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Dr Kim Sutherland - Bureau of Health Information
- 1. Measuring performance in the emergency department Kim Sutherland A/Chief Executive July 2017
- 2. Bureau of Health Information Trusted information. Informed decisions. Improved healthcare. 2 How to measure ED performance? State-level 1 2 3 Hospital-level
- 3. Across 177 emergency departments in NSW In 2015–16 there were: • 2.7 million emergency department presentations • 1.1 million ambulance responses 574,523 patients arrived at the emergency department by ambulance • 729,583 admissions to hospital from the emergency department
- 4. Emergency departments in NSW • 209,968 people (3% of the population) visited an ED three or more times, accounting for 35% of all visits • Most common presenting signs and symptoms: 1. Circulatory and respiratory system – 7% 2. Digestive system – 6% 3. General – 5%
- 7. Bureau of Health Information Trusted information. Informed decisions. Improved healthcare. 7 • Against a standard • Over time • Variation State-level reporting
- 12. Bureau of Health Information Trusted information. Informed decisions. Improved healthcare. 12 Change in ED activity compared with same quarter, last year
- 13. Bureau of Health Information Trusted information. Informed decisions. Improved healthcare. 13 Time from presentation to start treatment, by triage category January to March 2017
- 14. Bureau of Health Information Trusted information. Informed decisions. Improved healthcare. 14 Percentage of patients whose treatment started on time, by triage category January to March 2017
- 15. Bureau of Health Information Trusted information. Informed decisions. Improved healthcare. 15 Percentage of patients whose treatment started on time January to March 2017
- 16. Bureau of Health Information Trusted information. Informed decisions. Improved healthcare. 16
- 17. Bureau of Health Information Trusted information. Informed decisions. Improved healthcare. 17 Percentage of patients who spent four hours or less in the ED, January to March quarters, NSW, 2012 to 2017
- 19. Bureau of Health Information Trusted information. Informed decisions. Improved healthcare. 19
- 20. Bureau of Health Information Trusted information. Informed decisions. Improved healthcare. 20 Percentage of patients who spent four hours or less in the ED, by mode of separation, Jan 2012 to Mar 2017
- 22. Bureau of Health Information Trusted information. Informed decisions. Improved healthcare. 22 Emergency Department Patient Survey
- 23. Bureau of Health Information Trusted information. Informed decisions. Improved healthcare. 23 Emergency Department Patient Survey – LHD variation 2014–15
- 24. Bureau of Health Information Trusted information. Informed decisions. Improved healthcare. 24 Emergency Department Patient Survey – LHD variation 2014–15
- 25. Bureau of Health Information Trusted information. Informed decisions. Improved healthcare. 25 Synthesis and overview
- 26. Bureau of Health Information Trusted information. Informed decisions. Improved healthcare. 26 Emergency Department Patient Survey • 23,810 patients, visited between April 2015 and March 2016 • Included 82 hospitals • Principal referral, major, district hospitals (peer group A – C) (5000 + patients pa) • All local health districts Emergency Department Small Facility Survey • 7,043 patients visited between November 2015 and February 2016 • Included 64 smaller facilities • Multipurpose services, health services, small district • Six local health districts - inner- and outer- regional, remote and very remote areas
- 27. Bureau of Health Information Trusted information. Informed decisions. Improved healthcare. 27 Emergency departments – small and large Small Facilities ED patients 2016 ED patients 2015 Overall how would you rate the care you received while in the ED? (% very good)
- 28. Bureau of Health Information Trusted information. Informed decisions. Improved healthcare. 28 Experiences of care in the ED, by Aboriginality
- 30. Bureau of Health Information Trusted information. Informed decisions. Improved healthcare. 30 Emergency department transfer of care time, Jan–Mar 2017
- 31. Bureau of Health Information Trusted information. Informed decisions. Improved healthcare. 31 Percentage of ambulance arrivals with transfer of care time within 30 minutes, Apr 2013 to Mar 2017
- 32. Bureau of Health Information Trusted information. Informed decisions. Improved healthcare. 32 Turnaround time Median turnaround time, hospital perspective, January to March 2017
- 33. Bureau of Health Information Trusted information. Informed decisions. Improved healthcare. 33 Median turnaround time, local response area perspective, January to March 2017 Turnaround time
- 34. Bureau of Health Information Trusted information. Informed decisions. Improved healthcare. 34 Daily measures, NSW, January to March 2017 Surge level Observed significantly above expected Not significantly above expected Activity 80th percentile of activity 90th percentile of activity Under 80th percentile of activity Timeliness Days of highest performance Days of lowest performance Neither high or low performance
- 36. Bureau of Health Information Trusted information. Informed decisions. Improved healthcare. 36 Hospital-level reporting
- 37. Bureau of Health Information Trusted information. Informed decisions. Improved healthcare. 37 BHI website
- 38. Bureau of Health Information Trusted information. Informed decisions. Improved healthcare. 38
- 39. Bureau of Health Information Trusted information. Informed decisions. Improved healthcare. 39
- 40. Bureau of Health Information Trusted information. Informed decisions. Improved healthcare. 40
- 41. Parsimony and comprehensiveness • Be clear about the: • purpose of measurement • presentation • levels of analysis • need for linkage
- 42. Thank you