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CHA Benchmarking Data2010-2011

Anna HoffmanBenchmarking Officer, CHA

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Introduction

• Dashboard Indicators• 2010-11 Dashboard Indicator Report

• Activity data

• Individual reports

• ED data

• Benchmarking Portal

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• CHA have collected dashboard data since 2007

• The purpose of the indicators is:

- to help hospitals measure their efficiency or effectiveness

- allow comparisons of performance between member hospitals.

• CHA currently collect data for:

- 25 Quarterly Indicators- 30 Annual Indicators

Dashboard Indicators

IndicatorsQuarterly (25 indicators in 15

groups) Annual (30 indicators in 12 groups)1 - Elective Surgery - Overdue

2 - Elective Surgery - DOSAA2 - Relative Workload Types - Clinical Category

3 - Elective Surgery and Procedures - Day Stay

A3 - Relative Workload Types - Elective

4 - Unplanned Overnight Admissions A4 - Relative Workload Types - Tertiary

5 - Unplanned Overnight Admissions A5 - Bed Occupancy

6 - Emergency Care - Observation A6 - Agency Nurse Cost

7 - Emergency Care - Access Block A7 - Casual Nurse Staff Costs8 - Emergency Care - Time to treat for those not admitted

A8 - Staff Turnover

9 - Emergency Care - Waiting TimeA9 - Mental Health - Unplanned Readmission

10 - Outpatients - Failure to Attend A10 - Mental Health – Inpatient

11 - Outpatients - By TypeA11 - Hospital Acquired Infection - Viral Infections

13 - Length of Stay - Long Stay Beddays

A12 - Hospital Acquired Infection – CVAD

15 - Asthma Management - Emergency Department

A13 - Hospital Acquired Infection - MRO Surveillance

16 - Asthma Management - Inpatient  22 - Incident Monitoring  

Participating Hospitals

  Large Medium Small Total

2007-2008 7     7

2008-2009 9 1 2 12

2009-2010 8 1 5 14

2010-2011 11 2 6 19

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Column charts• Provide a snap shot of info for the year• Comparison of each quarter per hospital

Funnel Charts• Show the rate for each hospital graphed based on the size of

the denominator

Funnel Tables• Summarise each hospital’s performance relative to their peers

How data will be presented

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Indicator 2: DOSA Rate for Paediatric Elective Surgery

% paediatric elective surgical patients who are planned to have an overnight stay and who are admitted on the Day of Surgery (DOSA)

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Indicator 2: DOSA Rate for Paediatric Elective Surgery

% paediatric elective surgical patients who are planned to have an overnight stay and who are admitted on the Day of Surgery (DOSA)

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Indicator 4a: Unplanned Overnight Admissions

% unplanned overnight admissions following day surgery or day procedure

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Indicator 4a: Unplanned Overnight Admissions

% unplanned overnight admissions following day surgery or day procedure

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Indicator 5: Proportion of Paediatric Emergency Department Presentations admitted to an inpatient ward bed

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Indicator 5: Proportion of Paediatric Emergency Department Presentations admitted to an inpatient ward bed

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Indicator A5: BED OCCUPANCY

Average occupancy of available and staffed paediatric beds

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Indicator A5: BED OCCUPANCY

Average occupancy of available and staffed paediatric beds

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FUNNEL TABLES

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FUNNEL TABLES

2 6 9a 9b 9c 9d 9e

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Quarterly Indicators

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FUNNEL TABLES

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Activity data

This data supports the dashboard indicators to assist CHA members in their benchmarking activities

14 Hospital have submitted activity data, another 3 have indicated they will be submitting.

10 Large Hospitals, 1 Medium and 3 small

10 Hospitals have submitted costing data.

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2010 – 2011 Activity Summary Table

FinancialYear FacilitySize HospitalID Separations Casemix Index

Overnight Sameday % Sameday Beddays (incl SD)

Beddays (excl SD)

AvLOS (incl SD)

AvLOS (excl SD)

% Private

% Emergency

% with ICU Admission

Total Cost Average Cost

2010/2011 Large 2 21,966 1.13 11476 10490 47.8% 52465 41975 2.39 3.66 26.1% 54.3% 4.1% $0 $04 20,134 0.97 8697 11437 56.8% 48337 36900 2.40 4.24 20.8% 33.8% 3.4% $101,786,961 $5,0556 28,986 1.22 15775 13211 45.6% 97151 83940 3.35 5.32 29.6% 39.4% 5.2% $207,418,673 $7,1568 27,276 1.04 15473 11803 43.3% 73415 61612 2.69 3.98 9.8% 55.9% 4.9% $156,620,187 $5,74210 18,812 0.97 10701 8111 43.1% 51793 43682 2.75 4.08 10.6% 50.6% 2.7% $0 $012 26,747 1.43 13712 13035 48.7% 84574 71539 3.16 5.22 0.0% 60.2% 6.7% $128,300,627 $4,79713 6,993 1.03 5738 1255 17.9% 26245 24990 3.75 4.36 3.2% 39.2% 0.2% $0 $016 8,390 1.28 5599 2791 33.3% 28305 25514 3.37 4.56 34.6% 68.1% 6.7% $47,421,516 $5,65226 34,414 1.36 18216 16198 47.1% 103150 86952 3.00 4.77 22.6% 42.7% 5.3% $261,541,301 $7,60043 10,564 1.06 5380 5184 49.1% 30193 25009 2.86 4.65 0.0% 76.4% 0.0% $39,071,220 $3,699

Large Total 204,282 1.12 110,767 93,515 45.8% 595,628 502,113 2.92 4.53 16.7% 50.1% 4.5% $942,160,484 $6,020

Medium/Small 14 4,960 1.53 3386 1574 31.7% 20617 19043 4.16 5.62 5.7% 50.7% 7.3% $36,567,208 $7,37248 6,056 0.92 3911 2145 35.4% 15378 13233 2.54 3.38 6.5% 60.0% 9.1% $23,631,978 $3,90269 5,831 0.81 4534 1297 22.2% 15147 13850 2.60 3.05 4.1% 43.1% 0.1% $0 $072 5,965 0.80 4769 1196 20.1% 14836 13640 2.49 2.86 3.9% 49.5% 0.2% $16,576,258 $2,779

Medium/ Small Total 22,812 0.58 16,600 6,212 27.2% 65,978 59,766 2.89 3.60 5.0% 50.9% 4.1% 76,775,445 $3,297

2010/2011 Total 227,094 1.16 127,367 99,727 43.9% 661,606 561,879 2.91 4.41 15.5% 50.1% 4.4% 1,018,935,929 $5,873

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% ED Activity

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% SD Separations

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Separations vs Beddays

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ALOS vs Beddays

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Individual Reports

• Provide an important overview of inpatient activity

• Hospital performance is compared with that of CHA as a whole

• Include:• Hospital Profile• Top 10 DRGs by Volume (volume adjusted)• Cumulative distribution of Length of Stay• Top 10 DRGs by Cost• DRGs with breakdown by Specialty• Average Length of Stay of Top 5 DRGs compared to CHA

Average• Average Cost of Top 5 DRGs compared to CHA average• Top 5 favourable DRGs by average cost• Top 5 Unfavourable DRGs by average cost (volume adjusted)• Dashboard Indicators - Control Charts

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Hospital Profile

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TOP 10 DRG by Volume

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TOP 10 DRG by Cost

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DRGs with breakdown by Specialty

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Top 5 DRGs – Average LOS

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Top 5 DRGs – Average Cost

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Top 5 favourable DRGs by average cost

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Top 5 unfavourable DRGs by average cost

Control Charts

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Jul-Sep 07

Oct-Dec 07

Jan-Mar 08

Apr-Jun 08

Jul-Sep 08

Oct-Dec 08

Jan-Mar 09

Apr-Jun 09

Jul - Sep 09

Oct-Dec 09

Jan-Mar 10

Apr-Jun 10

Jul-Sep 10

Oct-Dec 10

Jan-Mar 11

Apr-Jun 11

0.0

10.0

20.0

30.0

40.0

50.0

60.0

70.0

80.0

90.0

100.0

Indicator 2 - % admitted on Day of SurgeryHospital x - July 07 to June 2011

% Average UCL LCL

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Emergency Department Activity Data

  Large Small Total

2009-2010 8 1 9

2010-2011 8 2 10

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Presentations by Hospital

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ED Activity Report

• Age profile

• Gender profile

• Indigenous Status

• Review of presenting problems

• No. of presentations by Triage category

• Time from Arrival to Triage

• Total Treatment Time

• ED Visit Type

• Mode of Arrival

• Mode of Separation

• Referred to on Departure

• Account classification

• Average Cost

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Benchmarking Portal

• Now able to download the entire database

• Co-ordinators need to allocate this access to the

users

• 2010-11 data will be loaded next month.

• Can access directly through

• http://wcha.asn.au/

• www.benchmarking.wcha.asn.au

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Anna Hoffman

Benchmarking Officer

Phone: 0449 656 096

Email: Anna@WCHA.asn.au

Questions?

For more information contact: