healthcare uarterly...time recorded when a healthcare professional provides medical care relevant to...

Healthcare Quarterly

July to September 2017

Performance ProfilesEmergency Department

New

Sou

th W

ales

More information is available on BHI's interactive portal at www.bhi.nsw.gov.au/healthcare_observer

New South Wales: Emergency department (ED) overviewJuly to September 2017

All presentations:1

Emergency presentations:2

New South Wales: Time patients waited to start treatment 3

Same periodlast year

Change sinceone year ago


4

4

4

4

5

5

5

5


Triage 2 Emergency (e.g. chest pain, severe burns):

Median time to start treatment

90th percentile time to start treatment

Triage 3 Urgent (e.g. moderate blood loss, dehydration):



Triage 4 Semi-urgent (e.g. sprained ankle, earache):



Triage 5 Non-urgent (e.g. small cuts or abrasions):



New South Wales: Time patients spent in the EDJuly to September 2017

Presentations used to calculate time to leaving the ED:6

Percentage of patients who spentfour hours or less in the ED


1. All emergency and non-emergency presentations at the emergency department (ED).2. All presentations that have a triage category and are coded as emergency presentations or unplanned return visits.3. Some patients are excluded from ED time measures due to calculation requirements. For details, see the

Technical Supplement: Emergency department measures, July to September 2016.4. The median is the time by which half of patients started treatment. The other half of patients waited equal to or longer

than this time.5. The 90th percentile is the time by which 90% of patients started treatment. The final 10% of patients waited equal to or

longer than this time.6. All presentations that have a departure time.Note: Presentation time is the earlier time recorded for clerical registration or the triage process. Treatment time is the earliest

time recorded when a healthcare professional provides medical care relevant to the patient’s presenting problems.Source: Health Information Exchange, NSW Health (extracted 17 October 2017).

PERFORMANCE PROFILES: Emergency department care July to September 2017 www.bhi.nsw.gov.au Page 1 of 711

720,564 patients

699,236 patients

658,481

637,792

9.4%

9.6%

8 minutes

27 minutes

21 minutes

72 minutes

27 minutes

103 minutes

24 minutes

104 minutes

88,968 patients

9 minutes

29 minutes

244,822 patients

23 minutes

83 minutes

294,469 patients

30 minutes

121 minutes

65,846 patients

26 minutes

118 minutes

720,344 patients

68.4% 71.7%

New

Sou

th W

ales


New South Wales: Patients presenting to the emergency departmentJuly to September 2017

All presentations:1

Emergency presentations by triage category:



Emergency presentations by quarter, July 2012 to September 20172

Num

ber

of p

rese

ntat

ions

Resuscitation

Emergency

Urgent

Semi-urgent

Non-urgent

All emergency presentations

New South Wales: Patients arriving by ambulanceJuly to September 2017

Arrivals used to calculate transfer of care time: 7

ED Transfer of care time

Median time

90th percentile time




720,564 patients

2 699,236 patients

658,481 9.4%

637,792 9.6%

5,131 (0.7%)

88,968 (12.7%)

244,822 (35.0%)

294,469 (42.1%)

65,846 (9.4%)

Resuscitation1

Emergency2

Urgent3

Semi-urgent4

Non-urgent5

4,698

80,858

225,993

266,262

59,981

9.2%

10.0%

8.3%

10.6%

9.8%

0

80,000

160,000

240,000

320,000

400,000

Jul-S

ep 12

Oct-D

ec 12

Jan-

Mar 1

3

Apr-J

un 13

Jul-S

ep 13

Oct-D

ec 13

Jan-

Mar 1

4

Apr-J

un 14

Jul-S

ep 14

Oct-D

ec 14

Jan-

Mar 1

5

Apr-J

un 15

Jul-S

ep 15

Oct-D

ec 15

Jan-

Mar 1

6

Apr-J

un 16

Jul-S

ep 16

Oct-D

ec 16

Jan-

Mar 1

7

Apr-J

un 17

Jul-S

ep 17

Resuscitation1

Emergency2

Urgent3

Semi-urgent4

Non-urgent5

Jul-Sep Jul-Sep Jul-Sep Jul-Sep Jul-Sep Jul-Sep2012 2013 2014 2015 2016 2017

3,646 4,073 4,316 4,443 4,698 5,131

56,030 65,660 70,887 76,167 80,858 88,968

178,081 194,908 201,290 214,242 225,993 244,822

241,958 256,971 263,271 267,862 266,262 294,469

62,112 63,837 63,706 62,407 59,981 65,846

541,827 585,449 603,470 625,121 637,792 699,236

148,186 patients 134,245

13 minutes

36 minutes

12 minutes 1 minute

30 minutes 6 minutes

New

Sou

th W

ales


New South Wales: Time patients waited to start treatment, triage 2July to September 2017

Triage 2 Emergency (e.g. chest pain, severe burns)

Number of triage 2 patients:

Number of triage 2 patients used to calculate waiting time:3

Median time to start treatment 4

90th percentile time to start treatment 5


Percentage of triage 2 patients who received treatment by time, July to September 2017

Pat

ient

s w

ho r

ecei

ved

trea

tmen

t(%

)

Minutes from presentation until treatment

NSW

Time patients waited to start treatment (minutes) for triage 2 patients, July 2012 to September 2017

Tim

e in

min

utes

Mediantime to starttreatment

90th percentiletime to starttreatment

Median time to start treatment4

(minutes)


(minutes)


88,968

87,854

9 minutes

29 minutes

80,858

79,989

8 minutes

27 minutes

0

20

40

60

80

100

0 20 40 60 80 100 120 140 160 180 200 220 240 260 280

0

10

20

30

40

50

Jul-S

ep 12

Oct-D

ec 12

Jan-

Mar 1

3

Apr-J

un 13

Jul-S

ep 13

Oct-D

ec 13

Jan-

Mar 1

4

Apr-J

un 14

Jul-S

ep 14

Oct-D

ec 14

Jan-

Mar 1

5

Apr-J

un 15

Jul-S

ep 15

Oct-D

ec 15

Jan-

Mar 1

6

Apr-J

un 16

Jul-S

ep 16

Oct-D

ec 16

Jan-

Mar 1

7

Apr-J

un 17

Jul-S

ep 17


8 8 8 9 8 9

27 26 28 30 27 29

New

Sou

th W

ales



Triage 3 Urgent (e.g. moderate blood loss, dehydration)







Pat

ient

s w

ho r

ecei

ved

trea

tmen

t(%

)


NSW


Tim

e in

min

utes




(minutes)


(minutes)


244,822

237,072

23 minutes

83 minutes

225,993

220,403

21 minutes

72 minutes

0

20

40

60

80

100

0 20 40 60 80 100 120 140 160 180 200 220 240 260 280

0

20

40

60

80

100

Jul-S

ep 12

Oct-D

ec 12

Jan-

Mar 1

3

Apr-J

un 13

Jul-S

ep 13

Oct-D

ec 13

Jan-

Mar 1

4

Apr-J

un 14

Jul-S

ep 14

Oct-D

ec 14

Jan-

Mar 1

5

Apr-J

un 15

Jul-S

ep 15

Oct-D

ec 15

Jan-

Mar 1

6

Apr-J

un 16

Jul-S

ep 16

Oct-D

ec 16

Jan-

Mar 1

7

Apr-J

un 17

Jul-S

ep 17


24 22 22 22 21 23

94 80 78 82 72 83

New

Sou

th W

ales



Triage 4 Semi-urgent (e.g. sprained ankle, earache)







Pat

ient

s w

ho r

ecei

ved

trea

tmen

t(%

)


NSW


Tim

e in

min

utes




(minutes)


(minutes)


294,469

268,265

30 minutes

121 minutes

266,262

246,911

27 minutes

103 minutes

0

20

40

60

80

100

0 20 40 60 80 100 120 140 160 180 200 220 240 260 280

0

50

100

150

200

Jul-S

ep 12

Oct-D

ec 12

Jan-

Mar 1

3

Apr-J

un 13

Jul-S

ep 13

Oct-D

ec 13

Jan-

Mar 1

4

Apr-J

un 14

Jul-S

ep 14

Oct-D

ec 14

Jan-

Mar 1

5

Apr-J

un 15

Jul-S

ep 15

Oct-D

ec 15

Jan-

Mar 1

6

Apr-J

un 16

Jul-S

ep 16

Oct-D

ec 16

Jan-

Mar 1

7

Apr-J

un 17

Jul-S

ep 17


33 30 28 29 27 30

136 121 110 116 103 121

New

Sou

th W

ales



Triage 5 Non-urgent (e.g. small cuts or abrasions)







Pat

ient

s w

ho r

ecei

ved

trea

tmen

t(%

)


NSW


Tim

e in

min

utes




(minutes)


(minutes)


65,846

54,890

26 minutes

118 minutes

59,981

50,988

24 minutes

104 minutes

0

20

40

60

80

100

0 20 40 60 80 100 120 140 160 180 200 220 240 260 280

0

50

100

150

200

Jul-S

ep 12

Oct-D

ec 12

Jan-

Mar 1

3

Apr-J

un 13

Jul-S

ep 13

Oct-D

ec 13

Jan-

Mar 1

4

Apr-J

un 14

Jul-S

ep 14

Oct-D

ec 14

Jan-

Mar 1

5

Apr-J

un 15

Jul-S

ep 15

Oct-D

ec 15

Jan-

Mar 1

6

Apr-J

un 16

Jul-S

ep 16

Oct-D

ec 16

Jan-

Mar 1

7

Apr-J

un 17

Jul-S

ep 17


29 25 24 25 24 26

127 113 106 111 104 118

New

Sou

th W

ales


New South Wales: Time patients spent in the EDJuly to September 2017

All presentations:1


Median time spent in the ED 8

90th percentile time spent in the ED 9


Percentage of patients who left the ED by time, July to September 2017

NSW

Pat

ient

s w

ho le

ft th

e E

D (%

)

Hours from presentation until leaving the ED

Time patients spent in the ED, by quarter, July 2012 to September 2017

Tim

e in

hou

rs

Median timespent in the ED

90th percentiletime spent inthe ED


(hours, minutes)


(hours, minutes)


720,564 patients

720,344 patients

3 hours and 0 minutes


658,481

658,374

2 hours and49 minutes


0

20

40

60

80

100

0 1 2 3 4 5 6 7 8 9 10 11 12

0

2

4

6

8

10

Jul-S

ep 12

Oct-D

ec 12

Jan-

Mar 1

3

Apr-J

un 13

Jul-S

ep 13

Oct-D

ec 13

Jan-

Mar 1

4

Apr-J

un 14

Jul-S

ep 14

Oct-D

ec 14

Jan-

Mar 1

5

Apr-J

un 15

Jul-S

ep 15

Oct-D

ec 15

Jan-

Mar 1

6

Apr-J

un 16

Jul-S

ep 16

Oct-D

ec 16

Jan-

Mar 1

7

Apr-J

un 17

Jul-S

ep 17


3h 20m 2h 57m 2h 49m 2h 52m 2h 49m 3h 0m

9h 49m 8h 17m 7h 52m 7h 53m 7h 28m 8h 2m

New

Sou

th W

ales


New South Wales: Time spent in the EDBy mode of separationJuly to September 2017

All presentations:1

Presentations used to calculate time spent in the ED:6

Treated and discharged

Treated and admitted to hospital

Patient left without, or beforecompleting, treatment

Transferred to another hospital

Other

Percentage of patients who left the ED by time and mode of separation, July to September 2017

All presentations


Treated and admittedto hospital

Patients left without, or beforecompleting, treatment

Transferred toanother hospitalP

atie

nts

who

left

the

ED

(%)


1 hour 2 hours 3 hours 4 hours 6 hours 8 hours 10 hours 12 hours





All presentations


720,564 patients

720,344 patients

446,753 (62.0%)

195,992 (27.2%)

48,798 (6.8%)

14,553 (2.0%)

14,468 (2.0%)

0

20

40

60

80

100

0 1 2 3 4 5 6 7 8 9 10 11 12

16.0% 39.7% 61.6% 80.9% 93.1% 97.4% 98.8% 99.4%

2.3% 7.4% 16.8% 35.3% 55.9% 71.3% 80.1% 85.2%

27.4% 53.0% 72.4% 86.4% 96.1% 98.7% 99.4% 99.6%

5.5% 15.8% 27.8% 40.7% 60.6% 73.2% 81.0% 85.3%

14.0% 32.3% 50.1% 68.4% 82.6% 89.9% 93.4% 95.2%

New

Sou

th W

ales


New South Wales: Time spent in the EDPercentage of patients who spent four hours or less in the EDJuly to September 2017

All presentations at the emergency department: 1

Presentations used to calculate time to leaving the ED: 6



Percentage of patients who spent four hours or less in the ED, by quarter, July 2012 to September 2017

Pat

ient

s w

ho le

ft w

ithin

four

hou

rs (%

)

Percentage ofpatients whospent fourhour or lessin the ED

Patients who spent four hours or lessin the ED (%)

* Suppressed due to small numbers and to protect privacy. Relevant graphs are also suppressed.Data points are not shown in graphs for quarters when patient numbers were too small.Caution is advised when interpreting abrupt changes over time at the hospital level. For example, performance beforeand after transition to a new information system is not directly comparable. For more information seeBackground Paper: Approaches to reporting time measures of emergency department performance, December 2011.




longer than this time.6. All presentations that have a departure time.7. Transfer of care time refers to the period between arrival of patients at the ED by ambulance and the transfer of

responsibility for their care from paramedics to ED staff in an ED treatment zone. For more information see Spotlight on Measurement: measuring transfer of care from the ambulance to the emergency department.

8. The median is the time by which half of patients left the ED. The other half of patients took equal to or longer than this time.9. The 90th percentile is the time by which 90% of patients left the ED. The final 10% of patients took equal to or longer

than this time.Note: Presentation time is the earlier of times recorded for the start of clerical registration or the triage process.

Treatment time is the earliest time recorded when a healthcare professional provides medical care that is relevant tothe patient’s presenting problems. For patients who were treated and discharged, departure time is the time whentreatment was completed. For all other patients, departure time is the time when the patient actually left the ED.

Note: All percentages are rounded and therefore percentages may not add to 100%.Sources: ED data from Health Information Exchange, NSW Health (extracted 17 October 2017).

Transfer of care data from Transfer of Care Reporting System (extracted 17 October 2017).

720,564 patients

720,344 patients

68.4%

658,481

658,374

71.7%

0

20

40

60

80

100

Jul-S

ep 12

Oct-D

ec 12

Jan-

Mar 1

3

Apr-J

un 13

Jul-S

ep 13

Oct-D

ec 13

Jan-

Mar 1

4

Apr-J

un 14

Jul-S

ep 14

Oct-D

ec 14

Jan-

Mar 1

5

Apr-J

un 15

Jul-S

ep 15

Oct-D

ec 15

Jan-

Mar 1

6

Apr-J

un 16

Jul-S

ep 16

Oct-D

ec 16

Jan-

Mar 1

7

Apr-J

un 17

Jul-S

ep 17


58.8% 66.6% 70.6% 70.1% 71.7% 68.4%

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Bankstown / Lidcombe Hospital: Emergency department (ED) overviewJuly to September 2017

All presentations:1


Bankstown / Lidcombe Hospital: Time patients waited to start treatment 3




NSW(this period)

4

4

4

4

5

5

5

5














Bankstown / Lidcombe Hospital: Time from presentation until leaving the EDJuly to September 2017

Attendances used to calculate time to leaving the ED:6




* Suppressed due to small number of patients and to protect privacy. Relevant graphs are also suppressed.1. All emergency and non-emergency attendances at the emergency department (ED).2. All attendances that have a triage category and are coded as emergency presentations or unplanned return visits.3. Some patients are excluded from ED time measures due to calculation requirements. For details, see the






14,572 patients

14,492 patients

13,336

13,227

9.3%

9.6%

2,782

10 minutes

30 minutes

9 minutes

29 minutes

6,054

23 minutes

85 minutes

23 minutes

83 minutes

3,799

23 minutes

85 minutes

30 minutes

121 minutes

474

22 minutes

75 minutes

26 minutes

118 minutes

2,585 patients

13 minutes

43 minutes

6,475 patients

32 minutes

130 minutes

4,762 patients

39 minutes

152 minutes

559 patients

31 minutes

147 minutes

14,572 patients

59.0%

13,336 9.3%

71.4%

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Bankstown / Lidcombe Hospital: Patients presenting to the emergency departmentJuly to September 2017

All presentations:1





Num

ber

of p

rese

ntat

ions

Shaded areashows transitionto a new patientrecord system(if applicable)

Resuscitation

Emergency

Urgent

Semi-urgent

Non-urgent


Bankstown / Lidcombe Hospital: Patients arriving by ambulanceJuly to September 2017



Median time





14,572 patients

2 14,492 patients

13,336 9.3%

13,227 9.6%

111 (0.8%)

2,585 (17.8%)

6,475 (44.7%)

4,762 (32.9%)

559 (3.9%)

Resuscitation1

Emergency2

Urgent3

Semi-urgent4

Non-urgent5

118

2,782

6,054

3,799

474

-5.9%

-7.1%

7.0%

25.3%

17.9%

0

2,000

4,000

6,000

8,000

Jul-S

ep 12

Oct-D

ec 12

Jan-

Mar 1

3

Apr-J

un 13

Jul-S

ep 13

Oct-D

ec 13

Jan-

Mar 1

4

Apr-J

un 14

Jul-S

ep 14

Oct-D

ec 14

Jan-

Mar 1

5

Apr-J

un 15

Jul-S

ep 15

Oct-D

ec 15

Jan-

Mar 1

6

Apr-J

un 16

Jul-S

ep 16

Oct-D

ec 16

Jan-

Mar 1

7

Apr-J

un 17

Jul-S

ep 17

Resuscitation1

Emergency2

Urgent3

Semi-urgent4

Non-urgent5


82 112 110 103 118 111

1,392 2,262 2,535 2,723 2,782 2,585

4,125 4,478 4,747 5,680 6,054 6,475

5,006 4,589 4,428 4,457 3,799 4,762

695 634 478 518 474 559

11,300 12,075 12,298 13,481 13,227 14,492

4,338 patients 3,782

18 minutes

41 minutes



( ) Data points are not shown in graphs for quarters when patient numbers are too small.

( ) Caution is advised when interpreting abrupt changes over time at the hospital level. For example, performance before and aftertransition to a new information system is not directly comparable. For more information, see Background Paper:Approaches to reporting time measures of emergency department performance, December 2011.

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Bankstown / Lidcombe Hospital: Time patients waited to start treatment, triage 2July to September 2017







NSW(this period)


Pat

ient

s w

ho r

ecei

ved

trea

tmen

t(%

)


NSW

This ED

Time patients waited to start treatment(minutes) for triage 2 patients, July 2012 to September 2017

Tim

e in

min

utes





(minutes)


(minutes)


2,585

2,576

13 minutes

43 minutes

2,782

2,774

10 minutes

30 minutes

9 minutes

29 minutes

0

20

40

60

80

100

0 20 40 60 80 100 120 140 160 180 200 220 240 260 280

0

10

20

30

40

50

Jul-S

ep 12

Oct-D

ec 12

Jan-

Mar 1

3

Apr-J

un 13

Jul-S

ep 13

Oct-D

ec 13

Jan-

Mar 1

4

Apr-J

un 14

Jul-S

ep 14

Oct-D

ec 14

Jan-

Mar 1

5

Apr-J

un 15

Jul-S

ep 15

Oct-D

ec 15

Jan-

Mar 1

6

Apr-J

un 16

Jul-S

ep 16

Oct-D

ec 16

Jan-

Mar 1

7

Apr-J

un 17

Jul-S

ep 17


9 10 13 9 10 13

26 25 40 31 30 43



Ban

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NSW(this period)


Pat

ient

s w

ho r

ecei

ved

trea

tmen

t(%

)


NSW

This ED


Tim

e in

min

utes





(minutes)


(minutes)


6,475

6,277

32 minutes

130 minutes

6,054

5,916

23 minutes

85 minutes

23 minutes

83 minutes

0

20

40

60

80

100

0 20 40 60 80 100 120 140 160 180 200 220 240 260 280

0

50

100

150

200

Jul-S

ep 12

Oct-D

ec 12

Jan-

Mar 1

3

Apr-J

un 13

Jul-S

ep 13

Oct-D

ec 13

Jan-

Mar 1

4

Apr-J

un 14

Jul-S

ep 14

Oct-D

ec 14

Jan-

Mar 1

5

Apr-J

un 15

Jul-S

ep 15

Oct-D

ec 15

Jan-

Mar 1

6

Apr-J

un 16

Jul-S

ep 16

Oct-D

ec 16

Jan-

Mar 1

7

Apr-J

un 17

Jul-S

ep 17


31 25 28 22 23 32

151 103 102 84 85 130



Ban

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NSW(this period)


Pat

ient

s w

ho r

ecei

ved

trea

tmen

t(%

)


NSW

This ED


Tim

e in

min

utes





(minutes)


(minutes)


4,762

4,479

39 minutes

152 minutes

3,799

3,621

23 minutes

85 minutes

30 minutes

121 minutes

0

20

40

60

80

100

0 20 40 60 80 100 120 140 160 180 200 220 240 260 280

0

50

100

150

200

Jul-S

ep 12

Oct-D

ec 12

Jan-

Mar 1

3

Apr-J

un 13

Jul-S

ep 13

Oct-D

ec 13

Jan-

Mar 1

4

Apr-J

un 14

Jul-S

ep 14

Oct-D

ec 14

Jan-

Mar 1

5

Apr-J

un 15

Jul-S

ep 15

Oct-D

ec 15

Jan-

Mar 1

6

Apr-J

un 16

Jul-S

ep 16

Oct-D

ec 16

Jan-

Mar 1

7

Apr-J

un 17

Jul-S

ep 17


37 29 26 24 23 39

146 118 98 89 85 152



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NSW(this period)


Pat

ient

s w

ho r

ecei

ved

trea

tmen

t(%

)


NSW

This ED


Tim

e in

min

utes





(minutes)


(minutes)


559

376

31 minutes

147 minutes

474

370

22 minutes

75 minutes

26 minutes

118 minutes

0

20

40

60

80

100

0 20 40 60 80 100 120 140 160 180 200 220 240 260 280

0

50

100

150

200

Jul-S

ep 12

Oct-D

ec 12

Jan-

Mar 1

3

Apr-J

un 13

Jul-S

ep 13

Oct-D

ec 13

Jan-

Mar 1

4

Apr-J

un 14

Jul-S

ep 14

Oct-D

ec 14

Jan-

Mar 1

5

Apr-J

un 15

Jul-S

ep 15

Oct-D

ec 15

Jan-

Mar 1

6

Apr-J

un 16

Jul-S

ep 16

Oct-D

ec 16

Jan-

Mar 1

7

Apr-J

un 17

Jul-S

ep 17


31 24 22 18 22 31

140 109 90 91 75 147



Ban

ksto

wn

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ital

Prin

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Bankstown / Lidcombe Hospital: Time patients spent in the EDJuly to September 2017

All presentations:1





NSW(this period)


This ED

NSW

Pat

ient

s w

ho le

ft th

e E

D(%

)



Tim

e in

hou

rs




Median time to leaving the ED 8

(hours, minutes)

90th percentile time to leaving the ED 9

(hours, minutes)


14,572 patients

14,572 patients



13,336

13,336





0

20

40

60

80

100

0 1 2 3 4 5 6 7 8 9 10 11 12

0

5

10

15

20

Jul-S

ep 12

Oct-D

ec 12

Jan-

Mar 1

3

Apr-J

un 13

Jul-S

ep 13

Oct-D

ec 13

Jan-

Mar 1

4

Apr-J

un 14

Jul-S

ep 14

Oct-D

ec 14

Jan-

Mar 1

5

Apr-J

un 15

Jul-S

ep 15

Oct-D

ec 15

Jan-

Mar 1

6

Apr-J

un 16

Jul-S

ep 16

Oct-D

ec 16

Jan-

Mar 1

7

Apr-J

un 17

Jul-S

ep 17


4h 59m 4h 12m 3h 28m 3h 16m 3h 15m 3h 41m

12h 28m 10h 39m 11h 32m 8h 58m 7h 46m 9h 40m



Ban

ksto

wn

/ Li

dco

mb

e H

osp

ital

Prin

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Bankstown / Lidcombe Hospital: Time patients spent in the EDBy mode of separationJuly to September 2017

All presentations:1






Other




All presentations




Transferred toanother hospital

Pat

ient

s w

ho le

ft th

e E

D(%

)







All presentations


14,572 patients

14,572 patients

7,865 (54.0%)

4,759 (32.7%)

1,859 (12.8%)

67 (0.5%)

22 (0.2%)

13,336 9.3%

6,707

5,509

981

77

62

17.3%

-13.6%

89.5%

-13.0%

-64.5%

0

20

40

60

80

100

0 1 2 3 4 5 6 7 8 9 10 11 12

7.1% 21.6% 44.5% 73.8% 90.7% 97.6% 99.3% 99.8%

1.6% 4.9% 12.4% 28.6% 48.0% 63.9% 73.2% 79.3%

16.0% 35.6% 55.7% 75.5% 91.8% 96.8% 98.3% 98.7%

1.5% 11.9% 16.4% 26.9% 47.8% 68.7% 73.1% 76.1%

6.4% 17.9% 35.3% 59.0% 76.7% 86.3% 90.5% 92.8%



Ban

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Prin

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Loca

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Bankstown / Lidcombe Hospital: Time spent in the EDPercentage of patients who spent four hours or less in the EDJuly to September 2017







Pat

ient

s w

ho le

ft w

ithin

four

hou

rs (%

)



Patients who left within four hours (%)



Technical Supplement: Emergency department measures, July to September 2016.4. The median is the time by which half of patients started treatment. The other half of patients took equal to or longer

than this time.5. The 90th percentile is the time by which 90% of patients started treatment. The final105% of patients took equal to or









14,572 patients

14,572 patients

59.0%

13,336

13,336

71.4%

9.3%

9.3%

0

20

40

60

80

100

Jul-S

ep 12

Oct-D

ec 12

Jan-

Mar 1

3

Apr-J

un 13

Jul-S

ep 13

Oct-D

ec 13

Jan-

Mar 1

4

Apr-J

un 14

Jul-S

ep 14

Oct-D

ec 14

Jan-

Mar 1

5

Apr-J

un 15

Jul-S

ep 15

Oct-D

ec 15

Jan-

Mar 1

6

Apr-J

un 16

Jul-S

ep 16

Oct-D

ec 16

Jan-

Mar 1

7

Apr-J

un 17

Jul-S

ep 17


39.2% 47.7% 63.9% 68.5% 71.4% 59.0%

Con

cord

Hos

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Syd

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Concord Hospital: Emergency department (ED) overviewJuly to September 2017

All presentations:1


Concord Hospital: Time patients waited to start treatment 3




NSW(this period)

4

4

4

4

5

5

5

5














Concord Hospital: Time from presentation until leaving the EDJuly to September 2017











10,451 patients

10,422 patients

9,602

9,567

8.8%

8.9%

1,082

8 minutes

14 minutes

9 minutes

29 minutes

3,348

21 minutes

57 minutes

23 minutes

83 minutes

4,714

28 minutes

82 minutes

30 minutes

121 minutes

369

23 minutes

83 minutes

26 minutes

118 minutes

1,222 patients

9 minutes

18 minutes

4,757 patients

23 minutes

69 minutes

3,994 patients

26 minutes

84 minutes

381 patients

18 minutes

74 minutes

10,451 patients

70.8%

9,600 8.9%

73.2%

Con

cord

Hos

pita

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rinci

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Concord Hospital: Patients presenting to the emergency departmentJuly to September 2017

All presentations:1





Num

ber

of p

rese

ntat

ions


Resuscitation

Emergency

Urgent

Semi-urgent

Non-urgent


Concord Hospital: Patients arriving by ambulanceJuly to September 2017



Median time





10,451 patients

2 10,422 patients

9,602 8.8%

9,567 8.9%

68 (0.7%)

1,222 (11.7%)

4,757 (45.6%)

3,994 (38.3%)

381 (3.7%)

Resuscitation1

Emergency2

Urgent3

Semi-urgent4

Non-urgent5

54

1,082

3,348

4,714

369

25.9%

12.9%

42.1%

-15.3%

3.3%

0

2,000

4,000

6,000

8,000

Jul-S

ep 12

Oct-D

ec 12

Jan-

Mar 1

3

Apr-J

un 13

Jul-S

ep 13

Oct-D

ec 13

Jan-

Mar 1

4

Apr-J

un 14

Jul-S

ep 14

Oct-D

ec 14

Jan-

Mar 1

5

Apr-J

un 15

Jul-S

ep 15

Oct-D

ec 15

Jan-

Mar 1

6

Apr-J

un 16

Jul-S

ep 16

Oct-D

ec 16

Jan-

Mar 1

7

Apr-J

un 17

Jul-S

ep 17

Resuscitation1

Emergency2

Urgent3

Semi-urgent4

Non-urgent5


84 93 91 80 54 68

662 859 859 1,027 1,082 1,222

2,938 3,052 3,270 3,294 3,348 4,757

4,903 4,783 4,885 4,737 4,714 3,994

343 407 376 341 369 381

8,930 9,194 9,481 9,479 9,567 10,422


13 minutes

23 minutes





Con

cord

Hos

pita

lP

rinci

pal r

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ral h

ospi

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(A1)

Syd

ney

Loca

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Concord Hospital: Time patients waited to start treatment, triage 2July to September 2017







NSW(this period)


Pat

ient

s w

ho r

ecei

ved

trea

tmen

t(%

)


NSW

This ED


Tim

e in

min

utes





(minutes)


(minutes)


1,222

1,212

9 minutes

18 minutes

1,082

1,076

8 minutes

14 minutes

9 minutes

29 minutes

0

20

40

60

80

100

0 20 40 60 80 100 120 140 160 180 200 220 240 260 280

0

5

10

15

20

25

Jul-S

ep 12

Oct-D

ec 12

Jan-

Mar 1

3

Apr-J

un 13

Jul-S

ep 13

Oct-D

ec 13

Jan-

Mar 1

4

Apr-J

un 14

Jul-S

ep 14

Oct-D

ec 14

Jan-

Mar 1

5

Apr-J

un 15

Jul-S

ep 15

Oct-D

ec 15

Jan-

Mar 1

6

Apr-J

un 16

Jul-S

ep 16

Oct-D

ec 16

Jan-

Mar 1

7

Apr-J

un 17

Jul-S

ep 17


8 8 9 9 8 9

15 16 16 18 14 18



Con

cord

Hos

pita

lP

rinci

pal r

efer

ral h

ospi

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(A1)

Syd

ney

Loca

l Hea

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NSW(this period)


Pat

ient

s w

ho r

ecei

ved

trea

tmen

t(%

)


NSW

This ED


Tim

e in

min

utes





(minutes)


(minutes)


4,757

4,591

23 minutes

69 minutes

3,348

3,276

21 minutes

57 minutes

23 minutes

83 minutes

0

20

40

60

80

100

0 20 40 60 80 100 120 140 160 180 200 220 240 260 280

0

20

40

60

80

100

Jul-S

ep 12

Oct-D

ec 12

Jan-

Mar 1

3

Apr-J

un 13

Jul-S

ep 13

Oct-D

ec 13

Jan-

Mar 1

4

Apr-J

un 14

Jul-S

ep 14

Oct-D

ec 14

Jan-

Mar 1

5

Apr-J

un 15

Jul-S

ep 15

Oct-D

ec 15

Jan-

Mar 1

6

Apr-J

un 16

Jul-S

ep 16

Oct-D

ec 16

Jan-

Mar 1

7

Apr-J

un 17

Jul-S

ep 17


21 21 22 26 21 23

69 64 73 79 57 69



Con

cord

Hos

pita

lP

rinci

pal r

efer

ral h

ospi

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(A1)

Syd

ney

Loca

l Hea

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ict









NSW(this period)


Pat

ient

s w

ho r

ecei

ved

trea

tmen

t(%

)


NSW

This ED


Tim

e in

min

utes





(minutes)


(minutes)


3,994

3,730

26 minutes

84 minutes

4,714

4,454

28 minutes

82 minutes

30 minutes

121 minutes

0

20

40

60

80

100

0 20 40 60 80 100 120 140 160 180 200 220 240 260 280

0

50

100

150

200

Jul-S

ep 12

Oct-D

ec 12

Jan-

Mar 1

3

Apr-J

un 13

Jul-S

ep 13

Oct-D

ec 13

Jan-

Mar 1

4

Apr-J

un 14

Jul-S

ep 14

Oct-D

ec 14

Jan-

Mar 1

5

Apr-J

un 15

Jul-S

ep 15

Oct-D

ec 15

Jan-

Mar 1

6

Apr-J

un 16

Jul-S

ep 16

Oct-D

ec 16

Jan-

Mar 1

7

Apr-J

un 17

Jul-S

ep 17


29 28 31 34 28 26

113 101 116 118 82 84



Con

cord

Hos

pita

lP

rinci

pal r

efer

ral h

ospi

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(A1)

Syd

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Loca

l Hea

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NSW(this period)


Pat

ient

s w

ho r

ecei

ved

trea

tmen

t(%

)


NSW

This ED


Tim

e in

min

utes





(minutes)


(minutes)


381

317

18 minutes

74 minutes

369

307

23 minutes

83 minutes

26 minutes

118 minutes

0

20

40

60

80

100

0 20 40 60 80 100 120 140 160 180 200 220 240 260 280

0

50

100

150

200

Jul-S

ep 12

Oct-D

ec 12

Jan-

Mar 1

3

Apr-J

un 13

Jul-S

ep 13

Oct-D

ec 13

Jan-

Mar 1

4

Apr-J

un 14

Jul-S

ep 14

Oct-D

ec 14

Jan-

Mar 1

5

Apr-J

un 15

Jul-S

ep 15

Oct-D

ec 15

Jan-

Mar 1

6

Apr-J

un 16

Jul-S

ep 16

Oct-D

ec 16

Jan-

Mar 1

7

Apr-J

un 17

Jul-S

ep 17


22 23 20 27 23 18

89 95 87 117 83 74



Con

cord

Hos

pita

lP

rinci

pal r

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ral h

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(A1)

Syd

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Loca

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Concord Hospital: Time patients spent in the EDJuly to September 2017

All presentations:1





NSW(this period)


This ED

NSW

Pat

ient

s w

ho le

ft th

e E

D(%

)



Tim

e in

hou

rs




Median time to leaving the ED 8

(hours, minutes)

90th percentile time to leaving the ED 9

(hours, minutes)


10,451 patients

10,451 patients



9,602

9,600





0

20

40

60

80

100

0 1 2 3 4 5 6 7 8 9 10 11 12

0

2

4

6

8

10

Jul-S

ep 12

Oct-D

ec 12

Jan-

Mar 1

3

Apr-J

un 13

Jul-S

ep 13

Oct-D

ec 13

Jan-

Mar 1

4

Apr-J

un 14

Jul-S

ep 14

Oct-D

ec 14

Jan-

Mar 1

5

Apr-J

un 15

Jul-S

ep 15

Oct-D

ec 15

Jan-

Mar 1

6

Apr-J

un 16

Jul-S

ep 16

Oct-D

ec 16

Jan-

Mar 1

7

Apr-J

un 17

Jul-S

ep 17


3h 27m 3h 14m 3h 30m 3h 23m 3h 12m 3h 23m

7h 14m 6h 26m 7h 43m 6h 51m 6h 15m 7h 1m



Con

cord

Hos

pita

lP

rinci

pal r

efer

ral h

ospi

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(A1)

Syd

ney

Loca

l Hea

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Concord Hospital: Time patients spent in the EDBy mode of separationJuly to September 2017

All presentations:1






Other




All presentations




Transferred toanother hospital

Pat

ient

s w

ho le

ft th

e E

D(%

)







All presentations


10,451 patients

10,451 patients

6,270 (60.0%)

3,556 (34.0%)

467 (4.5%)

41 (0.4%)

117 (1.1%)

9,600 8.9%

5,825

3,327

301

18

131

7.6%

6.9%

55.1%

127.8%

-10.7%

0

20

40

60

80

100

0 1 2 3 4 5 6 7 8 9 10 11 12

7.2% 28.2% 54.9% 82.7% 93.8% 98.2% 99.3% 99.8%

1.9% 5.1% 12.9% 47.1% 66.4% 84.4% 91.8% 95.4%

22.3% 49.7% 70.7% 88.4% 97.4% 99.1% 100% 100%

2.4% 12.2% 22.0% 39.0% 58.5% 70.7% 80.5% 90.2%

6.6% 21.8% 41.6% 70.8% 84.6% 93.4% 96.7% 98.3%



Con

cord

Hos

pita

lP

rinci

pal r

efer

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ospi

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(A1)

Syd

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Loca

l Hea

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Concord Hospital: Time spent in the EDPercentage of patients who spent four hours or less in the EDJuly to September 2017







Pat

ient

s w

ho le

ft w

ithin

four

hou

rs (%

)



Patients who left within four hours (%)



Technical Supplement: Emergency department measures, July to September 2016.4. The median is the time by which half of patients started treatment. The other half of patients took equal to or longer

than this time.5. The 90th percentile is the time by which 90% of patients started treatment. The final105% of patients took equal to or









10,451 patients

10,451 patients

70.8%

9,602

9,600

73.2%

8.8%

8.9%

0

20

40

60

80

100

Jul-S

ep 12

Oct-D

ec 12

Jan-

Mar 1

3

Apr-J

un 13

Jul-S

ep 13

Oct-D

ec 13

Jan-

Mar 1

4

Apr-J

un 14

Jul-S

ep 14

Oct-D

ec 14

Jan-

Mar 1

5

Apr-J

un 15

Jul-S

ep 15

Oct-D

ec 15

Jan-

Mar 1

6

Apr-J

un 16

Jul-S

ep 16

Oct-D

ec 16

Jan-

Mar 1

7

Apr-J

un 17

Jul-S

ep 17


62.1% 68.8% 62.9% 67.0% 73.2% 70.8%

Gos

ford

Hos

pita

lP

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(A1)

Cen

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Coa

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ocal

Hea

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Gosford Hospital: Emergency department (ED) overviewJuly to September 2017

All presentations:1


Gosford Hospital: Time patients waited to start treatment 3




NSW(this period)

4

4

4

4

5

5

5

5














Gosford Hospital: Time from presentation until leaving the EDJuly to September 2017











17,749 patients

17,631 patients

16,429

16,324

8.0%

8.0%

2,230

6 minutes

22 minutes

9 minutes

29 minutes

6,799

24 minutes

85 minutes

23 minutes

83 minutes

6,614

39 minutes

125 minutes

30 minutes

121 minutes

447

26 minutes

116 minutes

26 minutes

118 minutes

2,238 patients

7 minutes

23 minutes

6,986 patients

24 minutes

92 minutes

7,700 patients

42 minutes

134 minutes

496 patients

28 minutes

122 minutes

17,735 patients

63.2%

16,429 7.9%

62.4%

Gos

ford

Hos

pita

lP

rinci

pal r

efer

ral h

ospi

tals

(A1)

Cen

tral

Coa

st L

ocal

Hea

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istr

ict


Gosford Hospital: Patients presenting to the emergency departmentJuly to September 2017

All presentations:1





Num

ber

of p

rese

ntat

ions


Resuscitation

Emergency

Urgent

Semi-urgent

Non-urgent


Gosford Hospital: Patients arriving by ambulanceJuly to September 2017



Median time





17,749 patients

2 17,631 patients

16,429 8.0%

16,324 8.0%

211 (1.2%)

2,238 (12.7%)

6,986 (39.6%)

7,700 (43.7%)

496 (2.8%)

Resuscitation1

Emergency2

Urgent3

Semi-urgent4

Non-urgent5

234

2,230

6,799

6,614

447

-9.8%

0.4%

2.8%

16.4%

11.0%

0

2,000

4,000

6,000

8,000

Jul-S

ep 12

Oct-D

ec 12

Jan-

Mar 1

3

Apr-J

un 13

Jul-S

ep 13

Oct-D

ec 13

Jan-

Mar 1

4

Apr-J

un 14

Jul-S

ep 14

Oct-D

ec 14

Jan-

Mar 1

5

Apr-J

un 15

Jul-S

ep 15

Oct-D

ec 15

Jan-

Mar 1

6

Apr-J

un 16

Jul-S

ep 16

Oct-D

ec 16

Jan-

Mar 1

7

Apr-J

un 17

Jul-S

ep 17

Resuscitation1

Emergency2

Urgent3

Semi-urgent4

Non-urgent5


113 191 233 193 234 211

1,530 1,789 2,107 2,034 2,230 2,238

4,994 5,525 6,028 6,648 6,799 6,986

6,958 6,399 5,853 6,596 6,614 7,700

804 511 389 451 447 496

14,399 14,415 14,610 15,922 16,324 17,631


11 minutes

74 minutes

10 minutes 1 minute




Gos

ford

Hos

pita

lP

rinci

pal r

efer

ral h

ospi

tals

(A1)

Cen

tral

Coa

st L

ocal

Hea

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istr

ict


Gosford Hospital: Time patients waited to start treatment, triage 2July to September 2017







NSW(this period)


Pat

ient

s w

ho r

ecei

ved

trea

tmen

t(%

)


NSW

This ED


Tim

e in

min

utes





(minutes)


(minutes)


2,238

2,233

7 minutes

23 minutes

2,230

2,224

6 minutes

22 minutes

9 minutes

29 minutes

0

20

40

60

80

100

0 20 40 60 80 100 120 140 160 180 200 220 240 260 280

0

10

20

30

40

50

Jul-S

ep 12

Oct-D

ec 12

Jan-

Mar 1

3

Apr-J

un 13

Jul-S

healthcare uarterly...time recorded when a healthcare professional provides medical care relevant to...

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