 22 21 22 22 22 22

Total Revenue 11,225 10,110 10,333 11,668 10,532 12,120 11,099 10,383 11,099 10,741 11,099 10,741

YTD monthly average 11,225 10,667 10,556 10,834 10,774 10,998

Forecast Growth for Remainder of

Year 101 615- 101 257- 101 257-

Initiatives Contributing to Growth

Initiative 1

Initiative 2

Initiative 3

Initiative 4

Total of Initiatives - - - - - -

Variance 101 615- 101 257- 101 257-

Expenses

Labour -7,796 -7,723 -7,288 -6,731 -8,239 -8,258 -7,892 -7,383 -7,892 -7,638 -7,892 -7,638

Supplies & Services -3,006 -1,631 -2,925 -2,969 -1,236 -2,690 -2,877 -2,692 -2,877 -2,785 -2,877 -2,784

Other Expenses -109 -30 -27 24 -108 -286 -120 -112 -120 -116 -120 -116

Depreciation -535 -535 -517 -535 -518 -535 -541 -506 -541 -523 -541 -523

Total Expenses -11,446 -9,918 -10,756 -10,210 -10,101 -11,769 -11,430 -10,693 -11,430 -11,061 -11,430 -11,061

YTD monthly average 11,446- 10,682- 10,707- 10,583- 10,486- 10,700-

Forecast Growth for Remainder of

Year 730- 7 730- 361- 730- 361-

Initiatives Contributing to Growth

Initiative 1

Initiative 2

Initiative 3

Initiative 4

Total of Initiatives - - - - - -

Variance 730- 7 730- 361- 730- 361-

Operating Position(+ Surplus / -

Deficit)-222 192 -423 1,458 432 351

FYF Operating Position 0 0 0 -70 15 -181

YTD YTG

ForecastFYF FYB YTD

YTG

F'castFYB

YTG F

Inc/Dec%

Revenue

Grants And Contributions 4,094 3,810 7,905 7,899 682 635 658 -47 -6.9%

User Charges 61,717 61,199 122,916 123,255 10,286 10,200 10,271 -86 -0.8%

Other Revenue 176 123 299 352 29 21 29 -9 -30.1%

Total Revenue 65,988 65,133 131,120 131,506 10,998 10,855 10,959 -143 -1.3%

Expenses

Labour -46,034 -46,335 -92,370 -90,644 -7,672 -7,723 -7,554 -50 0.7%

Supplies & Services -14,457 -16,889 -31,345 -33,652 -2,409 -2,815 -2,804 -405 16.8%

Other Expenses -534 -703 -1,237 -1,802 -89 -117 -150 -28 31.5%

Depreciation -3,175 -3,175 -6,349 -5,408 -529 -529 -451 -0 0.0%

Total Expenses -64,200 -67,101 -131,301 -131,506 -10,700 -11,184 -10,959 -484 4.5%

Operating Position(+ Surplus / -

Deficit) 1,788 -1,969 -181 0 298 -328 0 -626 -210%

South West

KPI 10 - Full Year Forecast Operating Position

Comments Comments

$'000 Monthly Average $'000

Comments Comments

Revenue Group Jul Aug Sep Oct Nov Dec Jan Feb Mar Apr May Jun YTDActual 644,120 767,473 729,053 592,663 788,328 607,245 - - - - - - 4,128,882Budget 644,434 644,434 644,434 643,806 643,806 1,206,247 - - - - - - 4,427,161Variance (314) 123,039 84,619 (51,143) 144,522 (599,002) - - - - - - (298,279)Actual 31,656 26,370 34,278 7,654 27,208 22,308 - - - - - - 149,474Budget 19,944 19,944 19,944 19,944 19,944 30,550 - - - - - - 130,270Variance 11,712 6,426 14,334 (12,290) 7,264 (8,242) - - - - - - 19,204Actual 675,776 793,843 763,331 600,317 815,536 629,553 - - - - - - 4,278,356Budget 664,378 664,378 664,378 663,750 663,750 1,236,797 - - - - - - 4,557,431Variance 11,398 129,465 98,953 (63,433) 151,786 (607,244) - - - - - - (279,075)Full Year Budget 9,094,748 9,094,748 9,094,748 9,094,748 9,094,748 9,094,748 - - - - - - Full Year Forecast 8,676,500 8,676,500 8,676,500 8,676,500 8,676,500 8,676,500 - - - - - - Full Year Variance (418,248) (418,248) (418,248) (418,248) (418,248) (418,248) - - - - - -

Contact : Revenue Strategy & Support Unit 323 54185

Own Source Revenue Performance - 31 Dec 2015

South West HHS

User Charges

Other Revenue

Total Locally Receipted

Private Health Insurance Utilisation Forecast -Budget

Comments: - Source: Necto,Finance Module, 11 Jan 2016

- Monthly Revenue Average: $713,059

Comments:

- Source: Necto, ABF Module, 11 Jan 2016

Comments: - Indicators definition: Red: under 60% Amber : over 60 and under 85% Green: over 85% - Year to Go: (Monthly revenue average)*(number of months missing to complete the financial Year)

- Statewide YTD PHI Utilisation: 79.75 % (rate above the statewide rate). Excludes all Medicare Ineligibles patietns - Base on the current data, the HHS seems unlikely to achieve OSR Budget by $538,036.

87.65 %

4,278,356

4,278,356

4,701,663

8,676,500

9,094,748

Year to Go

Year to Date

OSR SLA

HHS Forecast

HHS Budget

- 2,000,000 4,000,000 6,000,000 8,000,000 10,000,000

Dental General Waiting List - Jan 2015 to Dec 2015

31/01/2015 28/02/2015 31/03/2015 30/04/2015 31/05/2015 30/06/2015 31/07/2015 31/08/2015 30/09/2015 31/10/2015 30/11/2015 31/12/2015

Waiting < 1 year 82 66 46 49 45 64 67 57 69 67 71 77

Waiting 1 - 2 years 11 11 8 5 4 5 4 5 4 3 5 0

Waiting 2+ years 0 0 0 0 0 0 0 0 0 0 0 0

Total 93 77 54 54 49 69 71 62 73 70 76 77

General Dental Waiting list - Distribution of patients waiting by month as at 31 December 2015

Number of patients required to be treated before 30 June 2016 to prevent any patients waiting 2+ years:

General Dental Waiting List - net change after removals and additions

31/01/2015 28/02/2015 31/03/2015 30/04/2015 31/05/2015 30/06/2015 31/07/2015 31/08/2015 30/09/2015 31/10/2015 30/11/2015 31/12/2015

Additions 66 56 23 20 11 40 26 26 34 46 32 28

Removals 99 72 46 20 16 20 24 35 23 49 26 27

Net change -33 -16 -23 0 -5 20 2 -9 11 -3 6 1

Oral Health Service Activity (excl. CDBS) - WOOS

Actual (excludes CDBS) 31/01/2015 28/02/2015 31/03/2015 30/04/2015 31/05/2015 30/06/2015 31/07/2015 31/08/2015 30/09/2015 31/10/2015 30/11/2015 31/12/2015

Actual (excl. CDBS) 1,597 3,588 4,442 2,835 3,650 3,178 4,030 3,716 3,318 3,689 3,742 2,974

Required/Budgeted 1,872 2,874 2,924 1,776 2,044 1,685 2,172 1,769 1,752 2,557 2,337 773

Variance Actual -275 714 1,518 1,059 1,606 1,493 1,858 1,947 1,566 1,132 1,405 2,201

Variance -14.7% 24.8% 51.9% 59.6% 78.6% 88.6% 85.5% 110.1% 89.4% 44.3% 60.1% 284.7%

YTD Oral Health Service Activity (excl. CDBS) - WOOS

31/01/2015 28/02/2015 31/03/2015 30/04/2015 31/05/2015 30/06/2015 31/07/2015 31/08/2015 30/09/2015 31/10/2015 30/11/2015 31/12/2015

YTD Actual (excl. CDBS) 14,610 18,198 22,640 25,475 29,125 32,303 4,030 7,746 11,064 14,753 18,495 21,469

Required/Budgeted 15,978 18,852 21,776 23,552 25,596 27,281 2,172 3,941 5,693 8,250 10,587 11,360

Variance Actual -1,368 -654 864 1,923 3,529 5,022 1,858 3,805 5,371 6,503 7,908 10,109

Variance -8.6% -3.5% 4.0% 8.2% 13.8% 18.4% 85.5% 96.5% 94.3% 78.8% 74.7% 89.0%

Child Dental Benefits Schedule - CDBSChild Dental Benefits Scheme (CDBS)

31/01/2015 28/02/2015 31/03/2015 30/04/2015 31/05/2015 30/06/2015 31/07/2015 31/08/2015 30/09/2015 31/10/2015 30/11/2015 31/12/2015

WOOS Activity 0 0 0 0 0 0 0 0 0 9 213 34

WOOS $ (Nominal) -$0 -$0 -$0 -$0 -$0 -$0 -$0 -$0 -$0 $465 $11,243 $1,769

South West - SUPPORTING INFORMATION FOR DENTAL

0

82

77

11

0

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10

20

30

40

50

60

70

80

90

100

31/01/2015 28/02/2015 31/03/2015 30/04/2015 31/05/2015 30/06/2015 31/07/2015 31/08/2015 30/09/2015 31/10/2015 30/11/2015 31/12/2015

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Waiting < 1 year Waiting 1 - 2 years Waiting 2+ years

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SUPPORTING PERFORMANCE INDICATORSSouth West Latest

Result

Backlog Maintenance Remediation Program (2013-2017) green green green green green green green TBC TBC green green green green

Total items 86 57 57 57 57 59 60 86 86 86 86 86 86

Planning items 3 9 8 7 3 1 0 2 3 3 3 3 3

Tendering items n/a

In progress items 0 7 8 8 11 9 1 1 1 1 1 0 0

Completed items 60 41 41 42 43 49 59 59 59 59 59 60 60

In progress backlog maintenance reduction ($'000) $0 410 430 630 1,010 800 200 200 200 200 200 0 0

Backlog maintenance reduction ($'000) $3,891 2,221 2,221 2,321 2,341 2,771 3,691 3,691 3,691 3,691 3,691 3,891 3,891

Backlog maintenance reduction target ($'000) $5,325 3,550 3,550 3,550 3,550 3,550 3,550 5,325 5,325 5,325 5,325 5,325 5,325

Maintenance Exp as % of Undepreciated ARV 1.96% 3.09% 3.08% 2.48% 2.03% 1.79% 1.97% 1.04% 2.16% 2.40% 2.39% 1.85% 1.96%

Maintenance Exp Target % of Undepreciated ARV 0.0224 3.42% 3.56% 3.56% 3.56% 2.30% 1.97% TBC TBC 2.24% 1.97% 2.24% 2.24%

Diagnostic imaging reports

Rate of diagnostic imaging 98.5% 99.3% 98.7% 99.1% 98.6% 98.5% 98.5% 99.5% 99.6% 98.8% 99.4% 98.9% 98.5%

examinations reported

Dec 2015Jul 2015 Aug 2015 Sep 2015 Oct 2015 Nov 2015Jun 2015Jan 2015 Feb 2015 Mar 2015 Apr 2015 May 2015South West

0

10

20

30

40

50

60

70

Jan 2015 Feb 2015 Mar 2015 Apr 2015 May 2015 Jun 2015 Jul 2015 Aug 2015 Sep 2015 Oct 2015 Nov 2015 Dec 2015

Backlog Mt - Total Items

Completed items In progress items Tendering items Planning items

50%

60%

70%

80%

90%

100%

110%

Jan 2015 Feb 2015 Mar 2015 Apr 2015 May 2015 Jun 2015 Jul 2015 Aug 2015 Sep 2015 Oct 2015 Nov 2015 Dec 2015

Diagnostic Imaging Reports

Rate of diagnostic imaging

Performance Reporting Dashboard data sources and timing Report period December 2015

KPI short name SourceData supplied or

extracted

1 In hospital Mortality VLAD Indicators VLAD - In Hospital Patient Safety Unit 8/12/20152 Unplanned hospital readmission indicators (VLAD) VLAD - Re-admissions Patient Safety Unit 8/12/20153 Healthcare associated Staphylococcus (Including MRSA) Bacteraemia SAB Off. CHO 19/11/20154 Rate of seclusion per 1,000 acute MH patient days rate of seclusion MHAOD Branch 20/01/20165 Valid Community MH treatment packages of care Community MH Packages MHAOD Branch 20/01/20166 Shorter stays in emergency departments QEAT DSS Necto 7/01/20167 Elective surgery patients treated within the clinically recommended time NEST DSS Necto 7/01/20168 Fewer long waiting specialist outpatients Outpatient Long Waits DSS Necto 12/01/20169 Potentially preventable hospitalisations (PPH) - Chronic conditions PPH Healthcare Purchasing 20/11/2015

10 A&TSI - Potentially preventable hospitalisations A&TSI - PPH A&TSI Branch 20/11/201511 A&TSI Discharge against medical advice A&TSI DAMA A&TSI Branch 20/11/201512 Telehealth Telehealth DSS Necto 20/01/201613 Full-year Forecast Operating Position ($ Surplus / - Deficit) FYF Operating Position DSS Necto 12/01/201614 Average length of stay for multi-day stay patients ALOS Health Statistics Unit 16/11/201515 Funded and Cost per QWAU (ABF Only) Cost per WAU tba tba

SourceData supplied or

extracted

Public QWAU Purchased Funding, Costing and Purchasing 4/01/2016Public QWAU Activity DSS Necto 18/01/2016Public QWAU Target DSS Necto 18/01/2016WAU Activity DSS Necto 20/01/20162015-16 Purchased Activity Funding, Costing and Purchasing 24/11/2015

ED Presentations, Seen-in-time DSS Necto 7/01/2016QEAT by facility DSS Necto 7/01/2016POST by facility Queensland Ambulance Service 12/01/2016

Elective Surgery - by speciality RFC Clinical Access & Redesign Unit 7/01/2016Elective Surgery - by speciality NRFC DSS Necto 7/01/2016Elective Surgery - NEST DSS Necto 7/01/2016

Financial projections DSS Necto 12/01/2016Own Source Revenue Own Source Revenue 11/01/2016

Oral Health Dental Activty and Wait List Oral Health Service 13/01/2016

Purchasing Purchasing Initiatives Healthcare Purchasing 20/01/2016

Backlog Maintenance Remediation Program (2013-2015) Capital Works 19/01/2016Breastscreen Breastscreen Queensland 11/01/2016Cochlear Implants Healthcare Purchasing 14/01/2016

Radiology Reporting rates Community and Scientific Support 19/01/2016

Specific Funding

Additional

Supporting indicators

KPI

Activity

Finance

Emergency Department

Elective Surgery

General • Data for this report has been taken from DSS Scorecard and DSS HCQ KPI Workboard as well as from Data

provided by various areas within corporate office.

• Data is preliminary and subject to change.

• HHS Specific:

Due to the transition of Children's to LCCH, the elective surgery and specialist outpatient long waits are not counted in the statewide total for Dec 2014 and Jan 2015. Children's is included again from February 2015.

KPI 1 and 2 (VLAD indicators) • The occurrence of a flag should not be immediately interpreted as indicating good or bad performance as

there are many possible explanations as to why the VLAD flagged.

• The underlying data is sourced from Queensland Health Admitted Patient Data Collection and Perinatal Data Collection.

• The VLAD methodology identifies sufficient variation from expected performance to flag that an investigation is warranted. There will be occasions where an indicator will be red, green and red for three consecutive periods. This does not mean that their performance went from bad to good and then back to bad again but that it was only in the first and third periods that there was sufficient information to warrant an investigation.

• VLAD flags may be due in part to data or documentation errors.

• October VLAD data was not available for December reporting however will be available once tabled at the next VLAD Committee meeting in February.

KPI 3 Healthcare-associated Infections

KPI 4 Rate of Seclusion

KPI 5 Community Mental Health Packages of Care • HHS Specific:

Metro South, Wide Bay and Torres and Cape data was not available for performance reporting for December.

Notes – System Performance Reports

KPI 6 Shorter stays in emergency departments • KPI 6 includes the 58 facilities considered in-scope for this KPI as per the KPI definition.

• The target increased to 90% in January. This may be revised again in the near future however until a decision is reached, the target will remain at 90% as per the KPI attribute sheet.

• KPI 6 YTD figures are now reported on a financial year to date basis.

• PAH data is excluded for 3 days in November and the whole of December due to the go live of first-net.

KPI 7 Elective surgery patients treated within the clinically recommended time

• KPI 7 (Elective Surgery long waits) has been updated as per Service Agreement Amendment Window 2. The reported KPI is now "Elective surgery patients treated within the clinically recommended time".

• The YTD figures for NEST are now reported on a financial year to date basis.

KPI 8 Fewer long waiting Specialist Outpatients • We do not currently have any trajectories

• There is no target trigger points agreed yet and therefore no flags have been applied to current performance.

• HHS Specific:

PAH SOPD long waits are included from February. February long waits are self-reported based on data taken on 25/2/15. From March, PAH SOPD long waits were based on the data in DSS. From July to Sept onwards, no updated PAH data was available due to the transition to a new scheduling and reporting system and June results for PAH were carried forward – from October results for PAH are included.

Mater is included from February.

RBWH is included from December onwards.

From July 2015 Metro South commenced the transfer of approximately 6,000 WAU to Mater Health Service. While these long wait patients have been removed from Metro South’s list they are yet to appear on the Mater’s as their waiting time automatically resets with the transfer therefore Mater’s long waits and the DOH’s long waits are understated. Healthcare Improvement Unit is aware of and working to resolve the issue.

KPI 9 Potentially Preventable Hospitalisations • While CAH, CTQ, DDS, GOL, MAC, MNT, MST, SUN, TVL, WBY and WMT are not in scope for KPI 9 their results

have been reported for information purposes only on CaPRS.

Notes – System Performance Reports - 2 -

KPI 10 A&TSI Potentially Preventable Hospitalisations

KPI 11 A&TSI Discharge Against Medical Advice (DAMA)

KPI 12 Telehealth • Due to a data submission routine not capturing all facilities reported telehealth data taken from DSS has

been corrected back to July 2013 in November 2015 therefore there may be variances to what was previously reported

• HHS Specific:

Historical telehealth data (pre July 2014) for Central West has been excluded due to an incorrect 2012/2013 baseline as agreed with SAM.

KPI 13 (FYF Operating position)

KPI 14 Average length of stay (ALOS)

KPI 15 Cost per QWAU

Purchased Activity • The current dashboard applies the 2015-16 Service Agreement amounts

• For 2015-16, activity is taken from DSS using the contracted activity hierarchy. This hierarchy allocates activity based on who has paid for the activity as oppose to the geographical area in which activity is performed.

• Activity excludes Surgery Connect and Interstate/Overseas activity provided by the DoH.

• HHS Specific:

As the Mater have not yet entered targets, their current purchased amounts have been phased based upon prior year actuals for Mater Adults and Mater Mothers for statewide reporting.

Metro North have entered targets that are greater than the purchased amounts therefore variances may be overstated and should be interpreted with caution.

Gold Coast, North West and West Moreton have not updated targets for the Service Agreement Amendment Window 1.

WAU ED data was not available for the Mater in November due to a data structure change

Public Queensland Activity • PQWAU is used to pass on Commonwealth efficient growth funding to HHSs.

• Monthly PQWAU targets reported reflect those currently loaded by HHSs into the DSS portal. Note that as per the PQWAU specification sheet, monthly targets used for amendment funding adjustments may vary from those reported above if HHSs have failed to load PQWAU targets or have loaded targets that do not accurately sum to annual targets stated in service agreements.


• HHS Specific:

Mater and North West have not yet entered targets.

Backlog Maintenance • The Backlog Maintenance Remediation Program (BMRP) has reintroduced the measure- YTD maintenance

expenditure (% of undepreciated asset replacement value) from December. The HHS and HSQ FAMMIS YTDmaintenance expenditure and maintenance expenditure targets are based on an undepreciated ARV as at 30June 2014. For North West HHS the YTD maintenance expenditure and maintenance expenditure target isbased on an undepreciated ARV as at 30 June 2011.

• HHS Specific:

Central Queensland HHS and Sunshine Coast HHS did not submit a status update for June.

Metro South HHS have provided an overall four year program position rather than a two yearprogram position.

Dental notes • General Waiting list data - Source: ISOH through QHERS, OCDO, extracted on the last business day of each

month for the last day of each month, includes patients with status of “waiting” or “contacted” on theGeneral Care waiting list only, excludes status of “appointment made”, excludes Clinical Assessment, Priority,Recall and GA waiting lists.

• Long waits - Source: ISOH through QHERS, OCDO, extracted on the last business day of each month, for thelast day of each month, includes patients with status of “waiting” or “contacted” on the General Care waitinglist only with a “date placed on” at or before 30 June 2013. “Long wait” refers to a waiting time of greaterthan two years from “date placed on”.

• Net change to the general waiting list - Source: ISOH through QHERS, OCDO, extracted on the last businessday of each month for patients added and removed from the General Care waiting list for each month.Patients removed from the waiting list may proceed to treatment or be discontinued.

• CDBS data - Source: ISOH through QHERS, OCDO, includes all Child Dental Benefit Schedule items recorded inISOH. Estimates of the value of CDBS items claimed by HHS oral health services determined by CDBS itemsrecorded in ISOH and CDBS fee schedule. Actual CDBS revenue received by HHSs will be slightly lower forreasons including rejection of claims and variations in the timing of the claiming process.


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