Le#ng the Data Speak – Surgical Dashboards as the Driver of Opera;ng Theatre Efficiency MaAhew Hadfield, Director Periopera;ve Services, Ballarat Health Services
Surgery Services 6 Opera;ng Theatre 2 Procedure Rooms 1 Cardiovascular Suite General Surgery ENT Orthopaedic Vascular Obstetrics Gynaecology Urology Endoscopy 24 Hour Service
Procedures per Year
In developing a suite of reports we endeavoured to have a number of reports that would address each of the goals
• Prior to 2013 there was limited access to useful reports for Periopera;ve Services and in general these were ini;ated by request and took ;me.
• Late in 2012 Ballarat Health Service made a commitment to develop a Series of Dashboards for Clinical Streams
• This presenta;on describes where the Dashboard(s) for Periopera;ve Services is today
Where we have come from…………………….
In developing reports we used the following principle For a fact to be simple it must • Inform
• MaAer
• Deserve a Response
When any of these quali;es are missing, data remains as noise Stephen Few
Consultant Principal Procedures
Date Range Consultant
Drill Down
Consultant Principal Procedures
Procedure Name Indications ED - Balloon Time
Coronary + LV STEMICoronary Angio STEMICoronary + LV NSTEMIAorto-bifemoral AngioFistuloplastyPICC
Cardiovascular Suite Daily Ac;vity
We are very excited with this report as it links three so`ware systems
Unit of Ac;vity
Contact Hours = Lab Arrival -‐ Lab Dept Time
- One contact hour equivalent to one WIES - One Session has the potential to generate 4 WIES
Data
Note increasing ac;vity and decreased variance – this indirectly reflects beAer session u;lisa;on
Daily Theatre List Contact Hours per Theatre per Day
Dr Name Leave Type From Date To Date Current Date Days Approved Days Used Days Remaining Year Month Week Number
DAVID COOK ANNUAL LEAVE 01/07/2015 09/08/2015 7/30/2015 39 -29 10 2015 Jul-15 27RUTH BOLLARD ANNUAL LEAVE 10/07/2015 10/08/2015 7/30/2015 31 -20 11 2015 Jul-15 28RUTH BOLLARD-STANDARD
ANNUAL LEAVE 10/07/2015 09/08/2015 7/30/2015 30 -2010 2015 Jul-15 28
KARIN ANNERTZ LEAVE WITHOUT PAY
20/07/2015 02/08/2015 7/30/2015 13 -103 2015 Jul-15 30
NIALL MCCONCHIE
CONFERENCE 26/07/2015 30/07/2015 7/30/2015 4 -40 2015 Jul-15 30
CHANTELLE STUBNA
ANNUAL LEAVE 27/07/2015 16/08/2015 7/30/2015 20 -317 2015 Jul-15 31
SUSIE FOX ANNUAL LEAVE 29/07/2015 29/07/2015 7/30/2015 0 -1 -1 2015 Jul-15 31IRUKA KUMARAGE
ANNUAL LEAVE 29/07/2015 29/07/2015 7/30/2015 0 -1-1 2015 Jul-15 31
JOHN DILLON ANNUAL LEAVE 06/08/2015 06/08/2015 7/30/2015 0 7 7 2015 Aug-15 32ANDREW LOWE ANNUAL LEAVE 08/08/2015 16/08/2015 7/30/2015 8 9 17 2015 Aug-15 32JOHN DILLON ANNUAL LEAVE 10/08/2015 13/08/2015 7/30/2015 3 11 14 2015 Aug-15 33BRUCE STEWART ANNUAL LEAVE 10/08/2015 17/08/2015 7/30/2015 7 11
18 2015 Aug-15 33
Doctor Leave Report
Emergency Theatre Booking System & Time to Surgery
UR Op Date Anaes Time
Surgeon ED Date ED Time
Theatre Hrs
ETBS Booking Confirmed
ED-Theatre
Hrs
Admission Unit
471468 22/07/2015 18:40 Robert FORSYTH - STANDARD
20/07/2015 12:39 0.83 21/07/2015 08:12 54.02 UROLOGY
471415 23/07/2015 15:10 SCOTT JOSEPH MASON 18/07/2015 11:55 1.15 19/07/2015 08:17 123.25 ORTHOPAEDIC128899 23/07/2015 22:05 JOHN DILLON 15/07/2015 06:54 0.78 22/07/2015 20:32 207.18 ORTHOPAEDIC419988 24/07/2015 13:55 EMERGENY -THEATRE 19/07/2015 10:02 2.58 21/07/2015 22:27 123.88 ORTHOPAEDIC471416 24/07/2015 20:27 KONTOKU SHIMOKAWA 18/07/2015 12:01 2.80 22/07/2015 13:40 152.43 GENERAL SURGERY128899 26/07/2015 09:30 ANURUBAN AMBIKAIPALAN 15/07/2015 06:54 1.17 25/07/2015 12:35 266.60 ORTHOPAEDIC238353 28/07/2015 12:55 RICHARD MCMULLIN 25/07/2015 08:07 1.00 27/07/2015 16:43 76.80 ONCOLOGY172080 28/07/2015 16:28 TOM FISHER - STANDARD 25/07/2015 04:20 0.48 28/07/2015 15:17 84.13 GENERAL SURGERY276554 28/07/2015 21:21 DANIEL WONG 26/07/2015 10:22 0.90 28/07/2015 09:01 58.98 GENERAL SURGERY
Emergency Theatre Booking System & Time to Surgery
It is the ED Time to Surgery that is looked at and if >48 hours it is reviewed
Polypectomy Rate Rate to be calculated from Principal Procedure 32093-‐00 ____________________________________________ 32084-‐00+32084-‐01+32090-‐00+32090-‐01+32093-‐00
Calcula;on of Polypectomy Rate
Polypectomy Rates
Readmission Report March 3rd – March 13th
Discriminators • Number of days • Unit • Procedure code • DRG Code
Click and it expands
Readmission Report March 3rd – March 13th
Provides details of Procedure/Diagnosis associated with the
admission
Readmission within 30 Days Report March 3rd -‐
Time Line Report
On-‐the-‐Day Cancella;ons
See next slide
First Case Start Times
Contact Hours Busy >250 – Quiet <200
From this report you can work out the session u;lisa;on for a year
All Sessions excluding Emergency Theatre and A`er Hours
15 % of our allocated sessions are cancelled for leave and other reasons
By Surgeon
Proc Count Avg Surg Dur (Mins) Avg The Dur (Mins) Avg LoS (Days) Est LoSP ro c ed ur a l i s t 1 26 119 180 7.17 2.96P ro c ed ur a l i s t 2 62 108 162 4.31 3.08P ro c ed ur a l i s t 3 44 85 127 6.87 5.32P ro c ed ur a l i s t 4 30 112 161 3.96 3.23P ro c ed ur a l i s t 5 27 104 157 4.37 3.56P ro c ed ur a l i s t 6 22 109 157 3.55 2.68Total 225 105 157 5.63 3.54
49318-‐00Total arthroplasty of hip unilateral
Top 20 Procedure DurationsWhen you drill down you will
find one pa;ent who developed an infec;on with an extended
length of stay
In Summary Ballarat Health Service has developed a range of Dashboard Reports which provide relevant and ;mely informa;on rela;on to the ac;vity of Periopera;ve Services. The reports are accessed daily, weekly and monthly with the data used in local workplace area to the Board. It has helped enormously in suppor;ng business cases and aArac;ng funding