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Hospital performance report: District group 1 hospitals (C1) peer group Hospital Quarterly: April to June 2010

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Page 1: Hospital Quarterly: April to June 2010 · Actual results for Armidale and New England Hospital Standardised results for Armidale and New England8 98% Poor Fair Good Very good Excellent

Hospital performance report: District group 1 hospitals

(C1) peer group

Hospital Quarterly: April to June 2010

Page 2: Hospital Quarterly: April to June 2010 · Actual results for Armidale and New England Hospital Standardised results for Armidale and New England8 98% Poor Fair Good Very good Excellent

Hospital Quarterly: special feature on emergency department care april to June 2010 www.bhi.nsw.gov.au

Arm

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Armidale and New England Hospital: Patients attending the emergency department April to June 2010

Same period last year

Change since one year ago

Armidale and New England Hospital: Waiting times in the emergency department April to June 2010

Transfer time (off stretcher) 4 Target: 90% transferred in 30 min.

Same period last year

Hospital peer group

(this period)

Percentage of patients who received treatment by target time, by triage category 5 6

Percentage of patients who received treatment by time and triage category 5

All attendances: 3,661 patients 1

Emergency attendances by triage category: 3,599 patients 2

*

*

657 (18%)

1,360 (38%)

1,360 (38%)

1 Immediately life threatening

2 Imminently life threatening

3 Potentially life threatening

4 Potentially serious

5 Less urgent

*

*

478

1,255

1,804

13%

49%

37%

8%

-25%

Emergency attendances by triage category and mode of separation: 3,557 patients 3

Treated and admitted to hospital (738)

Treated and discharged or transferred (2,597)

treatment (222)

1 Immediately life threatening

2 Imminently life threatening

3 Potentially life threatening

4 Potentially serious

5 Less urgent

*

104 (14%)

283 (38%)

267 (36%)

*

*

*

349 (13%)

1,016 (39%)

1,133 (44%)

0 (0%)

*

*

67 (30%)

138 (62%)

Attendances arriving by ambulance: 665 patients

96% 93% 78%

1 Immediately life threatening

2 Imminently life threatening

3 Potentially life threatening

4 Potentially serious

5 Less urgent

100%

81%

82%

85%

95%

Target: 100% seen in 2 min.

Target: 80% seen in 10 min.

Target: 75% seen in 30 min.

Target: 70% seen in 60 min.

Target: 70% seen in 120 min.

100%

96%

83%

88%

95%

1 Immediately life threatening

2 Imminently life threatening

3 Potentially life threatening

4 Potentially serious

5 Less urgent

Patient left without, or before completing,

Perc

enta

ge o

f tr

eate

d pa

tient

s

Minutes from triage until treatment

0%

20%

40%

60%

80%

100%

0 20 40 60 80 100 120 140 160 180

99%

84%

79%

77%

92%

Emergency department records for this peer group (C1) recorded less than 100 per cent triage 1 performance (i.e. started to receive treatment within two minutes of being triaged). NSW Health organised an independent clinical review which concluded that these records contained data entry errors and all patients received treatment within two minutes of being triaged. The Bureau has reported the percentage for this peer group currently available on the HIE.

Page 3: Hospital Quarterly: April to June 2010 · Actual results for Armidale and New England Hospital Standardised results for Armidale and New England8 98% Poor Fair Good Very good Excellent

Hospital Quarterly: special feature on emergency department care april to June 2010 www.bhi.nsw.gov.au

* Suppressed due to small numbers and to protect privacy. Relevant graphs are also suppressed.1. All attendances at the emergency department (ED) including emergency and non-emergency.2. All emergency attendances with a recorded triage category.3. All emergency attendances with a recorded triage category, excluding attendances with a mode of separation of transferred prior to treatment or died in ED.4. Transfer time refers to the time between arrival and transfer to the care of the ED. 5. All emergency attendances excluding those without a recorded triage category, triage time, or treatment time.6. Targets for triage levels are recommended by the Australasian College for Emergency Medicine.7. All emergency attendances excluding those without a recorded triage category, treatment time, or departure time.8. To account for differences between hospitals in the types of patients served, values are standardised for age, gender, health status, education, language, socioeconomic status, days in bed for illness or injury in February 2009, times in hospital overnight in past six months and severity of pain (if any).9. Care experiences that matter most are based on analysis of all emergency department respondents to the NSW Health Patient Survey 2009.Note: Percentages may not add to 100 per cent due to rounding. All percentages rounded to whole numbers.Sources: Attendance, waiting and treatment time data from Health Information Exchange (extracted 16 July 2010); ambulance data from Ambulance Service, NSW (provided 23 July 2010); patient experiences data from the emergency department module of the NSW Health Patient Survey 2009.

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Armidale and New England Hospital: Treatment to departure time in the emergency department April to June 2010

Percentage of patients who were treated and admitted by time and triage category 7

Percentage of patients who were treated and discharged or transferred by time and triage category 7

Emergency admission performance (EAP) Target: 80% admitted in 8 hours

of admitted patients were transferred from the emergency department to a ward or operating suite within 8 hours of starting treatment.

Armidale and New England Hospital: Patient experiences in the emergency department NSW Health Patient Survey, February 2009

Key to patient ratings:

Overall patient ratings of emergency department care

Actual results Standardised results 8

Patient ratings of care experiences that matter most 9

Actual results for Armidale and New England Hospital Standardised results for Armidale and New England8

98%

Poor Fair Good Very good Excellent

Armidale and New England Hospital

New South Wales

District group 1 hospitals

5 10% 26% 31% 28%

5 12% 25% 32% 26%

5 12% 25% 32% 26%

4 11% 26% 35% 24%

4 11% 26% 34% 25%

5 12% 25% 32% 26%

Staff courtesy

Completeness of care

Waiting time

9% 26% 34% 28%

6 8% 31% 30% 25%

17% 21% 21% 18% 23%

9% 26% 35% 27%

5 11% 28% 33% 23%

16% 20% 23% 21% 19%

Perc

enta

ge o

f ad

mitt

ed p

atie

nts

Hours from starting treatment until admission

EAP

targ

et

Perc

enta

ge o

f no

n-ad

mitt

ed p

atie

nts

Hours from starting treatment until discharge or transfer

0%

20%

40%

60%

80%

100%

0 2 4 6 8 10 12 0%

20%

40%

60%

80%

100%

0 2 4 6 8 10 12

Page 4: Hospital Quarterly: April to June 2010 · Actual results for Armidale and New England Hospital Standardised results for Armidale and New England8 98% Poor Fair Good Very good Excellent

Hospital Quarterly: special feature on emergency department care april to June 2010 www.bhi.nsw.gov.au

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Bathurst Base Hospital: Patients attending the emergency department April to June 2010

Same period last year

Change since one year ago

Bathurst Base Hospital: Waiting times in the emergency department April to June 2010

Transfer time (off stretcher) 4 Target: 90% transferred in 30 min.

Same period last year

Hospital peer group

(this period)

Percentage of patients who received treatment by target time, by triage category 5 6

Percentage of patients who received treatment by time and triage category 5

All attendances: 5,865 patients 1

Emergency attendances by triage category: 5,825 patients 2

*

*

1,199 (21%)

3,302 (57%)

1,017 (17%)

1 Immediately life threatening

2 Imminently life threatening

3 Potentially life threatening

4 Potentially serious

5 Less urgent

*

*

1,194

3,148

1,069

-31%

-7%

0%

5%

-5%

Emergency attendances by triage category and mode of separation: 5,809 patients 3

Treated and admitted (441)

Treated and discharged or transferred (5,153)

treatment (215)

1 Immediately life threatening

2 Imminently life threatening

3 Potentially life threatening

4 Potentially serious

5 Less urgent

*

65 (15%)

185 (42%)

164 (37%)

*

*

*

997 (19%)

3,009 (58%)

916 (18%)

*

*

15 (7%)

126 (59%)

70 (33%)

Attendances arriving by ambulance: 855 patients

80% 87% 78%

1 Immediately life threatening

2 Imminently life threatening

3 Potentially life threatening

4 Potentially serious

5 Less urgent

100%

64%

77%

78%

96%

Target: 100% seen in 2 min.

Target: 80% seen in 10 min.

Target: 75% seen in 30 min.

Target: 70% seen in 60 min.

Target: 70% seen in 120 min.

100%

85%

80%

78%

94%

1 Immediately life threatening

2 Imminently life threatening

3 Potentially life threatening

4 Potentially serious

5 Less urgent

Patient left without, or before completing,

Perc

enta

ge o

f tr

eate

d pa

tient

s

Minutes from triage until treatment

0%

20%

40%

60%

80%

100%

0 20 40 60 80 100 120 140 160 180

99%

84%

79%

77%

92%

Emergency department records for this peer group (C1) recorded less than 100 per cent triage 1 performance (i.e. started to receive treatment within two minutes of being triaged). NSW Health organised an independent clinical review which concluded that these records contained data entry errors and all patients received treatment within two minutes of being triaged. The Bureau has reported the percentage for this peer group currently available on the HIE.

Page 5: Hospital Quarterly: April to June 2010 · Actual results for Armidale and New England Hospital Standardised results for Armidale and New England8 98% Poor Fair Good Very good Excellent

Hospital Quarterly: special feature on emergency department care april to June 2010 www.bhi.nsw.gov.au

* Suppressed due to small numbers and to protect privacy. Relevant graphs are also suppressed.1. All attendances at the emergency department (ED) including emergency and non-emergency.2. All emergency attendances with a recorded triage category.3. All emergency attendances with a recorded triage category, excluding attendances with a mode of separation of transferred prior to treatment or died in ED.4. Transfer time refers to the time between arrival and transfer to the care of the ED. 5. All emergency attendances excluding those without a recorded triage category, triage time, or treatment time.6. Targets for triage levels are recommended by the Australasian College for Emergency Medicine.7. All emergency attendances excluding those without a recorded triage category, treatment time, or departure time.8. To account for differences between hospitals in the types of patients served, values are standardised for age, gender, health status, education, language, socioeconomic status, days in bed for illness or injury in February 2009, times in hospital overnight in past six months and severity of pain (if any).9. Care experiences that matter most are based on analysis of all emergency department respondents to the NSW Health Patient Survey 2009.Note: Percentages may not add to 100 per cent due to rounding. All percentages rounded to whole numbers.Sources: Attendance, waiting and treatment time data from Health Information Exchange (extracted 16 July 2010); ambulance data from Ambulance Service, NSW (provided 23 July 2010); patient experiences data from the emergency department module of the NSW Health Patient Survey 2009.

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Bathurst Base Hospital: Treatment to departure time in the emergency department April to June 2010

Percentage of patients who were treated and admitted by time and triage category 7

Percentage of patients who were treated and discharged or transferred by time and triage category 7

Emergency admission performance (EAP) Target: 80% admitted in 8 hours

of admitted patients were transferred from the emergency department to a ward or operating suite within 8 hours of starting treatment.

Bathurst Base Hospital: Patient experiences in the emergency department NSW Health Patient Survey, February 2009

Key to patient ratings:

Overall patient ratings of emergency department care

Actual results Standardised results 8

Patient ratings of care experiences that matter most 9

Actual results for Bathurst Base Hospital Standardised results for Bathurst Base Hospital 8

84%

Poor Fair Good Very good Excellent

Bathurst Base Hospital

New South Wales

District group 1 hospitals

4 12% 18% 36% 29%

5 12% 25% 32% 26%

5 12% 25% 32% 26%

3 9% 24% 35% 28%

4 11% 26% 34% 25%

5 12% 25% 32% 26%

Staff courtesy

Completeness of care

Waiting time

10% 18% 37% 33%

6 12% 22% 32% 28%

14% 19% 23% 22% 21%

7 23% 35% 32%

4 10% 26% 34% 26%

15% 19% 23% 22% 21%

Perc

enta

ge o

f ad

mitt

ed p

atie

nts

Hours from starting treatment until admission

EAP

targ

et

Perc

enta

ge o

f no

n-ad

mitt

ed p

atie

nts

Hours from starting treatment until discharge or transfer

0%

20%

40%

60%

80%

100%

0 2 4 6 8 10 12 0%

20%

40%

60%

80%

100%

0 2 4 6 8 10 12

Page 6: Hospital Quarterly: April to June 2010 · Actual results for Armidale and New England Hospital Standardised results for Armidale and New England8 98% Poor Fair Good Very good Excellent

Hospital Quarterly: special feature on emergency department care april to June 2010 www.bhi.nsw.gov.au

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Belmont Hospital: Patients attending the emergency department April to June 2010

Same period last year

Change since one year ago

Belmont Hospital: Waiting times in the emergency department April to June 2010

Transfer time (off stretcher) 4 Target: 90% transferred in 30 min.

Same period last year

Hospital peer group

(this period)

Percentage of patients who received treatment by target time, by triage category 5 6

Percentage of patients who received treatment by time and triage category 5

Perc

enta

ge o

f tr

eate

d pa

tient

s

Minutes from triage until treatment

All attendances: 5,569 patients 1

Emergency attendances by triage category: 5,539 patients 2

18 (0%)

399 (7%)

1,312 (24%)

3,084 (56%)

726 (13%)

1 Immediately life threatening

2 Imminently life threatening

3 Potentially life threatening

4 Potentially serious

5 Less urgent

11

206

1,189

3,529

730

64%

94%

10%

-13%

-1%

Emergency attendances by triage category and mode of separation: 4,953 patients 3

Treated and admitted to hospital (718)

Treated and discharged or transferred (3,960)

treatment (275)

1 Immediately life threatening

2 Imminently life threatening

3 Potentially life threatening

4 Potentially serious

5 Less urgent

*

94 (13%)

300 (42%)

306 (43%)

*

*

*

958 (24%)

2,265 (57%)

446 (11%)

0 (0%)

10 (4%)

26 (9%)

159 (58%)

80 (29%)

Attendances arriving by ambulance: 1,477 patients

77% 77% 78%

1 Immediately life threatening

2 Imminently life threatening

3 Potentially life threatening

4 Potentially serious

5 Less urgent

100%

86%

78%

76%

89%

Target: 100% seen in 2 min.

Target: 80% seen in 10 min.

Target: 75% seen in 30 min.

Target: 70% seen in 60 min.

Target: 70% seen in 120 min.

100%

94%

84%

77%

83%

0%

20%

40%

60%

80%

100%

0 20 40 60 80 100 120 140 160 180

1 Immediately life threatening

2 Imminently life threatening

3 Potentially life threatening

4 Potentially serious

5 Less urgent

Patient left without, or before completing,

99%

84%

79%

77%

92%

Emergency department records for this peer group (C1) recorded less than 100 per cent triage 1 performance (i.e. started to receive treatment within two minutes of being triaged). NSW Health organised an independent clinical review which concluded that these records contained data entry errors and all patients received treatment within two minutes of being triaged. The Bureau has reported the percentage for this peer group currently available on the HIE.

Page 7: Hospital Quarterly: April to June 2010 · Actual results for Armidale and New England Hospital Standardised results for Armidale and New England8 98% Poor Fair Good Very good Excellent

Hospital Quarterly: special feature on emergency department care april to June 2010 www.bhi.nsw.gov.au

* Suppressed due to small numbers and to protect privacy. Relevant graphs are also suppressed.1. All attendances at the emergency department (ED) including emergency and non-emergency.2. All emergency attendances with a recorded triage category.3. All emergency attendances with a recorded triage category, excluding attendances with a mode of separation of transferred prior to treatment or died in ED.4. Transfer time refers to the time between arrival and transfer to the care of the ED. 5. All emergency attendances excluding those without a recorded triage category, triage time, or treatment time.6. Targets for triage levels are recommended by the Australasian College for Emergency Medicine.7. All emergency attendances excluding those without a recorded triage category, treatment time, or departure time.8. To account for differences between hospitals in the types of patients served, values are standardised for age, gender, health status, education, language, socioeconomic status, days in bed for illness or injury in February 2009, times in hospital overnight in past six months and severity of pain (if any).9. Care experiences that matter most are based on analysis of all emergency department respondents to the NSW Health Patient Survey 2009.Note: Percentages may not add to 100 per cent due to rounding. All percentages rounded to whole numbers.Sources: Attendance, waiting and treatment time data from Health Information Exchange (extracted 16 July 2010); ambulance data from Ambulance Service, NSW (provided 23 July 2010); patient experiences data from the emergency department module of the NSW Health Patient Survey 2009.

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Belmont Hospital: Treatment to departure time in the emergency department April to June 2010

Percentage of patients who were treated and admitted by time and triage category 7

Percentage of patients who were treated and discharged or transferred by time and triage category 7

Emergency admission performance (EAP) Target: 80% admitted in 8 hours

of admitted patients were transferred from the emergency department to a ward or operating suite within 8 hours of starting treatment.

Belmont Hospital: Patient experiences in the emergency department NSW Health Patient Survey, February 2009

Key to patient ratings:

Overall patient ratings of emergency department care

Actual results Standardised results 8

Patient ratings of care experiences that matter most 9

Actual results for Belmont Hospital Standardised results for Belmont Hospital 8

82%

Poor Fair Good Very good Excellent

Belmont Hospital

New South Wales

District group 1 hospitals

5 6 22% 33% 35%

5 12% 25% 32% 26%

5 12% 25% 32% 26%

8% 22% 36% 31%

4 11% 26% 34% 25%

5 12% 25% 32% 26%

Staff courtesy

Completeness of care

Waiting time

6 22% 31% 39%

4 9% 19% 35% 33%

13% 20% 25% 18% 25%

6 21% 35% 35%

4 8% 23% 35% 31%

15% 19% 23% 22% 21%

Perc

enta

ge o

f ad

mitt

ed p

atie

nts

Hours from starting treatment until admission

EAP

targ

et

Perc

enta

ge o

f no

n-ad

mitt

ed p

atie

nts

Hours from starting treatment until discharge or transfer

0%

20%

40%

60%

80%

100%

0 2 4 6 8 10 12 0%

20%

40%

60%

80%

100%

0 2 4 6 8 10 12

Page 8: Hospital Quarterly: April to June 2010 · Actual results for Armidale and New England Hospital Standardised results for Armidale and New England8 98% Poor Fair Good Very good Excellent

Hospital Quarterly: special feature on emergency department care april to June 2010 www.bhi.nsw.gov.au 90

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Bowral and District Hospital: Patients attending the emergency department April to June 2010

Same period last year

Change since one year ago

Bowral and District Hospital: Waiting times in the emergency department April to June 2010

Transfer time (off stretcher) 4 Target: 90% transferred in 30 min.

Same period last year

Hospital peer group

(this period)

Percentage of patients who received treatment by target time, by triage category 5 6

Percentage of patients who received treatment by time and triage category 5

Perc

enta

ge o

f tr

eate

d pa

tient

s

Minutes from triage until treatment

All attendances: 4,239 patients 1

Emergency attendances by triage category: 4,217 patients 2

11 (0%)

269 (6%)

1,537 (36%)

2,158 (51%)

242 (6%)

1 Immediately life threatening

2 Imminently life threatening

3 Potentially life threatening

4 Potentially serious

5 Less urgent

18

275

1,839

2,176

247

-39%

-2%

-16%

-1%

-2%

Emergency attendances by triage category and mode of separation: 4,214 patients 3

Treated and admitted to hospital (665)

Treated and discharged or transferred (3,430)

treatment (119)

1 Immediately life threatening

2 Imminently life threatening

3 Potentially life threatening

4 Potentially serious

5 Less urgent

*

104 (16%)

381 (57%)

169 (25%)

*

*

*

1,149 (33%)

1,900 (55%)

211 (6%)

0 (0%)

*

*

88 (74%)

23 (19%)

Attendances arriving by ambulance: 800 patients

89% 87% 78%

1 Immediately life threatening

2 Imminently life threatening

3 Potentially life threatening

4 Potentially serious

5 Less urgent

91%

82%

78%

85%

98%

Target: 100% seen in 2 min.

Target: 80% seen in 10 min.

Target: 75% seen in 30 min.

Target: 70% seen in 60 min.

Target: 70% seen in 120 min.

88%

66%

75%

82%

93%

0%

20%

40%

60%

80%

100%

0 20 40 60 80 100 120 140 160 180

1 Immediately life threatening

2 Imminently life threatening

3 Potentially life threatening

4 Potentially serious

5 Less urgent

Patient left without, or before completing,

99%

84%

79%

77%

92%

Emergency department records indicated this hospital had below 100 per cent triage 1 performance (i.e. started to receive treatment within two minutes of being triaged) in 2010 and also affected C1 peer group performance. The NSW Department of Health has advised that an initial data entry error was corrected at source in May 2010 but, because of technical limitations, does not appear in the HIE. An independent clinical review confirmed data entry errors in these records, and that all patients received treatment within two minutes of being triaged. Bowral Hospital also recorded below 100 per cent triage 1 performance in 2009; this was also investigated and confirmed as a data entry error.

† †

Page 9: Hospital Quarterly: April to June 2010 · Actual results for Armidale and New England Hospital Standardised results for Armidale and New England8 98% Poor Fair Good Very good Excellent

Hospital Quarterly: special feature on emergency department care april to June 2010 www.bhi.nsw.gov.au

* Suppressed due to small numbers and to protect privacy. Relevant graphs are also suppressed.1. All attendances at the emergency department (ED) including emergency and non-emergency.2. All emergency attendances with a recorded triage category.3. All emergency attendances with a recorded triage category, excluding attendances with a mode of separation of transferred prior to treatment or died in ED.4. Transfer time refers to the time between arrival and transfer to the care of the ED. 5. All emergency attendances excluding those without a recorded triage category, triage time, or treatment time.6. Targets for triage levels are recommended by the Australasian College for Emergency Medicine.7. All emergency attendances excluding those without a recorded triage category, treatment time, or departure time.8. To account for differences between hospitals in the types of patients served, values are standardised for age, gender, health status, education, language, socioeconomic status, days in bed for illness or injury in February 2009, times in hospital overnight in past six months and severity of pain (if any).9. Care experiences that matter most are based on analysis of all emergency department respondents to the NSW Health Patient Survey 2009.Note: Percentages may not add to 100 per cent due to rounding. All percentages rounded to whole numbers.Sources: Attendance, waiting and treatment time data from Health Information Exchange (extracted 16 July 2010); ambulance data from Ambulance Service, NSW (provided 23 July 2010); patient experiences data from the emergency department module of the NSW Health Patient Survey 2009.

Bo

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Bowral and District Hospital: Treatment to departure time in the emergency department April to June 2010

Percentage of patients who were treated and admitted by time and triage category 7

Percentage of patients who were treated and discharged or transferred by time and triage category 7

Emergency admission performance (EAP) Target: 80% admitted in 8 hours

of admitted patients were transferred from the emergency department to a ward or operating suite within 8 hours of starting treatment.

Bowral and District Hospital: Patient experiences in the emergency department NSW Health Patient Survey, February 2009

Key to patient ratings:

Overall patient ratings of emergency department care

Actual results Standardised results 8

Patient ratings of care experiences that matter most 9

Actual results for Bowral and District Hospital Standardised results for Bowral and District Hospital 8

91%

Poor Fair Good Very good Excellent

Bowral And District Hospital

New South Wales

District group 1 hospitals

5 7 24% 35% 30%

5 12% 25% 32% 26%

5 12% 25% 32% 26%

4 10% 26% 35% 25%

4 11% 26% 34% 25%

5 12% 25% 32% 26%

Staff courtesy

Completeness of care

Waiting time

7 25% 35% 32%

6 7 23% 33% 30%

10% 18% 23% 25% 24%

9% 26% 35% 27%

5 10% 26% 34% 26%

14% 18% 23% 22% 22%

Perc

enta

ge o

f ad

mitt

ed p

atie

nts

Hours from starting treatment until admission

EAP

targ

et

Perc

enta

ge o

f no

n-ad

mitt

ed p

atie

nts

Hours from starting treatment until discharge or transfer

0%

20%

40%

60%

80%

100%

0 2 4 6 8 10 12 0%

20%

40%

60%

80%

100%

0 2 4 6 8 10 12

Page 10: Hospital Quarterly: April to June 2010 · Actual results for Armidale and New England Hospital Standardised results for Armidale and New England8 98% Poor Fair Good Very good Excellent

Hospital Quarterly: special feature on emergency department care april to June 2010 www.bhi.nsw.gov.au

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hosp

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(C1)

G

reat

er W

este

rn A

rea

Hea

lth S

ervi

ce

Broken Hill Base Hospital: Patients attending the emergency department April to June 2010

Broken Hill Base Hospital: Waiting times in the emergency department April to June 2010

Transfer time (off stretcher) 4 Target: 90% transferred in 30 min.

Same period last year

Hospital peer group

(this period)

All attendances: 4,987 patients 1

Attendances arriving by ambulance: 666 patients

91% 90% 78%

Data for this quarter are not published because of the implementation of a new electronic information system in this emergency department.

Data for this quarter are not published because of the implementation of a new electronic information system in this emergency department.

Page 11: Hospital Quarterly: April to June 2010 · Actual results for Armidale and New England Hospital Standardised results for Armidale and New England8 98% Poor Fair Good Very good Excellent

Hospital Quarterly: special feature on emergency department care april to June 2010 www.bhi.nsw.gov.au

* Suppressed due to small numbers and to protect privacy. Relevant graphs are also suppressed.1. All attendances at the emergency department (ED) including emergency and non-emergency.2. All emergency attendances with a recorded triage category.3. All emergency attendances with a recorded triage category, excluding attendances with a mode of separation of transferred prior to treatment or died in ED.4. Transfer time refers to the time between arrival and transfer to the care of the ED. 5. All emergency attendances excluding those without a recorded triage category, triage time, or treatment time.6. Targets for triage levels are recommended by the Australasian College for Emergency Medicine.7. All emergency attendances excluding those without a recorded triage category, treatment time, or departure time.8. To account for differences between hospitals in the types of patients served, values are standardised for age, gender, health status, education, language, socioeconomic status, days in bed for illness or injury in February 2009, times in hospital overnight in past six months and severity of pain (if any).9. Care experiences that matter most are based on analysis of all emergency department respondents to the NSW Health Patient Survey 2009.Note: Percentages may not add to 100 per cent due to rounding. All percentages rounded to whole numbers.Sources: Attendance, waiting and treatment time data from Health Information Exchange (extracted 16 July 2010); ambulance data from Ambulance Service, NSW (provided 23 July 2010); patient experiences data from the emergency department module of the NSW Health Patient Survey 2009.

Bro

ken

Hill

Bas

e H

osp

ital

D

istr

ict

grou

p 1

hosp

itals

(C1)

G

reat

er W

este

rn A

rea

Hea

lth S

ervi

ce

Broken Hill Base Hospital: Treatment to departure time in the emergency department April to June 2010

Broken Hill Base Hospital: Patient experiences in the emergency department NSW Health Patient Survey, February 2009

Key to patient ratings:

Overall patient ratings of emergency department care

Actual results Standardised results 8

Patient ratings of care experiences that matter most 9

Actual results for Broken Hill Base Hospital Standardised results for Broken Hill Base Hospital 8

Poor Fair Good Very good Excellent

Broken Hill Base Hospital

New South Wales

District group 1 hospitals

4 15% 25% 28% 28%

5 12% 25% 32% 26%

5 12% 25% 32% 26%

5 12% 28% 33% 21%

4 11% 26% 34% 25%

5 12% 25% 32% 26%

Staff courtesy

Completeness of care

Waiting time

3 13% 27% 26% 30%

3 15% 29% 26% 27%

20% 22% 18% 24% 17%

3 12% 30% 33% 22%

6 12% 29% 32% 21%

21% 23% 23% 18% 15%

Data for this quarter are not published because of the implementation of a new electronic information system in this emergency department.

Page 12: Hospital Quarterly: April to June 2010 · Actual results for Armidale and New England Hospital Standardised results for Armidale and New England8 98% Poor Fair Good Very good Excellent

Hospital Quarterly: special feature on emergency department care april to June 2010 www.bhi.nsw.gov.au

Go

ulb

urn

Bas

e H

osp

ital

D

istr

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p 1

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reat

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vice

Goulburn Base Hospital: Patients attending the emergency department April to June 2010

Goulburn Base Hospital: Waiting times in the emergency department April to June 2010

Transfer time (off stretcher) 4 Target: 90% transferred in 30 min.

Same period last year

Hospital peer group

(this period)

All attendances: 4,318 patients 1

Attendances arriving by ambulance: 740 patients

83% 89% 78%

Data for this quarter are not published because of the implementation of a new electronic information system in this emergency department.

Data for this quarter are not published because of the implementation of a new electronic information system in this emergency department.

Page 13: Hospital Quarterly: April to June 2010 · Actual results for Armidale and New England Hospital Standardised results for Armidale and New England8 98% Poor Fair Good Very good Excellent

Hospital Quarterly: special feature on emergency department care april to June 2010 www.bhi.nsw.gov.au

* Suppressed due to small numbers and to protect privacy. Relevant graphs are also suppressed.1. All attendances at the emergency department (ED) including emergency and non-emergency.2. All emergency attendances with a recorded triage category.3. All emergency attendances with a recorded triage category, excluding attendances with a mode of separation of transferred prior to treatment or died in ED.4. Transfer time refers to the time between arrival and transfer to the care of the ED. 5. All emergency attendances excluding those without a recorded triage category, triage time, or treatment time.6. Targets for triage levels are recommended by the Australasian College for Emergency Medicine.7. All emergency attendances excluding those without a recorded triage category, treatment time, or departure time.8. To account for differences between hospitals in the types of patients served, values are standardised for age, gender, health status, education, language, socioeconomic status, days in bed for illness or injury in February 2009, times in hospital overnight in past six months and severity of pain (if any).9. Care experiences that matter most are based on analysis of all emergency department respondents to the NSW Health Patient Survey 2009.Note: Percentages may not add to 100 per cent due to rounding. All percentages rounded to whole numbers.Sources: Attendance, waiting and treatment time data from Health Information Exchange (extracted 16 July 2010); ambulance data from Ambulance Service, NSW (provided 23 July 2010); patient experiences data from the emergency department module of the NSW Health Patient Survey 2009.

Go

ulb

urn

Bas

e H

osp

ital

D

istr

ict

grou

p 1

hosp

itals

(C1)

G

reat

er S

outh

ern

Are

a H

ealth

Ser

vice

Goulburn Base Hospital: Treatment to departure time in the emergency department April to June 2010

Goulburn Base Hospital: Patient experiences in the emergency department NSW Health Patient Survey, February 2009

Key to patient ratings:

Overall patient ratings of emergency department care

Actual results Standardised results 8

Patient ratings of care experiences that matter most 9

Actual results for Goulburn Base Hospital Standardised results for Goulburn Base Hospital 8

Poor Fair Good Very good Excellent

Goulburn Base Hospital

New South Wales

District group 1 hospitals

5 13% 25% 28% 30%

5 12% 25% 32% 26%

5 12% 25% 32% 26%

3 10% 25% 35% 27%

4 11% 26% 34% 25%

5 12% 25% 32% 26%

Staff courtesy

Completeness of care

Waiting time

12% 27% 27% 33%

5 14% 24% 29% 27%

10% 19% 27% 20% 23%

8% 25% 35% 30%

5 10% 26% 34% 25%

13% 17% 23% 23% 24%

Data for this quarter are not published because of the implementation of a new electronic information system in this emergency department.

Page 14: Hospital Quarterly: April to June 2010 · Actual results for Armidale and New England Hospital Standardised results for Armidale and New England8 98% Poor Fair Good Very good Excellent

Hospital Quarterly: special feature on emergency department care april to June 2010 www.bhi.nsw.gov.au

Gra

fto

n B

ase

Ho

spit

al

Dis

tric

t gr

oup

1 ho

spita

ls (C

1)

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oast

Are

a H

ealth

Ser

vice

Grafton Base Hospital:† Patients attending the emergency department April to June 2010

Same period last year

Change since one year ago

Grafton Base Hospital:† Waiting times in the emergency department April to June 2010

Transfer time (off stretcher) 4 Target: 90% transferred in 30 min.

Same period last year

Hospital peer group

(this period)

Percentage of patients who received treatment by target time, by triage category 5 6

Percentage of patients who received treatment by time and triage category 5

Perc

enta

ge o

f tr

eate

d pa

tient

s

Minutes from triage until treatment

All attendances: 5,418 patients 1

Emergency attendances by triage category: 5,223 patients 2

21 (0%)

500 (10%)

2,325 (45%)

1,851 (35%)

526 (10%)

1 Immediately life threatening

2 Imminently life threatening

3 Potentially life threatening

4 Potentially serious

5 Less urgent

12

446

2,345

2,031

376

75%

12%

-1%

-9%

40%

Emergency attendances by triage category and mode of separation: 5,199 patients 3

Treated and admitted to hospital (857)

Treated and discharged or transferred (4,114)

treatment (228)

1 Immediately life threatening

2 Imminently life threatening

3 Potentially life threatening

4 Potentially serious

5 Less urgent

11 (1%)

216 (25%)

506 (59%)

106 (12%)

18 (2%)

*

*

1,742 (42%)

1,630 (40%)

461 (11%)

0 (0%)

*

67 (29%)

109 (48%)

*

Attendances arriving by ambulance: 724 patients

87% 93% 78%

1 Immediately life threatening

2 Imminently life threatening

3 Potentially life threatening

4 Potentially serious

5 Less urgent

100%

82%

66%

69%

85%

Target: 100% seen in 2 min.

Target: 80% seen in 10 min.

Target: 75% seen in 30 min.

Target: 70% seen in 60 min.

Target: 70% seen in 120 min.

100%

92%

65%

62%

91%

0%

20%

40%

60%

80%

100%

0 20 40 60 80 100 120 140 160 180

1 Immediately life threatening

2 Imminently life threatening

3 Potentially life threatening

4 Potentially serious

5 Less urgent

Patient left without, or before completing,

99%

84%

79%

77%

92%

Emergency department records for this peer group (C1) recorded less than 100 per cent triage 1 performance (i.e. started to receive treatment within two minutes of being triaged). NSW Health organised an independent clinical review which concluded that these records contained data entry errors and all patients received treatment within two minutes of being triaged. The Bureau has reported the percentage for this peer group currently available on the HIE.

Page 15: Hospital Quarterly: April to June 2010 · Actual results for Armidale and New England Hospital Standardised results for Armidale and New England8 98% Poor Fair Good Very good Excellent

Hospital Quarterly: special feature on emergency department care april to June 2010 www.bhi.nsw.gov.au

* Suppressed due to small numbers and to protect privacy. Relevant graphs are also suppressed.1. All attendances at the emergency department (ED) including emergency and non-emergency.2. All emergency attendances with a recorded triage category.3. All emergency attendances with a recorded triage category, excluding attendances with a mode of separation of transferred prior to treatment or died in ED.4. Transfer time refers to the time between arrival and transfer to the care of the ED. 5. All emergency attendances excluding those without a recorded triage category, triage time, or treatment time.6. Targets for triage levels are recommended by the Australasian College for Emergency Medicine.7. All emergency attendances excluding those without a recorded triage category, treatment time, or departure time.8. To account for differences between hospitals in the types of patients served, values are standardised for age, gender, health status, education, language, socioeconomic status, days in bed for illness or injury in February 2009, times in hospital overnight in past six months and severity of pain (if any).9. Care experiences that matter most are based on analysis of all emergency department respondents to the NSW Health Patient Survey 2009.Note: Percentages may not add to 100 per cent due to rounding. All percentages rounded to whole numbers.Sources: Attendance, waiting and treatment time data from Health Information Exchange (extracted 16 July 2010); ambulance data from Ambulance Service, NSW (provided 23 July 2010); patient experiences data from the emergency department module of the NSW Health Patient Survey 2009.

Gra

fto

n B

ase

Ho

spit

al

Dis

tric

t gr

oup

1 ho

spita

ls (C

1)

Nor

th C

oast

Are

a H

ealth

Ser

vice

Grafton Base Hospital:† Treatment to departure time in the emergency department April to June 2010

Percentage of patients who were treated and admitted by time and triage category 7

Percentage of patients who were treated and discharged or transferred by time and triage category 7

Emergency admission performance (EAP) Target: 80% admitted in 8 hours

of admitted patients were transferred from the emergency department to a ward or operating suite within 8 hours of starting treatment.

Grafton Base Hospital: Patient experiences in the emergency department NSW Health Patient Survey, February 2009

Key to patient ratings:

Overall patient ratings of emergency department care

Actual results Standardised results 8

Patient ratings of care experiences that matter most 9

Actual results for Grafton Base Hospital Standardised results for Grafton Base Hospital 8

88%

Poor Fair Good Very good Excellent

Grafton Base Hospital

New South Wales

District group 1 hospitals

5 15% 26% 33% 22%

5 12% 25% 32% 26%

5 12% 25% 32% 26%

5 14% 30% 32% 19%

4 11% 26% 34% 25%

5 12% 25% 32% 26%

Staff courtesy

Completeness of care

Waiting time

12% 27% 32% 27%

5 15% 27% 31% 21%

29% 22% 19% 15% 14%

11% 29% 34% 24%

6 13% 30% 31% 19%

28% 25% 22% 15% 11%

Perc

enta

ge o

f ad

mitt

ed p

atie

nts

Hours from starting treatment until admission

EAP

targ

et

Perc

enta

ge o

f no

n-ad

mitt

ed p

atie

nts

Hours from starting treatment until discharge or transfer

0%

20%

40%

60%

80%

100%

0 2 4 6 8 10 12 0%

20%

40%

60%

80%

100%

0 2 4 6 8 10 12

† Interpret this data with caution due to the implementation of a new electronic information system in this emergency department between January and March 2010.* Suppressed due to small numbers and to protect privacy. Relevant graphs are also suppressed.1. All attendances at the emergency department (ED) including emergency and non-emergency.2. All emergency attendances with a recorded triage category.3. All emergency attendances with a recorded triage category, excluding attendances with a mode of separation of transferred prior to treatment or died in ED.4. Transfer time refers to the time between arrival and transfer to the care of the ED. 5. All emergency attendances excluding those without a recorded triage category, triage time, or treatment time.6. Targets for triage levels are recommended by the Australasian College for Emergency Medicine.7. All emergency attendances excluding those without a recorded triage category, treatment time, or departure time.8. To account for differences between hospitals in the types of patients served, values are standardised for age, gender, health status, education, language, socioeconomic status, days in bed for illness or injury in February 2009, times in hospital overnight in past six months and severity of pain (if any).9. Care experiences that matter most are based on analysis of all emergency department respondents to the NSW Health Patient Survey 2009.Note: Percentages may not add to 100 per cent due to rounding. All percentages rounded to whole numbers.Sources: Attendance, waiting and treatment time data from Health Information Exchange (extracted 16 July 2010); ambulance data from Ambulance Service, NSW (provided 23 July 2010); patient experiences data from the emergency department module of the NSW Health Patient Survey 2009.

Page 16: Hospital Quarterly: April to June 2010 · Actual results for Armidale and New England Hospital Standardised results for Armidale and New England8 98% Poor Fair Good Very good Excellent

Hospital Quarterly: special feature on emergency department care april to June 2010 www.bhi.nsw.gov.au

Gri

ffith

Bas

e H

osp

ital

D

istr

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grou

p 1

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(C1)

G

reat

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outh

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ealth

Ser

vice

Griffith Base Hospital: Patients attending the emergency department April to June 2010

Same period last year

Change since one year ago

Griffith Base Hospital: Waiting times in the emergency department April to June 2010

Transfer time (off stretcher) 4 Target: 90% transferred in 30 min.

Same period last year

Hospital peer group

(this period)

Percentage of patients who received treatment by target time, by triage category 5 6

Percentage of patients who received treatment by time and triage category 5

Perc

enta

ge o

f tr

eate

d pa

tient

s

Minutes from triage until treatment

All attendances: 4,945 patients 1

Emergency attendances by triage category: 4,690 patients 2

25 (1%)

249 (5%)

1,401 (30%)

2,792 (60%)

223 (5%)

1 Immediately life threatening

2 Imminently life threatening

3 Potentially life threatening

4 Potentially serious

5 Less urgent

22

306

1,467

2,706

337

14%

-19%

-4%

3%

-34%

Emergency attendances by triage category and mode of separation: 4,687 patients 3

Treated and admitted (682)

Treated and discharged or transferred (3,833)

treatment (172)

1 Immediately life threatening

2 Imminently life threatening

3 Potentially life threatening

4 Potentially serious

5 Less urgent

*

105 (15%)

440 (65%)

117 (17%)

*

*

*

945 (25%)

2,562 (67%)

178 (5%)

0 (0%)

*

*

113 (66%)

42 (24%)

Attendances arriving by ambulance: 659 patients

92% 94% 78%

1 Immediately life threatening

2 Imminently life threatening

3 Potentially life threatening

4 Potentially serious

5 Less urgent

100%

72%

71%

74%

96%

Target: 100% seen in 2 min.

Target: 80% seen in 10 min.

Target: 75% seen in 30 min.

Target: 70% seen in 60 min.

Target: 70% seen in 120 min.

100%

78%

75%

82%

97%

0%

20%

40%

60%

80%

100%

0 20 40 60 80 100 120 140 160 180

1 Immediately life threatening

2 Imminently life threatening

3 Potentially life threatening

4 Potentially serious

5 Less urgent

Patient left without, or before completing,

99%

84%

79%

77%

92%

Emergency department records for this peer group (C1) recorded less than 100 per cent triage 1 performance (i.e. started to receive treatment within two minutes of being triaged). NSW Health organised an independent clinical review which concluded that these records contained data entry errors and all patients received treatment within two minutes of being triaged. The Bureau has reported the percentage for this peer group currently available on the HIE.

Page 17: Hospital Quarterly: April to June 2010 · Actual results for Armidale and New England Hospital Standardised results for Armidale and New England8 98% Poor Fair Good Very good Excellent

Hospital Quarterly: special feature on emergency department care april to June 2010 www.bhi.nsw.gov.au

* Suppressed due to small numbers and to protect privacy. Relevant graphs are also suppressed.1. All attendances at the emergency department (ED) including emergency and non-emergency.2. All emergency attendances with a recorded triage category.3. All emergency attendances with a recorded triage category, excluding attendances with a mode of separation of transferred prior to treatment or died in ED.4. Transfer time refers to the time between arrival and transfer to the care of the ED. 5. All emergency attendances excluding those without a recorded triage category, triage time, or treatment time.6. Targets for triage levels are recommended by the Australasian College for Emergency Medicine.7. All emergency attendances excluding those without a recorded triage category, treatment time, or departure time.8. To account for differences between hospitals in the types of patients served, values are standardised for age, gender, health status, education, language, socioeconomic status, days in bed for illness or injury in February 2009, times in hospital overnight in past six months and severity of pain (if any).9. Care experiences that matter most are based on analysis of all emergency department respondents to the NSW Health Patient Survey 2009.Note: Percentages may not add to 100 per cent due to rounding. All percentages rounded to whole numbers.Sources: Attendance, waiting and treatment time data from Health Information Exchange (extracted 16 July 2010); ambulance data from Ambulance Service, NSW (provided 23 July 2010); patient experiences data from the emergency department module of the NSW Health Patient Survey 2009.

Gri

ffith

Bas

e H

osp

ital

D

istr

ict

grou

p 1

hosp

itals

(C1)

G

reat

er S

outh

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Are

a H

ealth

Ser

vice

Griffith Base Hospital: Treatment to departure time in the emergency department April to June 2010

Percentage of patients who were treated and admitted by time and triage category 7

Percentage of patients who were treated and discharged or transferred by time and triage category 7

Emergency admission performance (EAP) Target: 80% admitted in 8 hours

of admitted patients were transferred from the emergency department to a ward or operating suite within 8 hours of starting treatment.

Griffith Base Hospital: Patient experiences in the emergency department NSW Health Patient Survey, February 2009

Key to patient ratings:

Overall patient ratings of emergency department care

Actual results Standardised results 8

Patient ratings of care experiences that matter most 9

Actual results for Griffith Base Hospital Standardised results for Griffith Base Hospital 8

91%

Poor Fair Good Very good Excellent

Griffith Base Hospital

New South Wales

District group 1 hospitals

7 29% 34% 27%

5 12% 25% 32% 26%

5 12% 25% 32% 26%

4 10% 25% 35% 26%

4 11% 26% 34% 25%

5 12% 25% 32% 26%

Staff courtesy

Completeness of care

Waiting time

7 22% 38% 31%

4 6 29% 34% 27%

10% 25% 26% 20% 19%

8 24% 35% 31%

4 10% 25% 34% 26%

15% 19% 23% 22% 21%

Perc

enta

ge o

f ad

mitt

ed p

atie

nts

Hours from starting treatment until admission

EAP

targ

et

Perc

enta

ge o

f no

n-ad

mitt

ed p

atie

nts

Hours from starting treatment until discharge or transfer

0%

20%

40%

60%

80%

100%

0 2 4 6 8 10 12 0%

20%

40%

60%

80%

100%

0 2 4 6 8 10 12

Page 18: Hospital Quarterly: April to June 2010 · Actual results for Armidale and New England Hospital Standardised results for Armidale and New England8 98% Poor Fair Good Very good Excellent

Hospital Quarterly: special feature on emergency department care april to June 2010 www.bhi.nsw.gov.au

Haw

kesb

ury

Dis

tric

t H

ealt

h S

ervi

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Dis

tric

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oup

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ls (C

1)

Sydn

ey W

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Are

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ealth

Ser

vice

Hawkesbury District Health Service: Patients attending the emergency department April to June 2010

Same period last year

Change since one year ago

Hawkesbury District Health Service: Waiting times in the emergency department April to June 2010

Transfer time (off stretcher) 4 Target: 90% transferred in 30 min.

Same period last year

Hospital peer group

(this period)

Percentage of patients who received treatment by target time, by triage category 5 6

Percentage of patients who received treatment by time and triage category 5

Perc

enta

ge o

f tr

eate

d pa

tient

s

Minutes from triage until treatment

All attendances: 4,787 patients 1

Emergency attendances by triage category: 4,740 patients 2

23 (0%)

576 (12%)

2,546 (54%)

1,272 (27%)

323 (7%)

1 Immediately life threatening

2 Imminently life threatening

3 Potentially life threatening

4 Potentially serious

5 Less urgent

20

558

2,555

1,370

225

15%

3%

0%

-7%

44%

Emergency attendances by triage category and mode of separation: 4,534 patients 3

Treated and admitted to hospital (1,161)

Treated and discharged or transferred (2,641)

treatment (732)

1 Immediately life threatening

2 Imminently life threatening

3 Potentially life threatening

4 Potentially serious

5 Less urgent

*

263 (23%)

764 (66%)

121 (10%)

*

*

231 (9%)

1,385 (52%)

846 (32%)

*

*

*

294 (40%)

285 (39%)

137 (19%)

Attendances arriving by ambulance: 967 patients

54% 54% 78%

1 Immediately life threatening

2 Imminently life threatening

3 Potentially life threatening

4 Potentially serious

5 Less urgent

100%

93%

94%

94%

98%

Target: 100% seen in 2 min.

Target: 80% seen in 10 min.

Target: 75% seen in 30 min.

Target: 70% seen in 60 min.

Target: 70% seen in 120 min.

100%

84%

84%

77%

87%

0%

20%

40%

60%

80%

100%

0 20 40 60 80 100 120 140 160 180

1 Immediately life threatening

2 Imminently life threatening

3 Potentially life threatening

4 Potentially serious

5 Less urgent

Patient left without, or before completing,

99%

84%

79%

77%

92%

Emergency department records for this peer group (C1) recorded less than 100 per cent triage 1 performance (i.e. started to receive treatment within two minutes of being triaged). NSW Health organised an independent clinical review which concluded that these records contained data entry errors and all patients received treatment within two minutes of being triaged. The Bureau has reported the percentage for this peer group currently available on the HIE.

Page 19: Hospital Quarterly: April to June 2010 · Actual results for Armidale and New England Hospital Standardised results for Armidale and New England8 98% Poor Fair Good Very good Excellent

Hospital Quarterly: special feature on emergency department care april to June 2010 www.bhi.nsw.gov.au

* Suppressed due to small numbers and to protect privacy. Relevant graphs are also suppressed.1. All attendances at the emergency department (ED) including emergency and non-emergency.2. All emergency attendances with a recorded triage category.3. All emergency attendances with a recorded triage category, excluding attendances with a mode of separation of transferred prior to treatment or died in ED.4. Transfer time refers to the time between arrival and transfer to the care of the ED. 5. All emergency attendances excluding those without a recorded triage category, triage time, or treatment time.6. Targets for triage levels are recommended by the Australasian College for Emergency Medicine.7. All emergency attendances excluding those without a recorded triage category, treatment time, or departure time.8. To account for differences between hospitals in the types of patients served, values are standardised for age, gender, health status, education, language, socioeconomic status, days in bed for illness or injury in February 2009, times in hospital overnight in past six months and severity of pain (if any).9. Care experiences that matter most are based on analysis of all emergency department respondents to the NSW Health Patient Survey 2009.Note: Percentages may not add to 100 per cent due to rounding. All percentages rounded to whole numbers.Sources: Attendance, waiting and treatment time data from Health Information Exchange (extracted 16 July 2010); ambulance data from Ambulance Service, NSW (provided 23 July 2010); patient experiences data from the emergency department module of the NSW Health Patient Survey 2009.

Haw

kesb

ury

Dis

tric

t H

ealt

h S

ervi

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Dis

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oup

1 ho

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ls (C

1)

Sydn

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est

Are

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ealth

Ser

vice

Hawkesbury District Health Service: Treatment to departure time in the emergency department April to June 2010

Percentage of patients who were treated and admitted by time and triage category 7

Percentage of patients who were treated and discharged or transferred by time and triage category 7

Emergency admission performance (EAP) Target: 80% admitted in 8 hours

of admitted patients were transferred from the emergency department to a ward or operating suite within 8 hours of starting treatment.

Hawkesbury District Health Service: Patient experiences in the emergency department NSW Health Patient Survey, February 2009

Key to patient ratings:

Overall patient ratings of emergency department care

Actual results Standardised results 8

Patient ratings of care experiences that matter most 9

Actual results for Hawkesbury Health Service Standardised results for Hawkesbury Health Service 8

87%

Poor Fair Good Very good Excellent

Hawkesbury District Health Service

New South Wales

District group 1 hospitals

7 14% 30% 28% 21%

5 12% 25% 32% 26%

5 12% 25% 32% 26%

6 15% 30% 31% 18%

4 11% 26% 34% 25%

5 12% 25% 32% 26%

Staff courtesy

Completeness of care

Waiting time

4 12% 29% 29% 26%

9% 15% 27% 29% 20%

29% 26% 15% 14% 15%

3 11% 30% 33% 23%

7 14% 31% 30% 18%

29% 25% 21% 14% 10%

Perc

enta

ge o

f ad

mitt

ed p

atie

nts

Hours from starting treatment until admission

EAP

targ

et

Perc

enta

ge o

f no

n-ad

mitt

ed p

atie

nts

Hours from starting treatment until discharge or transfer

0%

20%

40%

60%

80%

100%

0 2 4 6 8 10 12 0%

20%

40%

60%

80%

100%

0 2 4 6 8 10 12

Page 20: Hospital Quarterly: April to June 2010 · Actual results for Armidale and New England Hospital Standardised results for Armidale and New England8 98% Poor Fair Good Very good Excellent

Hospital Quarterly: special feature on emergency department care april to June 2010 www.bhi.nsw.gov.au

Mo

un

t D

ruit

t H

osp

ital

D

istr

ict

grou

p 1

hosp

itals

(C1)

Sy

dney

Wes

t A

rea

Hea

lth S

ervi

ce

Mount Druitt Hospital: Patients attending the emergency department April to June 2010

Same period last year

Change since one year ago

Mount Druitt Hospital: Waiting times in the emergency department April to June 2010

Transfer time (off stretcher) 4 Target: 90% transferred in 30 min.

Same period last year

Hospital peer group

(this period)

Percentage of patients who received treatment by target time, by triage category 5 6

Percentage of patients who received treatment by time and triage category 5

Perc

enta

ge o

f tr

eate

d pa

tient

s

Minutes from triage until treatment

All attendances: 7,668 patients 1

Emergency attendances by triage category: 7,247 patients 2

35 (0%)

544 (8%)

2,146 (30%)

3,695 (51%)

827 (11%)

1 Immediately life threatening

2 Imminently life threatening

3 Potentially life threatening

4 Potentially serious

5 Less urgent

35

349

1,965

3,695

1,591

0%

56%

9%

0%

-48%

Emergency attendances by triage category and mode of separation: 7,237 patients 3

Treated and admitted to hospital (769)

Treated and discharged or transferred (5,689)

treatment (779)

1 Immediately life threatening

2 Imminently life threatening

3 Potentially life threatening

4 Potentially serious

5 Less urgent

*

201 (26%)

390 (51%)

169 (22%)

*

27 (0%)

334 (6%)

1,655 (29%)

3,021 (53%)

652 (11%)

*

*

101 (13%)

502 (64%)

167 (21%)

Attendances arriving by ambulance: 2,101 patients

64% 75% 78%

1 Immediately life threatening

2 Imminently life threatening

3 Potentially life threatening

4 Potentially serious

5 Less urgent

100%

82%

77%

69%

82%

Target: 100% seen in 2 min.

Target: 80% seen in 10 min.

Target: 75% seen in 30 min.

Target: 70% seen in 60 min.

Target: 70% seen in 120 min.

100%

90%

85%

76%

86%

0%

20%

40%

60%

80%

100%

0 20 40 60 80 100 120 140 160 180

1 Immediately life threatening

2 Imminently life threatening

3 Potentially life threatening

4 Potentially serious

5 Less urgent

Patient left without, or before completing,

99%

84%

79%

77%

92%

Emergency department records for this peer group (C1) recorded less than 100 per cent triage 1 performance (i.e. started to receive treatment within two minutes of being triaged). NSW Health organised an independent clinical review which concluded that these records contained data entry errors and all patients received treatment within two minutes of being triaged. The Bureau has reported the percentage for this peer group currently available on the HIE.

Page 21: Hospital Quarterly: April to June 2010 · Actual results for Armidale and New England Hospital Standardised results for Armidale and New England8 98% Poor Fair Good Very good Excellent

Hospital Quarterly: special feature on emergency department care april to June 2010 www.bhi.nsw.gov.au

* Suppressed due to small numbers and to protect privacy. Relevant graphs are also suppressed.1. All attendances at the emergency department (ED) including emergency and non-emergency.2. All emergency attendances with a recorded triage category.3. All emergency attendances with a recorded triage category, excluding attendances with a mode of separation of transferred prior to treatment or died in ED.4. Transfer time refers to the time between arrival and transfer to the care of the ED. 5. All emergency attendances excluding those without a recorded triage category, triage time, or treatment time.6. Targets for triage levels are recommended by the Australasian College for Emergency Medicine.7. All emergency attendances excluding those without a recorded triage category, treatment time, or departure time.8. To account for differences between hospitals in the types of patients served, values are standardised for age, gender, health status, education, language, socioeconomic status, days in bed for illness or injury in February 2009, times in hospital overnight in past six months and severity of pain (if any).9. Care experiences that matter most are based on analysis of all emergency department respondents to the NSW Health Patient Survey 2009.Note: Percentages may not add to 100 per cent due to rounding. All percentages rounded to whole numbers.Sources: Attendance, waiting and treatment time data from Health Information Exchange (extracted 16 July 2010); ambulance data from Ambulance Service, NSW (provided 23 July 2010); patient experiences data from the emergency department module of the NSW Health Patient Survey 2009.

Mo

un

t D

ruit

t H

osp

ital

D

istr

ict

grou

p 1

hosp

itals

(C1)

Sy

dney

Wes

t A

rea

Hea

lth S

ervi

ce

Mount Druitt Hospital: Treatment to departure time in the emergency department April to June 2010

Percentage of patients who were treated and admitted by time and triage category 7

Percentage of patients who were treated and discharged or transferred by time and triage category 7

Emergency admission performance (EAP) Target: 80% admitted in 8 hours

of admitted patients were transferred from the emergency department to a ward or operating suite within 8 hours of starting treatment.

Mount Druitt Hospital: Patient experiences in the emergency department NSW Health Patient Survey, February 2009

Key to patient ratings:

Overall patient ratings of emergency department care

Actual results Standardised results 8

Patient ratings of care experiences that matter most 9

Actual results for Mount Druitt Hospital Standardised results for Mount Druitt Hospital 8

77%

Poor Fair Good Very good Excellent

Mount Druitt Hospital

New South Wales

District group 1 hospitals

7 16% 28% 31% 18%

5 12% 25% 32% 26%

5 12% 25% 32% 26%

5 13% 29% 33% 20%

4 11% 26% 34% 25%

5 12% 25% 32% 26%

Staff courtesy

Completeness of care

Waiting time

4 14% 31% 28% 23%

8 12% 32% 29% 20%

26% 21% 23% 20% 11%

3 11% 29% 34% 23%

6 12% 29% 32% 21%

22% 23% 23% 18% 14%

Perc

enta

ge o

f ad

mitt

ed p

atie

nts

Hours from starting treatment until admission

EAP

targ

et

Perc

enta

ge o

f no

n-ad

mitt

ed p

atie

nts

Hours from starting treatment until discharge or transfer

0%

20%

40%

60%

80%

100%

0 2 4 6 8 10 12 0%

20%

40%

60%

80%

100%

0 2 4 6 8 10 12

Page 22: Hospital Quarterly: April to June 2010 · Actual results for Armidale and New England Hospital Standardised results for Armidale and New England8 98% Poor Fair Good Very good Excellent

Hospital Quarterly: special feature on emergency department care april to June 2010 www.bhi.nsw.gov.au

Ryd

e H

osp

ital

D

istr

ict

grou

p 1

hosp

itals

(C1)

N

orth

ern

Sydn

ey C

entr

al C

oast

Are

a H

ealth

Ser

vice

Ryde Hospital: Patients attending the emergency department April to June 2010

Same period last year

Change since one year ago

Ryde Hospital: Waiting times in the emergency department April to June 2010

Transfer time (off stretcher) 4 Target: 90% transferred in 30 min.

Same period last year

Hospital peer group

(this period)

Percentage of patients who received treatment by target time, by triage category 5 6

Percentage of patients who received treatment by time and triage category 5

Perc

enta

ge o

f tr

eate

d pa

tient

s

Minutes from triage until treatment

All attendances: 6,005 patients 1

Emergency attendances by triage category: 5,817 patients 2

30 (1%)

483 (8%)

1,875 (32%)

2,884 (50%)

545 (9%)

1 Immediately life threatening

2 Imminently life threatening

3 Potentially life threatening

4 Potentially serious

5 Less urgent

48

410

1,817

2,808

513

-38%

18%

3%

3%

6%

Emergency attendances by triage category and mode of separation: 5,794 patients 3

Treated and admitted to hospital (1,475)

Treated and discharged or transferred (4,088)

treatment (231)

1 Immediately life threatening

2 Imminently life threatening

3 Potentially life threatening

4 Potentially serious

5 Less urgent

14 (1%)

292 (20%)

801 (54%)

351 (24%)

17 (1%)

11 (0%)

184 (5%)

1,029 (25%)

2,392 (59%)

472 (12%)

0 (0%)

*

*

135 (58%)

52 (23%)

Attendances arriving by ambulance: 1,696 patients

86% 76% 78%

1 Immediately life threatening

2 Imminently life threatening

3 Potentially life threatening

4 Potentially serious

5 Less urgent

100%

94%

83%

83%

88%

Target: 100% seen in 2 min.

Target: 80% seen in 10 min.

Target: 75% seen in 30 min.

Target: 70% seen in 60 min.

Target: 70% seen in 120 min.

100%

91%

63%

70%

90%

0%

20%

40%

60%

80%

100%

0 20 40 60 80 100 120 140 160 180

1 Immediately life threatening

2 Imminently life threatening

3 Potentially life threatening

4 Potentially serious

5 Less urgent

Patient left without, or before completing,

99%

84%

79%

77%

92%

Emergency department records for this peer group (C1) recorded less than 100 per cent triage 1 performance (i.e. started to receive treatment within two minutes of being triaged). NSW Health organised an independent clinical review which concluded that these records contained data entry errors and all patients received treatment within two minutes of being triaged. The Bureau has reported the percentage for this peer group currently available on the HIE.

Page 23: Hospital Quarterly: April to June 2010 · Actual results for Armidale and New England Hospital Standardised results for Armidale and New England8 98% Poor Fair Good Very good Excellent

Hospital Quarterly: special feature on emergency department care april to June 2010 www.bhi.nsw.gov.au

* Suppressed due to small numbers and to protect privacy. Relevant graphs are also suppressed.1. All attendances at the emergency department (ED) including emergency and non-emergency.2. All emergency attendances with a recorded triage category.3. All emergency attendances with a recorded triage category, excluding attendances with a mode of separation of transferred prior to treatment or died in ED.4. Transfer time refers to the time between arrival and transfer to the care of the ED. 5. All emergency attendances excluding those without a recorded triage category, triage time, or treatment time.6. Targets for triage levels are recommended by the Australasian College for Emergency Medicine.7. All emergency attendances excluding those without a recorded triage category, treatment time, or departure time.8. To account for differences between hospitals in the types of patients served, values are standardised for age, gender, health status, education, language, socioeconomic status, days in bed for illness or injury in February 2009, times in hospital overnight in past six months and severity of pain (if any).9. Care experiences that matter most are based on analysis of all emergency department respondents to the NSW Health Patient Survey 2009.Note: Percentages may not add to 100 per cent due to rounding. All percentages rounded to whole numbers.Sources: Attendance, waiting and treatment time data from Health Information Exchange (extracted 16 July 2010); ambulance data from Ambulance Service, NSW (provided 23 July 2010); patient experiences data from the emergency department module of the NSW Health Patient Survey 2009.

Ryd

e H

osp

ital

D

istr

ict

grou

p 1

hosp

itals

(C1)

N

orth

ern

Sydn

ey C

entr

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oast

Are

a H

ealth

Ser

vice

Ryde Hospital: Treatment to departure time in the emergency department April to June 2010

Percentage of patients who were treated and admitted by time and triage category 7

Percentage of patients who were treated and discharged or transferred by time and triage category 7

Emergency admission performance (EAP) Target: 80% admitted in 8 hours

of admitted patients were transferred from the emergency department to a ward or operating suite within 8 hours of starting treatment.

Ryde Hospital: Patient experiences in the emergency department NSW Health Patient Survey, February 2009

Key to patient ratings:

Overall patient ratings of emergency department care

Actual results Standardised results 8

Patient ratings of care experiences that matter most 9

Actual results for Ryde Hospital Standardised results for Ryde Hospital 8

79%

Poor Fair Good Very good Excellent

Ryde Hospital

New South Wales

District group 1 hospitals

6 13% 23% 32% 27%

5 12% 25% 32% 26%

5 12% 25% 32% 26%

4 12% 27% 34% 23%

4 11% 26% 34% 25%

5 12% 25% 32% 26%

Staff courtesy

Completeness of care

Waiting time

3 10% 25% 32% 30%

6 11% 27% 30% 26%

21% 17% 23% 20% 19%

9% 27% 35% 27%

5 12% 28% 33% 22%

19% 21% 23% 20% 17%

Perc

enta

ge o

f ad

mitt

ed p

atie

nts

Hours from starting treatment until admission

EAP

targ

et

Perc

enta

ge o

f no

n-ad

mitt

ed p

atie

nts

Hours from starting treatment until discharge or transfer

0%

20%

40%

60%

80%

100%

0 2 4 6 8 10 12 0%

20%

40%

60%

80%

100%

0 2 4 6 8 10 12

Page 24: Hospital Quarterly: April to June 2010 · Actual results for Armidale and New England Hospital Standardised results for Armidale and New England8 98% Poor Fair Good Very good Excellent

Hospital Quarterly: special feature on emergency department care april to June 2010 www.bhi.nsw.gov.au

Shel

lhar

bo

ur

Ho

spit

al

Dis

tric

t gr

oup

1 ho

spita

ls (C

1)

Sout

h Ea

ster

n Sy

dney

Illa

war

ra A

rea

Hea

lth S

ervi

ce

Shellharbour Hospital: Patients attending the emergency department April to June 2010

Same period last year

Change since one year ago

Shellharbour Hospital: Waiting times in the emergency department April to June 2010

Transfer time (off stretcher) 4 Target: 90% transferred in 30 min.

Same period last year

Hospital peer group

(this period)

Percentage of patients who received treatment by target time, by triage category 5 6

Percentage of patients who received treatment by time and triage category 5

Perc

enta

ge o

f tr

eate

d pa

tient

s

Minutes from triage until treatment

All attendances: 6,290 patients 1

Emergency attendances by triage category: 6,024 patients 2

14 (0%)

287 (5%)

1,652 (27%)

3,836 (64%)

235 (4%)

1 Immediately life threatening

2 Imminently life threatening

3 Potentially life threatening

4 Potentially serious

5 Less urgent

Emergency attendances by triage category and mode of separation: 6,009 patients 3

Treated and admitted to hospital (710)

Treated and discharged or transferred (4,669)

treatment (630)

1 Immediately life threatening

2 Imminently life threatening

3 Potentially life threatening

4 Potentially serious

5 Less urgent

*

74 (10%)

317 (45%)

314 (44%)

*

*

206 (4%)

1,289 (28%)

3,000 (64%)

*

0 (0%)

*

*

516 (82%)

64 (10%)

Attendances arriving by ambulance: 1,535 patients

73% 67% 78%

1 Immediately life threatening

2 Imminently life threatening

3 Potentially life threatening

4 Potentially serious

5 Less urgent

100%

95%

81%

74%

94%

Target: 100% seen in 2 min.

Target: 80% seen in 10 min.

Target: 75% seen in 30 min.

Target: 70% seen in 60 min.

Target: 70% seen in 120 min.

0%

20%

40%

60%

80%

100%

0 20 40 60 80 100 120 140 160 180

1 Immediately life threatening

2 Imminently life threatening

3 Potentially life threatening

4 Potentially serious

5 Less urgent

Patient left without, or before completing,

Data for this quarter arenot published because ofthe implementation of a new electronic informationsystem in this emergencydepartment.

Data for thisquarter are notpublished becauseof the implemen-tation of a newelectronic inform-ation system inthis emergencydepartment.

99%

84%

79%

77%

92%

Emergency department records for this peer group (C1) recorded less than 100 per cent triage 1 performance (i.e. started to receive treatment within two minutes of being triaged). NSW Health organised an independent clinical review which concluded that these records contained data entry errors and all patients received treatment within two minutes of being triaged. The Bureau has reported the percentage for this peer group currently available on the HIE.

Page 25: Hospital Quarterly: April to June 2010 · Actual results for Armidale and New England Hospital Standardised results for Armidale and New England8 98% Poor Fair Good Very good Excellent

Hospital Quarterly: special feature on emergency department care april to June 2010 www.bhi.nsw.gov.au

* Suppressed due to small numbers and to protect privacy. Relevant graphs are also suppressed.1. All attendances at the emergency department (ED) including emergency and non-emergency.2. All emergency attendances with a recorded triage category.3. All emergency attendances with a recorded triage category, excluding attendances with a mode of separation of transferred prior to treatment or died in ED.4. Transfer time refers to the time between arrival and transfer to the care of the ED. 5. All emergency attendances excluding those without a recorded triage category, triage time, or treatment time.6. Targets for triage levels are recommended by the Australasian College for Emergency Medicine.7. All emergency attendances excluding those without a recorded triage category, treatment time, or departure time.8. To account for differences between hospitals in the types of patients served, values are standardised for age, gender, health status, education, language, socioeconomic status, days in bed for illness or injury in February 2009, times in hospital overnight in past six months and severity of pain (if any).9. Care experiences that matter most are based on analysis of all emergency department respondents to the NSW Health Patient Survey 2009.Note: Percentages may not add to 100 per cent due to rounding. All percentages rounded to whole numbers.Sources: Attendance, waiting and treatment time data from Health Information Exchange (extracted 16 July 2010); ambulance data from Ambulance Service, NSW (provided 23 July 2010); patient experiences data from the emergency department module of the NSW Health Patient Survey 2009.

Shel

lhar

bo

ur

Ho

spit

al

Dis

tric

t gr

oup

1 ho

spita

ls (C

1)

Sout

h Ea

ster

n Sy

dney

Illa

war

ra A

rea

Hea

lth S

ervi

ce

Shellharbour Hospital: Treatment to departure time in the emergency department April to June 2010

Percentage of patients who were treated and admitted by time and triage category 7

Percentage of patients who were treated and discharged or transferred by time and triage category 7

Emergency admission performance (EAP) Target: 80% admitted in 8 hours

of admitted patients were transferred from the emergency department to a ward or operating suite within 8 hours of starting treatment.

Shellharbour Hospital: Patient experiences in the emergency department NSW Health Patient Survey, February 2009

Key to patient ratings:

Overall patient ratings of emergency department care

Actual results Standardised results 8

Patient ratings of care experiences that matter most 9

Actual results for Shellharbour Hospital Standardised results for Shellharbour Hospital 8

72%

Poor Fair Good Very good Excellent

Shellharbour Hospital

New South Wales

District group 1 hospitals

5 13% 23% 33% 26%

5 12% 25% 32% 26%

5 12% 25% 32% 26%

4 11% 27% 34% 24%

4 11% 26% 34% 25%

5 12% 25% 32% 26%

Staff courtesy

Completeness of care

Waiting time

10% 26% 31% 31%

5 12% 25% 33% 24%

20% 19% 21% 20% 19%

9% 26% 35% 28%

5 11% 27% 33% 23%

19% 21% 23% 20% 17%

Perc

enta

ge o

f ad

mitt

ed p

atie

nts

Hours from starting treatment until admission

EAP

targ

et

Perc

enta

ge o

f no

n-ad

mitt

ed p

atie

nts

Hours from starting treatment until discharge or transfer

0%

20%

40%

60%

80%

100%

0 2 4 6 8 10 12 0%

20%

40%

60%

80%

100%

0 2 4 6 8 10 12